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Gnapplec

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Everything posted by Gnapplec

  1. Gnapplec
    Hear anymore on this subject ? I too am curious. To my knowledge our blood center labels rRBCs as antigen negative confirmed only based on current results. If an historic antigen is called out on the tag it will say “historically types” Cw- for example
  2. Gnapplec
    I have these questions as well. Did you hear anything back on this?
  3. Gnapplec
    Our lab also transitioned to treating our own cells for adsorptions for complex workups but for only a short time of a few years. Our hurdles forced us to discontinue this level of service again as mentioned keeping staff competency, TATs without 24/7 coverage and limited flights for samples to arrive. We had the advantage of our sister IRL to provide absorbing units for us on a regular basis otherwise it would have been very difficult. It was fun while it lasted but if there is any question in the long term viability and ROI this route isn’t for everyone and of course the main concern is providing the best patient care if you don’t have a team that can staff a schedule as well as handle the 8+ hrs one sample may take to finish....this may not be for everyone. Hope this helps Let us us know how this goes !!
  4. Gnapplec
    We do the same. Barcodes!
  5. Gnapplec
    We do the same. Barcodes!
  6. Gnapplec
    Yes terrible. I am hoping this was reported by the FDA by the blood supplier. Scary. @Baby Banker This should never happen ever.
  7. Gnapplec
    Good work on cutting out unneeded RT incubations! To clarify, are you talking about a cold agglutinin screen when CAD is suspected or a cold antibody screen? Just wondering since our SOP does not allow cold antibody screens to be performed routinely. There is reference for a Cold Agg. screen procedure in the Judd's Methods in Immunohematology, 3rd ed.
  8. Gnapplec
    I would agree I think a form just as mollyredone attached. This is similar to the form we use to document CLIA competencies. There are several requirements that our facility expects to be documented: Observe tech perform testing Observe tech perform PMs on equipment Document that tech can: Report results Review results Troubleshoot (answer problem solving questions) Hope this helps.
  9. Gnapplec
    That’s the whole point I agree with pbaker. We try to use double reds whenever possible.. It’s too bad that our own processes and convenience takes precedence over what’s best for the patient.
  10. Gnapplec
    Yes. Even from the blood center side if we distribute a mislabeled product (isn’t even issued to a patient yet) these are definitely FDA reportable errors.
  11. Gnapplec
    Scary times when management will not hear our cries whether it be a dangerously short staffed lab or dangerous staff that are putting patient safety at risk. Is there anyone else that can also account for these happenings and go with you to have a talk with HR along side your superiors? Power in numbers.
  12. Gnapplec
    Our blood center has Manila tags made company wide with a place for the DIN and results are easily filled in.
  13. Gnapplec
    Ours prints after xm and prior to issue.
  14. Gnapplec
    Good point. Focusing on how clean the cooler is does not help the fact that the blood bag itself is probably fairly dirty and dusty. With all of the production steps st the blood center, centrifuge cups see hundreds of units a day and are only required to be cleaned once per day. Add the handling at the blood center from tray to tray and transport, it's not the cleanest after all those steps Unfortunately.
  15. Gnapplec
    And makes it a nightmare to review! Our poor QA dept has to spend hours decifering our J survey bubble sheets.
  16. Gnapplec
    I'm curious as to why your administration would have you switch?
  17. Gnapplec
    .
  18. Gnapplec
    I see this is an old post but I wanted to add that we do use the Serval CW 2+ And have all the same observations as everyone else. I guess it's the new normal for these not so great new pieces of equipment. New does not always mean improved. I think the cheap paint chips on everybody and always dripping wet after every wash. I'm always wiping the bowl dry so our rotor doesn't rust out again :/
  19. Gnapplec
    We have a very similar setup. We have set up contracts with small rural hospitals hours away and provide emergency xm and compatibility testing for them. If they do use RBCs that we sent to them confirmed as emergency or incompatible xm our Medical Director (not theirs) is signing the review and paperwork. There are also two different types of contracts we utilize. Another is set up for emergency air Med/helicopter service only and they only transfuse Os with the expectation that no compatibility sample will be sent to us after the fact.
  20. Gnapplec
    We have a very similar setup. We have set up contracts with small rural hospitals hours away and provide emergency xm and compatibility testing for them. If they do use RBCs that we sent to them confirmed as emergency or incompatible xm our Medical Director (not theirs) is signing the review and paperwork. There are also two different types of contracts we utilize. Another is set up for emergency air Med/helicopter service only and they only transfuse Os with the expectation that no compatibility sample will be sent to us after the fact.
  21. Gnapplec
    Not knowing the exact details but I have to agree with GCloc. Not just any facility can extend expiration dates on any pharmaceutical/blood product unless they are licensed through the FDA plus you have written SOP's to back it up and be FDA inspected. Is there anyone out there in the blood center world producing 7 day platelets? I know it was done years back but Its gone back to the five-day.
  22. Gnapplec
    Yep Hematrax here too
  23. Gnapplec
    At our work when donors test positive for any other test other than HBC core there is some sort of look back required. If a donor has in date products to retrieve that piece is still performed but follow up investigation on the transfusion facility side is not required at our blood center for HepB core only. All other tests I assume do. There are other exceptions and time frames depending on other tests like HTLV or WNV etc.
  24. Gnapplec
    Thanks for the info. Our blood center has been trying to get our biggest hospital on board to do their own aliquots.
  25. Gnapplec
    This is totally true
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