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April 2024 Challenge

snydercl

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Everything posted by snydercl

  1. snydercl
    Some background, we have an Ortho Vision. We are validating the Poly IgG/C3d (DAT) card (when positive, it reflexes an IgG only DAT test). I am attempting to use Hemo Bioscience C3 control cells to validate this card. The cells do react appropriately (3+) in the poly card. However, when the reflex tests runs the IgG card is also positive (weak to 1+). Anybody know why these cells are reacting in the IgG only card?
  2. snydercl
    Who draws the blood bank specimens in your facilities? Here the laboratory draws all blood bank specimens and we use another blood bank band that has a barcode in addition to using the TAR. We do have mobilab also. Currently when the patients blood bank band is removed or cut off, our policy is that they have to be redrawn again by lab and the blood bank testing must start over again. Thinking that using the patient armband with mobilab would prevent this redrawing policy as long as the patient information is verified prior to tranfusion. Any thoughts or experience on this? We use meditech 6.1.
  3. snydercl
    Is anyone using the Verax PGD system to extend the shelf life on platelets on a the meditech 6.1 system? Looking for information on any different processes you might do regarding test entry, component testing, etc. Looking for information also on how institutions are labeling the platelets after a non-reactive test. We do not have an ISBT printer.
  4. snydercl

    Hi,

    I was following your conversation regarding the Vision.  Do you have any comments for complaints about the Vision?  We currently have an Echo and are looking at switching to the Vision or Infinity instrument.

    Thanks,

    Carrie

  5. snydercl

    Hi, 

    I was following your post on the Vision.  Any comments or concerns with using the Vision so far?  We currently use and Echo and are looking at switching to the Vision or the Infinity.

    Thanks,

    Carrie

  6. snydercl
    Would appreciate anybody with comments who use's either of these instruments no matter if you had a previous Echo or not. Thanks
  7. snydercl
    We currently have an Echo and are looking at a possible change. Anybody out there a former Echo user that is now using the Biorad Infinity or the Ortho Vision? I'm looking for honest feedback on likes and dislikes.
  8. snydercl
    Yes we have had the same issue exactly as you are describing. There was mention that it might be a latex allergy in the patient reacting with solid phase system. Another time they said it was the Capture R-RS lot of strips that were nearing expiration. Upon using the new lot, the patient antibody screens were negative.
  9. snydercl
    I am currently building for 6x to go live Oct. 1. The electronic xm seems to work great when there are two types, no antibody history and negative current screen. Have not tried the emergency issue "issue" from 5.66 I have been reading about to see if this is fixed. My problem is, I cannot get a full crossmatch to invoke once a electronic xm does not apply. The fix is to go the BBK history desktop ----> replace XM test--> and add a full xm to the crossmatch test map, so every future specimen for that patient will get a full crossmatch due to antibody history. There has to be an easier way!! Does anybody have an easier way??
  10. snydercl
    Anyone using the TAR with barcode scanning in addition to final check by Typenex? Any issues, concerns, likes, dislikes.
  11. snydercl
    We have an Echo and have not had this problem. It is the reverse......the Echo picks up things that gel will not.
  12. snydercl
    Thinking outside of the box here............... Does anyone not do platelet estimates (when determined there is no platelet clumping)? The analyzer is far more accurate than I. Plus, when my count is not within our range, I have to recount so that it is closer the analyzer count.
  13. snydercl
    When you result electronic crossmatch do you report "presumed compatible" or "compatible"?
  14. snydercl
    We are considering eliminating the blood bank band here is our hospital. We use meditech, TAR and are going to mobilab by this fall. I am wondering what other hospitals have done for implementation and policy changes. Areas of concern are: Nursing cutting off the patient band......do you require them to notify the blood bank? Do you restrict who reprints the admission band, while also having some supervisory process over that? Trauma's and emergencies.........do you still use the blood bank band in these instances for identification? What do you do about outpatient surgery patients? Any information, opinions, what worked and what hasn't is much appreciated.
  15. snydercl
    We are using barcode scanning using TAR. The roadblock we hit is that the new ISBT label for thawed components must be used. Haven't tried it with aliqouts yet but am hopeful that it will work.
  16. snydercl
    rrcc1974: The barcode length on the QC material is too long and meditech wont accept that length.
  17. snydercl
    I was curious how Meditech users with the Echo analyzer handle the QC going across the interface. Right now with how we are doing it..........it doesn't. We have to burn in to a CD and save it till the "end of time"........joking. We are building 6.1 and looking to find a way to get to flow across the interface. Our idea was.........generating a QC specimen and then matching the long Echo QC barcode and then matching it to the Meditech QC specimen number. We are looking for ideas of what other places of done to fix the archaic method of scanning to a CD and keeping "forever".
  18. snydercl
    On the A120 if you are performing CSF, you do need a seperate set of QC. They are used in the CSF mode under manual sample ID. When running pleural, peritoneal, synovial, bronch wash, etc......no additional QC is needed. Hope this helps
  19. snydercl
    Yes, we do use it for body fluid analysis!! It is very nice!! No manual counting We also have a Advia 120 which we run our CSF's and synovials on. Other body fluids we run on the 2120i.
  20. snydercl
    Hi LG53! We use the VersaTrek now with previously having a BacTec. We don't do a whole lot with the software as it is not usually needed. It notifies us when there is a positive and notifies us when there are negative bottles to be taken off. It also notifies us of any alerts related to the connector on the top of the bottle. We have had the versatrek for at least ~4 years and are very happy with it overall. Are there specific questions you have on it?
  21. snydercl
    Does anyone know of a standard, reference, etc. that says how close a thermometer must match to its counter part? We have a thermaviewer that logs the temperatures, the refrigerator's temp probe and thermometers on top and bottom shelfs of fridges. I have two different sources, one saying they must match within 1 °C and the other within 2 °C. Help!!....................
  22. snydercl
    Thank you all for your input
  23. snydercl
    We are inspected by the Joint Commission and DNV. We are not CAP or AABB inspected/certified. We use the Echo as our automated system and the gel card/tube type as a back-up and/or clarification method. Does anyone know of an AABB standard and/or Joint Commission standard stating the blood bank must perform parallel studies between methods? Such as Echo compared to Gel compared to tube?
  24. snydercl
    We are using the Shockwath indicators. We previously used the Hemotemp stickers. Shockwatch sent a validation procedure when we ordered them which was fairly simple. The shockwatch indicators are very easy to use and so far they have worked well.
  25. snydercl
    I am looking for required physiologic vitals. Could not find a reference in the AABB manual.
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