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AuntiS

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AuntiS last won the day on May 8 2019

AuntiS had the most liked content!

About AuntiS

  • Rank
    Junior Member
  • Birthday 12/02/1972

Profile Information

  • Gender
    Female
  • Occupation
    Charge Technologist
  • Real Name
    Sandra

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  1. Nikki - my calendar says it is 4am to 5:30am here! I hope it is available as a recording! sandra
  2. Is it possible you have someone new who is not cancelling the units properly? s
  3. It's an interesting idea - one motivated I suspect to provide a more attractive product to the hospital? But retyping in the hospital also theoretically covers any errors in donor entry into the hospital LIS. sandra
  4. I've uploaded a Canadian Report from earlier this year that you may find interesting. Pages 11-12 have discussion and recommendations. Some of the discussion includes the following: Unnecessary testing:  Performing mid-pregnancy screens on Rh positive mothers  Testing DATs for all cords, or from all group O mothers or all Rh negative mothers, regardless of hemolysis indications sandra Obstetrical and Pedatric report -COPTN-Survey-Report-2019.pdf.pdf
  5. We have a log book and a white board. The log book is a daily calendar and it is for more date specific items (i.e. order a specific product on that day) The white board is for more general or urgent items - something that doesn't fit on a day or would span over a longer period of time (i.e. shortage of a product). sandra
  6. The reagent we use includes instructions that only specify a positive reaction is required. It does not give a minimum grade. I remember being taught 2+ many years ago, but we now only require macroscopic agglutination. sandra
  7. Same - we report the number and a %
  8. In our lab, the required additional testing is built into our procedures - which is authorized by the pathologist. If we have weak D results or something like an auto-anti-D in an Rh pos person we can send it out without asking for approval. We scan the report we get back into our LIS. I'm in Canada - so the testing is done by Canadian Blood Services at no additional cost the the hospital. sandra
  9. Here in Canada, the CSA standard 10.10.5 states: CSA 10.10.5 A blood component that has been returned to the blood centre or transfusion service shall not be rereleased unless a) for red blood cells, there is at least one remaining sealed segment of integral donor tubing attached to the blood bag or available to the transfusing site. Previously removed segments may be used after confirming that the tubing identification numbers on both the removed segment(s) and the blood bag are identical; b) there is documentation to a. indicate it is being re-re
  10. Here, a temp >1 degree Celsius over baseline AND any other symptom gets an automatic culture. Plus I suppose we would honour any direct request for a culture (not that I've seen that happen).
  11. We do that. Patients who come in through our pre-op program are good for 28 days if they are not pregnant and have not been transfused in the past 3 months. There is a query that must be completed in our LIS to confirm the answers to those questions. Any other patient that is not seen via pre-op is 96 hours. Rationale: patients seen through pre-op have sat down with a nurse or physician prior to their surgery and given an accurate medical history. Translators or family members are present as required for language or any cognitive deficit (dementia etc.). Any other patient?
  12. If we know the patient's history and they are Rh Neg we might start off with a couple of Rh Neg O's. We switch them over pretty quickly if they are going to use more. Otherwise - they get O Pos. Took people in and outside of the lab a little while to get comfortable with this policy, but now no one blinks. sandra
  13. In Canada - CBS abandoned going the pooled cryo route since the trend is to move away from cryo and use fibrinogen concentrate instead. I'm actually in the process of doing just that at our hospital. We use a small amount (around 50mL) when pooling as per AABB. I can't imagine not using saline to get all the sticky bits out! Do you have a patient with a rare factor deficiency who is using all this cryo? Interesting! sandra
  14. Hi! We use a traceable thermometer with a probe placed in a gel card well, too. https://ca.vwr.com/store/catalog/product.jsp?product_id=4556196 We replace it when the certification expires. sandra
  15. We do not use them. We require two blood groups before transfusion (or given O). Positive patient identification (Mobilab) is used here at our hospital. We are lucky - PPI with majority of blood collected by MLA).
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