goodchild

Bahahahahahahahahaha. I love this.

R1R2 basically said what I was going to say, verbatim.

There's no requirement to measure the temperature when you receive blood products from the supplier, only to confirm that the products were shipped appropriately.

If you read the manufacturer's instructions for Ortho Gel it says: "In some low ionic strength test systems, certain antibodies, such as anti-E and anti-K, have been reported to be nonreactive."

I didn't think you needed a variance, it's an unlicensed product. I'll have to research/think.

This was actually studied. Schmidt, A.E., Kirkley, S., Patel, N., Masel, D., Bowen, R., Blumberg, N., & Refaai, M.A. (2015). An alternative method to dithiothreitol treatment for antibody screening in patients receiving daratumumab. Transfusion, 55(9), 2292-3. doi: 10.1111/trf.13174

@Smarty pants We're definitely saying the same thing and I should have noted that. I only wanted to point Mabel in that direction based on what her point of contact at her new blood supplier was telling her.

I would dispute that inspector's findings. What accreditation agency was this? If your procedure indicates that crossmatch/assignment cards for aliquots will be identified with the suffix code at the end of the DIN (because really, how else can you do it within Meditech?), that should be sufficient. The rules they're talking about apply to the blood product container labeling, unless I'm misunderstanding your scenario.

I was always under the impression it was based on the manufacturer instructions of apheresis equipment/platelet containers. They have yield and volume constraints the products need to fall within.

What system/version are you on?

Does NY state provide a grace period for unlicensed technologists from out of state (country)?

We started this policy again in 2013 but I've considered discontinuing it recently.

Wouldn't you simply charge a pool CPT code for each pooled product and another charge for each unit of plasma?

How do you review the rate of utilization/indication for use of blood products stored outside of blood bank? Compiling historical data might be a good place to start.

Welcome!

We do something extremely similar to your daily executive safety huddle. We previously had two individuals for laboratory quality/compliance, one for all lab and the other for blood bank specifically. Now we just have the one individual who covers the whole lab.

I would also advise caution with exactly what you say on a public blood bank discussion group. Editing: I hope this didn't come off as rude as it sounds when I read it after the fact, just a suggestion in a world where the online persists forever.

Basically the same for me. I do try and come in with them at a later date as an "after action review," to go over the events and related procedures to help identify resources they had on hand to accomplish their objectives. I would much rather prevent a problem from happening than to pick up the pieces of one later (doubly worse if something egregious occurred and a technologist needs counseling or an action plan). If someone calls for something less than serious I can always refer them back to the procedure and ask that they put any complaints/suggestions/etc into an e-mail. Most recently I've had several calls for de-escalation of circumstances when a technologist rejects an improperly labeled tube and the RN is upset and wanted to speak with me to complain and/or ask me to override.

That's the best kind of job security.

This is brilliant. Following this thread now.

Thanks!

How many RBCs do you issue a month?

Amy, we recently switched to rotating QC through all shifts this year, after re-interpreting CAP/CMS regulations. I think the staff were || (this close) to a mutiny but it's improved our operations overall because now everyone is more comfortable with performing and documenting QC.

I'm also curious. We didn't set up middleware with our ProVue to Meditech interface.

This teaches me a lesson. I tried searching 'SBB' last week but when it didn't work I just gave up.