mollyredone

Welcome Steve! This place is da BOMB! Molly

bb4me, I also got cited by CAP for not running negative controls on anti-A and anti-B, but I challenged it with the package inserts which state that only a positive control has to be run, and the challenge was successful. The checklist states that both must be run unless "manufacturer instructions state otherwise", and my reagents from Immucor state that only a positive control needs to be run. Hope that helps, Molly

Donna, would you be able to share any of your flowcharts on this forum? I'm in the same situation as Jane, with generalists rotating through. I made up some flowcharts, but I'm always looking to finetune them. Thanks, Molly

Our computer is set at 84 hours.

Mabel, I just emailed you with a couple of samples I've run across. HTH. Molly

Great advice as usual Mabel! I will keep those tips in mind, but I think I'll heed Malcolm's advice and not put it in writing in a procedure.

David, the procedure addresses uncrossmatched units, or giving out crossmatch compatible units without complete resolution of the antibody problem, or warm autoantibodies; anything the lab feels is not completely solved, but the doctor is requesting units anyway. As I said, this procedure was written 10 years ago by someone else and I have taken over the department and want to make sure everything still makes sense. Molly

Thanks Malcolm! I think I will just remove that statement from the procedure to prevent creating any new problems. David, it was in a procedure for high risk transfusions and I'm actually not sure what it referred to! Molly

I am currently revising many procedures in blood bank that have not been revised for over 10 years. In my high risk transfusion procedure there is a statement that if time does not permit for a complet antigen screening that units should be screened for the these antigens in the following order: Jka and Jkb, Rh system, K, and Fya and Fyb. I have been googling like crazy and haven't been able to come up with anything to corroborate this statment. Can anyone point me in the right direction...Malcolm??? Thanks, Molly

Love it Cliff! Thanks! Molly

Thanks Joy and welcome to the forum! That makes me feel better because now I know I didn't throw out anything I needed to keep!

I know-Cliff could do hearts for us to break (ha ha) for Valentine's Day, bunnies for Easter, turkeys for Thanksgiving, etc! Molly ;-)

Have you read the package insert from Safe-T-Vue? It states that "sometimes a pinkish hue or cast can be observed in teh white disk at the start. THIS IS NOT A TEMPERATURE CHANGE. Depending upon the light source, it is a muted refraction of the bottom red disc." And yes, I agree with BankerGirl that the technique of the tech applying the indicator can be at fault. I apply them the same way she does and don't usually have any problems. Also location of indicator is important-it should be on the bottom third of the unit if stored upright. Leave one out at RT and observe the color change. Also, be sure to refrigerate an unopened pack for 24 hours before use per package insert. HTH, Molly

I think what LCoronado is trying to say is that with a gel crossmatch, having a computer system which detects ABO incompatibilites would be equivalent to an IS crossmatch. I don't think she was talking about an electronic crossmatch for patients with antibodies. Our computer system will not let us crossmatch an A unit to an O patient, just like an IS crossmatch.

I haven't received my new copy of the 28th edition. Which records does this refer to? Thanks!

Yup, I was able to do it left to right slowly. I've startled myself hitting one accidentally!

I see the lights too! Just got back from an inspection, so I need to release a little stress! Mari

Amen to that Terri! I lived too long in Alaska, NJ and Missouri. I like it here in southern Oregon!! Mari

Awesome!

We use Immucor, and only do ABO in tube. It does say to follow instrument requirements for automated microplate testing.

We don't test for negatives on our daily QC for anti-A,anti-B,anti-AB, and A1,B, and A2 cells, as per our manufacturer's package insert. We just had a CAP inspection where we were cited for not doing a negative, but challenged with the package insert and it was accepted.

We do the same as David if we can verify that RhIg has been given, and suggest follow up in 3-4 months. If we can't verify, we just call it anti-D.

When was he antigen typed for E? Greater than three months after a transfusion? Other wise it could be donor cells, unless I'm missing something.

Hopefully I am attaching a copy of our emergency release form... [ATTACH=CONFIG]652[/ATTACH] Mari

We send down a release form with the emergency units, usually someone from the ER picks up the units. We make a photocopy of the form when we set up the units as emergency release, and will follow up with that if the other one gets lost in the ER. We don't have a time limit but try to get it within 24 hours.