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mollyredone

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Everything posted by mollyredone

  1. mollyredone
    I must be blind. I'm looking through my CAP checklist and I'm not seeing anything that talks about personnel competencies. Can someone share the checklist item number? thanks,
  2. mollyredone
    I'm planning on sending out cards sometime this year. We get cards from the Red Cross when they identify an antibody for us, and that gets sent to the patient with a letter, stating they can call for more information. We recently had a patient who had 4+ in all screening cells, panel cells, as well as autocontrol. We called the patient for her to come in for another draw to send to ARC. We found out she had been at a hospital about 70 miles away in May and had a terrible reaction,but their screen was negative. When we got the results back from ARC, she had a warm, C, K and e! I sent her the letter and she called to ask about it. We talked her into autogolous donations for her upcoming hip surgery. I called the other hospital and faxed a copy of the ARC results to them. The cards should have a name of a facility on them, so that should make it easier to confirm the antibodies.
  3. mollyredone
    We save antibody workups on antigram papers in the patient's BB chart, as well as antigen typing,since paper is where we document our QC results for the antisera, just documenting the interpretation in the computer. All other QC and patient results are entered directly in the computer.
  4. mollyredone
    Dianna, I'm not attending AABB, but this sounds like it would be very interesting! Thanks for putting it together!
  5. mollyredone
    Since it was just a suggestion, I'd take it with a grain of salt and not weigh them!
  6. mollyredone
    Thought I would add my 2 cents. When we get an order for IRR or CMV- units, we add that to the patient's history in the computer and it pops up whenever we bring that patient up. Our problem recently has been the oncologists getting lazy and not ordering for the patient's specific needs. So we phone the office and require that they either tell us if the requirement is no longer needed or to fax over a correct order for the specified products. If you get audited and are giving IRR products that aren't on the original order, that spells trouble, and of course on the other hand, you are endangering the patient if you don't give IRR. So we are adamant about correct orders. If it is an ER visit or other doctor, we notify them that the patient needs specific products and take it from there.
  7. mollyredone
    We use MediTech and also have a reflex test if the history question is answered "No" Baby Type and DAT testing don't have a history question. Our prenatal TS don't require an armband and we just retype with the CBC tube or BB tube. When they come in to the hospital, of course, they are banded if a TS is ordered. I would like to move to electronic crossmatching within the year, so we will be implementing the second specimen with a separate draw time "for real". Our retype, like someone else mentioned, is just a forward type and Rh.
  8. mollyredone
    We have MediTech and for Rh positive units, we have it set up to type in RP, which means reference lab performed I think.
  9. mollyredone
    I agree with goodchild. We are a small hospital. We just have about 125 units on our shelves, but we put green 3/4" Avery dots on ours, with no writing, to make sure one unit didn't slip into a slot before it was retyped. I know we could do without them, but they add comfort and they aren't that expensive.
  10. mollyredone
    We use A. As long as the BB info is legible it is used for the entire stay, with new specimens being drawn as needed. Our phlebes also are trained to write the BB number on EDTA samples. Our nurses have to document that they have checked the BB band number before they come down to get a unit of blood (it's written on the "unit ready slip" we send them) We only also 3 days prior to surgery for OP, since we are a rural hospital. It's not like they have to travel 100 miles to have surgery here! As for other OP, we have a lot of frequent fliers from oncology. They sometimes keep the same band on for three days and we will TS and crossmatch on Monday and they get transfused. If they get transfused on Wednesday, we use the same specimen from Monday, and the transfusion date gets changed for billing.
  11. mollyredone
    I am currently working on pneumatic tube validation and have the guidelines from AABB. I have a question about something in their sample validation procedure. It states in Phase II that "Computer sign-out of the product (or other means of documenting receipt) by the ward will be audited. There should be evidence of receipt and product inspection for all products issued (traceability and trackability)." How is everyone documenting that receipt? We are thinking of having a sticker on our unit ready slip returned to us with initials and time of receipt. How long would those have to be kept? I was also thinking we could document it in the computer in blood bank as a unit comment, such as "received from tube system by NUR.XXX at 0800 in acceptable condition" TIA, Molly
  12. mollyredone
    Malcolm, Although your job sounds really interesting, I think I'm glad I don't just have problem children to deal with on a daily basis!
  13. mollyredone
    Malcolm, Anytime you do an antibody screen of three cells and it is negative, you are automatically "ruling out" antibodies using just one homozygous cell in many cases (and with our screening cells one heterozygous K). Doesn't the "more than one" rule come into play when identifying antibodies instead of ruling them out?
  14. mollyredone
    I noticed that the thread option for printable view is no longer available. I really liked that option, even though it took me a year to find it! Thanks for the wonderful forum! Mari
  15. mollyredone
    I did it! This is a picture I took in Hong Kong. You can also click on your silhouette in a post and it will take you to the right place.
  16. mollyredone
    Carolyn, I had the same "what's on your mind" half a box. I clicked on my silhouette and it took me to my profile where I could change it, but i can't find a small enough avatar yet. Cliff, didn't there used to be stock photos on here we could use?
  17. mollyredone
    When the forum was switched to the new format, my "avatar" disappeared. How do I get it back? Thanks!
  18. mollyredone
    American Red Cross has a chart in their blood transfusion guidelines that states that the second choice PRBC for an AB patient would be A and the third choice B. Hope that helps.
  19. mollyredone
    We don't have anything to do with RHiG at my hospital, but if we get an FMH request and don't have a record on the patient, OB faxes us a copy of their type from the chart. If we get a positive FMH, we test for weak D and recommend a fetal HGB F. We would not accept a blood type for any other reason.
  20. mollyredone
    I did have a case recently where the Dr. wanted emergency release units on a patient we knew had two antibodies. I sent the paper to the ER and made sure I got the signature back before releasing the units.
  21. mollyredone
    We have an emergency release form that has a place for the Dr. to sign. We place unit stickers on the form, which we make up in advance for 2 ON units. If the Dr. needed more units, we would attach more stickers on the form, but he just has to sign the form for that number of units once. We also have a yellow manual card on each unit, but that is for transfusion recording. I can send you a copy of our emergency release form, but I think I attached it during another discussion. Try searching for emergency release forms.
  22. mollyredone
    We QC our poly with complement check cells every morning, but only check patient poly DATs with IgG check cells. But we do know that our poly is working properly. I agree about disagreeing with inspectors. They are usually just techs like us and can be misguided or ill-informed.
  23. mollyredone
    I know we have people on this forum who are dealing with it. It's unbelievable.
  24. mollyredone
    We don't read DATs on adults microscopically, and we do DATs on newborns in gel, so no micro there either!
  25. mollyredone
    I'm sure everyone already knows this, but the 22nd cell on the B panel from Ortho is k-. I had a panagglutination except for A/C on a patient on panel A recently, which are all k+, so I pulled all the 22nd B cells that I had (4) and ran them. Only one was negative but it was a start and I was able to confirm it was E, Jka and S.
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