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About ksmith

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  1. Thanks, that's good news. We purchased one. I'm getting ready to write up a validation plan.
  2. Has anyone purchased the new cell washer from Thermo Fisher, the Cell Washer 3? I'm interested in your experience with it and any advantages/disadvantages you see. Are there any extensive maintenance requirements you wish you would have known prior to purchase? I was unable to find the operators/service manual online. Our old Sorvall 2+ finally died, may it rest in peace. I've reviewed the operators manual to the new Helmer. It looks nice. Not sure how long the display will last with my staff. I also thought a negative was that they recommend running distilled H2O through it daily or after it sits for more than 4 hours. We don't use it often, so we'd be running distilled water through it prior to every use. Thanks!
  3. It is, but I use this environment throughout the year for new employee training and competency. I didn't think there were any actual regs, but wanted to make sure. The other option is to purchase another server for the upgrade environment to use until we implement the upgrade.
  4. We are about to embark on a computer upgrade. We currently have 2 environments (production & training). To save money, the question was asked if there was any regulatory reason that would not allow us to move the upgrade onto the training server. This would leave us without a place to validate/train/implement any change for about 6-9 months until we went live on the new version. Thanks.
  5. TreeMoss - Do you know if CBCs are run from placenta blood at your facility? If so, could we reach out to your facility to talk to them? Thanks.
  6. They are drawing from the baby side of the placenta from the fetal vessel. I’ve not decided if I consider this any different from the cord blood. When I said it must come directly from the patient, they said it does. I think since there is nothing written definitively stating this type of sample is not acceptable for pretransfusion, they are just looking for a way to not take blood directly from the baby. I’ve asked for info to contact other facilities with this practice, but haven’t gotten anything yet They are just beginning to look at this process, so we’ll see how it goes.
  7. No David, you’re not an old timer (or we both are). I feel the same way. We would never transfuse from a cord blood. I had never heard of such a thing before yesterday. There is a video on YouTube about it. I hoping someone has some experience with this request.
  8. Is anyone using blood collected at birth from the placenta for Neonatal Type & Screen and transfusion? Our facility is looking at doing this for initial labs and they want to include the Neonatal Type & Screen which could be used for transfusion. If you are using this, are there any special considerations you made when implementing this process?
  9. We have always participated in CAP Titer surveys and staff performs competency annually as well and haven't had any issues. When we have a previous specimen, we perform the titer using the current & last specimen. In reviewing our testing for CAP's IQCP, our validated procedure is from the technical manual. I was reviewing CFR493.1256 (d)(3)(iii) for this test system. It states "Test procedures producing graded or tittered results, include a negative control material and a control material with graded or tittered reactivity respectively." I was curious how others were meeting this CFR.
  10. Since an antibody titer is a semi-quantitative test, what is everyone doing for QC for this test?
  11. This isn't a regulatory requirement unless you do not maintain your BB history to compare records for the last 12 months, which we all do. We receive a lot of specimens from physicians offices, etc. As with any test, our results are only as good as the initial patient verification/labeling. Even though we are comparing records to our historic data, many of these patient's are new to us. We were considering some type of statement to indicate we did not have another sample to compare the results to or no previous ABO/Rh history record on file. I remembered seeing that someone was adding a similar statement, but I could not remember where I read it.
  12. For any non-transfusion ABO/Rh specimens, does anyone add a statement to the test result indicating there was no historic type of file or testing was performed on a single specimen? We are considering doing this for our outpatient ABO/Rh typing for prenatal patients. If so, what language do you include in the statement?
  13. We are planning to implement a second ABO/Rh specimen collected at a separate phlebotomy on patient's without a history. Would anyone be willing to share their policy?
  14. Thanks for the replies, very helpful!
  15. For those of you using hi/low thermometers, do you only document the actual temperature reading and that the hi/low was within range? How often do you reset the hi/low reading (after alarm checks, etc?) I'm putting these in place for my generalist staff to verify the hi/low reading as well and working on my forms. I'm sure I'm over thinking this process! Thanks.
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