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April 2024 Challenge

goodchild

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Everything posted by goodchild

  1. goodchild
    I'm also curious. We didn't set up middleware with our ProVue to Meditech interface.
  2. goodchild
    This teaches me a lesson. I tried searching 'SBB' last week but when it didn't work I just gave up.
  3. goodchild
    I would recommend being generic.
  4. goodchild
    There would be no way we could keep anyone competency assessed for adsorptions. We don't keep EGA, CDP, WARM, or RESt.
  5. goodchild
    >340 beds, urban, community teaching hospital. All techs on all shifts are designated blood bankers. Reagents we keep on hand: Resolve A & B 0.8%; Panocell 16 & 20; PEG; LO-ION; C, E ,c, e, K, Fya & b, Jka & b, Lea & b, A1, M, N, S, s antisera, and Elu Kit II. I've also considered bringing in Resolve C. We do >50 AB IDs per month. We try to send very little to reference and screen our own inventory for antigen-negative units when feasible. The focus on in-house antigen typing intensified last fiscal year when our budget was cut a few thousand, and it was cut another 40% this year. I try to bring all the technologists into the discussion as motivation. As an example: for us four units of R1R1 blood from the reference lab costs the same as seven vials of E or c antisera.
  6. goodchild
    Which webinar was this? The Immucor "Answers to Your Questions About Blood Bank Proficiency, Competency, and QC"? Anyone have a copy? We've never done lot-to-lot comparisons for fetal screens. It really seems absurd.
  7. goodchild
    We use samples Alba Q-Chek 1-3 to QC ProVue analyzer. We only perform Type and Antibody screens on the ProVue.
  8. goodchild
    We basically do this exact same thing.
  9. goodchild
    I'm not trying to play armchair quarterback. I was only adding a light shade of gray regarding patients with special transfusion requirements.
  10. goodchild
    Yes. I wholeheartedly agree. The only reason I pose this question is because anytime we (bloodbank talk community) discuss the circumstances surrounding a massive hemorrhage protocol, true massive transfusion scenarios are the only topic. I believe the reality is that for non-trauma hospitals, the "false alarms" (or call them what you will) outnumber the true massive transfusion events. Just last week we had a protocol called on a patient whose antibody screen was almost complete, with history of negative screens and numerous transfusions. Naturally, the screen was positive. We had issued a total of 3 batches in our protocol and it turned out they were actually able to stop the bleeding relatively quickly and transfuse conservatively (total of three RBCs, and serendipitously, all correspondingly antigen-negative).
  11. goodchild
    I've always found this study to be remarkably valid but the phenomenon under-recognized in the practical setting. Bobryk, S. & Goossen, L. (2011). Variation in pipetting may lead to the decreased detection of antibodies in manual gel testing. Clinical Laboratory Science, 24(3), 166-166. http://www.ncbi.nlm.nih.gov/pubmed/21905581
  12. goodchild
    Question for the group: How often are hemorrhage/massive transfusion protocols initiated that don't end up being real massive transfusion protocols? e.g. you prepare/issue a lot of blood but in the end only a couple of units are transfused because they stop the bleeding or re-evaluate the patient or whatever else.
  13. goodchild
    Registration would not be required.
  14. goodchild
    We still use the labels even though we've had an LIS which prevents release of un-typed units for two decades, our blood supplier already double types them, and we keep unprocessed units in an entirely different refrigerator. Anytime I discuss getting rid of them there's intense fear and paranoia. "What if there's a downtime? How will people know the units on the shelf are REALLY retyped?" I'm hoping to hear from more incredulous people who didn't even know others still used them to inspire me to forge ahead and suffer the backlash.
  15. goodchild
    We get pink tops. K2EDTA. Sounds like they're not following appropriate labeling conventions if we're getting them without problems.
  16. goodchild
    I have utter disdain for Ortho customer service.
  17. goodchild
    For us that happens when the ABID test is reflexed when verifying a positive antibody screen. I'm not sure how the "call box" is configured, I'll peruse our dictionary later.
  18. goodchild
    With Ortho BioClone Rh antisera, the manufacturer's instructions, require all negative results to have a follow up incubation of 5-10 minutes. I would give it the 10 minutes before I did anything else. We were in the same boat with our anti-e sera, I think they expired yesterday.
  19. goodchild
    I was just wondering about this same thing today. For example, if you do a gel crossmatch, you result an immediate spin and an AHG and drop CPT 86920 and 86922. If you do a LISS crossmatch, you result immediate spin, 37C, and AHG results; so, should you drop CPT 86920, 86921, and 86922? If not, why does 86921 exist?
  20. goodchild
    This is a hypothetical question because I was thinking the same way as you. What will you do if you find out the patient is negative for k or Kpb?
  21. goodchild
    Out of curiosity, whose antisera are you using?
  22. goodchild
    I'm not sure how I feel about charging other departments for blood waste. Dollar values are relative. In blood bank $1,500 may be seen as a huge dollar value but in other departments that amount can be fairly trivial. It also seems to assign blame in a world of just culture. That and it gives the bean counters one more thing to do. I had other musings on the topic but they escape me just now.
  23. goodchild
    Cliff, seeing the Pink Floyd running shirt makes me have even greater respect for you. Bravo!
  24. goodchild
    Congratulations.
  25. goodchild
    You're tempting me to debate this point Malcolm! Doesn't the rhetorical situation determine the lexis to be used?
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