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About Johnv

  • Birthday 10/21/1959

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  • Location
    Upstate NY
  • Occupation
    Blood Bank Supervisor

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  1. I concur! This was a great symposium. The SBB program I attended sent us to Ann Arbor in 97' and I arranged to go back nearly every year up to 2013 or 2014. We came away with new ideas and confidence in our job. Plus, the Weber Inn was a great place to stay. On the down side listening to John Judd talk about warm beer was not fun. Beer should be drunk ice cold.
  2. In Cerner after UNXM units are issued, the Blood Bank tech orders the a UNXM test with the release statement attached. It goes right to the physician's inbox for their electronic signature. It's not perfect because although the physician is suppose to approve immediately after the trauma, in some case you still have to hunt them down to sign. It has the advantage of allowing the ordering physician to complete the approval signature where ever they are or where you find them, ie. on the beach in an exotic south seas island.
  3. Has there been any new literature on this issue? We continue to see examples of reactive screens in Ortho gel, but negative when 3% screen cells are diluted to 0.8% with MTS diluent and run in gel.
  4. We use a certified alarmed thermometer that will alarm, separate from the refrigerator alarm and the wireless, set for 2.5 to 5.5. This is checked during quarterly alarm testing.
  5. Not sure about just one answer - We had a labeled Rh negative RBC from the ARC that retyped as Rh positive. Upon investigation, it was found the Immucor anti-D reagent we use for retyping had anti-Crawford while the ARC automated process for D typing used an Ortho reagent which was from a different clone. Not very unlikely but certainly more than one answer.
  6. The Blood Bank has ultralow freezers for the storage of tissue and frozen plasma. At our hospital we have been approached as a possible overflow storage location for the Covid-19 vaccine. Is there a FDA regulatory rule against the storage of human vaccines with blood products? I believe in the past we have stored RhIG (Rhogam) with the RBC inventory, although due to the temperature requirement (2-8C vs 1-6C for blood) we currently have a separate reagent storage refrigerator. The storage of Rhogam with blood has never resulted in a citation from CAP, Joint Commission or our State Department of Health. thanks.
  7. I have to agree with you too. The BBGuy was one of my professors during graduate studies and SBB training - way back when...
  8. Thanks Dr. Blumberg. I have passed your comments to the physician
  9. In regards to Neil Blumberg's comment about using ABO identical plasma: can I assume that ABO compatible plasma acceptable? ie. Transfusing A plasma to an O patient? thanks. John V
  10. We decontaminate our coolers daily because they go into the OR. If a cooler came back from an isolation room, we would decontaminate (wipe down with a bleach wipe). Units returned are also rare because it is difficult to have the RN staff to return blood in a timely manner to ensure it is still 10C or less. Consequently this is not an issue. It would be interesting to hear the lessons learned on this subject from the Medical Centers in NYC.
  11. A number of years ago the President made a visit to our area. His advance team visited our hospital and the blood bank. They asked if we were AABB accredited which we regrettably answered no. We are accredited by the Joint Commission Consequently our blood bank was told we could not provide blood product in the event of a medical emergency!
  12. We had a recent example where the patient has anti-A1 but the A cell well on the Ortho ABD gel card was clearly negative on the Vision. It was discovered when two A positive units were crossmatch at initial spin and they were +4! Two O Pos units were crossmatched and they were negative or compatible at immediate spin. Testing in tubes with Immucor A cell gave +2 A cell at initial spin. When testing the patient cells with A1 lectin the result was negative and repeating the reverse with A2 cells the result was negative. In addition, a cold panel indicated a cold antibody was present. The Ab Screen was negative and we crossmatched the units to AHG and they were negative. Has anyone else seen this situation?
  13. We recently received a blood bank plasma freezer thermometer 20C to -90C in a bottle filled with sand instead of glycerol or ethylene glycol. Has anyone had experience with blood product freezer thermometers whose measuring bulb is immersed in sand?
  14. You use a less sensitive assay method to reduce interference with cold and warm auto antibodies that you have shown or proven are not clinically significant, with the idea that a clinically significant allo antibody like Kell, if present, will shine through. It's a balancing act.
  15. You can add canned unit comments printed on the tag. Attributes can also be automatically included when the product name is printed on the tag. It is user defined. Or you can place a sticker on the unit or tag, ie. "Irradiated".
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