Liz
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Everything posted by Liz
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They say walk, jog until the you are so tired the anxiety/worry is gone. It works. I believe in the breathing method too. Yoga, meditate. The inspectors btw are stressed Its all alright believe me NO ONE IS OUT TO GET YOU. and please dont be the one to criticize yourself. You definitely are a perfectionist and thats hard to live with, be easy on yourself. You seem to be doing a great job! -
I agree with Dr Pepper for adults. For Peds we give compatible platelets with regards to the ABO antibody in the platelet collect. D negative females from birth until menopause are given D Neg and if not then RhIg is advised and given... it lasts quite a bit so it covers the series of transfusions, if any, in oncolgy cases. Yes, if there is a poor response it may be due to the antibodies hitting the ABO on the platelets, so we switch to ABO compatible. AB would be ideal but.... who has enough, we keep them for emergencies and for the ABs.
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Good to hear whats happening with the BBID that we never used either. We use the hospital arm band. With the patient name, DOB, and Medical Record Number. But per CAP 2 identifiers are needed. We also draw 2 samples at 2 different times on new patients and require 2 signatures at each draw. We shall soon apply the handheld (HH) barcode scanner for transfusions. Until then we have 2 signatures prior to administration. Am i right in saying that with the HH barcode reader we only need one transfusionist signature?
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That is very interesting, i had not heard of BB assistants before. Something I shall seriously look into as we grow into a 600 bed hospital very soon. Yes I can see how it would avoid mistakes and leaving blood on the station esp if one has a teaching medical center as well. Good idea. 40 years! Here I must ask if 4 on days, 2 on evenings, and 1 on MN's are enough? How many transfusions a month do you have? You do have a BMT unit, etc... What goes on in the OR, ER, and closed units, ICU, PICU etc..?
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Pls do tell us the number, the shifts and job description of Blood Bank Assistants. Interesting. Thank you
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Good question: The surgeons must make the blood circulation bypass the heart and go to the bypass machine to use it as the pump instead of the heart so as to work on a quiet (asystolic) heart, so they clamp the large vessels situated before and after the heart. Mabel is also right about the platelets losing their efficiency when in contact with the bypass machine synthetics.
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Welcome Ravi, yes it is an awesome site. Enjoy and benefit as I do.
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I agree. BTW what is one1 apheresis unit that you recieve from your supplier: is it 3x 10^11 ?
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I dont have the 28th ed yet. Is it: "How do you document critical results? Who do you contact?" ??? I was faced with that with an inspector if its this..and got out of being cited.
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By 20 you mean: 20 x 0.5 x10^11 absolute count, thats 4 times the standard dose. why?? We do give plts if the pt did not have time to be put off plavix. Moreover, with AAA and on bypass open hearts we know that the plts lose their function as they "hit the clamp", but we give a standard or double dose. To see what that is the optimal standard dose (either refer to AABB or) read my review when it come out:redface:
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Good idea Dave, let us all go and hang out for a while at Malcolm's. :clap:that would be fun with a big mixture of BB discussions. Can you imagine!!!
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I was never a nerd.. have I become one? hehehe, please define nerd "today" or what are the prerequisites to become a nerd?
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Fresh platelets for actively bleeding patients?
Liz replied to Kathy's topic in Transfusion Services
"Platelet factors that were associated with improved platelet responses were giving ABO-compatible platelets, platelets stored for 48 hours or less, and giving large doses of platelets" Article: Factors affecting posttransfusion platelet increments, platelet refractoriness, and platelet transfusion intervals in thrombocytopenic patients. Slichter SJ, Davis K, Enright H, Braine H, Gernsheimer T, Kao KJ, Kickler T, Lee E, McFarland J, McCullough J, Rodey G, Schiffer CA, Woodson R Blood. 2005;105(10):4106. -
I have 2 friends coming in who I have not seen in 15 years !!! what!!?? yes, indeed. So I want to arrrange the schedule to meet you, we are friends-who-have-never-met. I was thinking: Without this technology this would not have been possible .. Incredible age in which we live.. I think that I was born and then the tv was invented. ..or was it the telephone// or the light bulb.. not sure. But the telegram was fashionable with the word "stop" instead of a full stop!!! ahhahahaahahahha Why am I saying this :confused:
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Hi Cliff, October is coming up soon; were you able to fix something? I think it was a dinner gathering..?? Where and when? what was the last verdict? 1. Liz 2. Terri 3. Colleen 4. Julie 5. Jeanne 6. Aakupaku 7. Kate 8. Melanie 9. Linda 10. Mabel 11. Kashmira 12. Dianna 13. Barbara 14. Cliff 15. Amelia 16. Gerald 17. Jnadeau 18. Kimster 19. Doglover 20. Beth (Elizabeth)
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how much of the unit do you usually have left?
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I agree Deny. Goodness. It is a transplant of someone's blood! of course! and if they cannot abide to rules for their own safety then you cannot transfusion. What about the consent. OMG in the car, heat, outside, smoking, NO ONE (paramedic) SPOT CHecking??? Ok i shall go to my room now.
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PS: It s a written policy under patient safety, under transfusion under whatever else you think is necessary. For one day patients coming for chemo, blood etc.. they also get the same explanation. Patients "normally" do not want to get up, but one does get exceptions.
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Number one: the nurse (transfusionist) explains prior to the transfusion that the patient must stay in bed etc all the info is explained each and every time. Number 2 we have a nursing unit that asks the patient not to walk around if he or she is sen in the corridor. NUMBER # we have security guards at all entrances of the medical center!!!! No one gets out like that. What if a child is being abducted, or a mom is leaving a newborn and running away. What if i decide to take someones laptop.. ok enough i'll stop. But for the safety of patients we have security watching exits. no one can walk out against orders.
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do you have any type of accreditation? you may lose it... or get sued !!
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Newborns form their antibodies at birth once they are exposed to Bacteria and food that has epitopes similar to A and B antigens, these then cross react with A and B antigens, thus the name naturally occuring as opposed to "immune". Yes, at 5 days we may see weak anti A and B, but some may have them stronger than others.
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The list is at this site: http://www.pathlabtalk.com/forum/showthread.php?4714-Anyone-else-at-AABB/page11
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1. Liz 2. Terri 3. Colleen 4. Julie 5. Jeanne 6. Aakupaku 7. Kate 8. Melanie 9. Linda 10. Mabel 11. Kashmira 12. Dianna 13. Barbara 14. Cliff 15. Amelia 16. Gerald 17. Jnadeau 18. Kimster 19. Doglover Should be fun!!
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1. Liz 2. Terri 3. Colleen 4. Julie 5. Jeanne 6. Aakupaku 7. Kate 8. Melanie 9. Linda 10. Mabel 11. Kashmira 12. Dianna 13. Barbara 14. Cliff 15. Amelia 16. Gerald 17. Jnadeau Just keeping track...
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hi Cliff, did you start a new post?