martha
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Everything posted by martha
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Kathy, Relax! I have no doubt in my mind that you will do good. Have confidence in your team and in your self. -
Leukocyte reduced does that mean cmv negative
martha replied to MAGNUM's topic in Donor Services and Donor Recruitment
We switched to cmv safe (pre-storage leukodepleted products) more than 10 years ago.We use CMV safe products on all oncology, BMT and NICU patients and so far we have not had any sero-convention. -
Congratulatons!
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What is the standard practice for neonatal Red Blood Cell Transfusion? Do you assign a single unit of RBCs to one infant to reduce donor exposure ? or Do you assign one unit of RBC to multiple patients?
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Our standard practice for neonates is leukodepleted and irradiated products. We do not wash RBC for neonatal transfusion. We only wash RBC for our ECMO patients and we do it inhouse.
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Thank you . Can you please e-mail it to me. Martha.delgado@mch.com
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I agree with you on not wanting to expose a 3 year old male to Rh positive. We are in the process of creating a massive transfusion protocol for pediatrics. Would you be so kind to share yours? Martha.delgado@MCH.com. Thanks
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We are a children hospital and we get our irradiated products from our blood supplier. We are thinking of purchasing an irradiator . Any recommendations? Vendors? How about Validation? Cost? Daily QC?
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Does anyone has a massive transfusion protocol for a Children Hospital?
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How do you determine the price for each aliquot of platelet pheresis? Do you charge for each aliquot? Thanks Martha
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Currently we are washing Red blood cells for neonates with high potassium levels but we use a cobe 2999 which needs to be replace soon and I was hoping that proving fresh RBC to neonate was equivalent to wash cells.
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Is anyone washing RBC for neontes /pediatric patients with a High Potassium level? What is the transfusion protocol for neonates with high Potassium level? I am trying to stop washing cells and I will like to know what everyone else is doing. Thanks, Martha:)
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Thank You very much-Helmer it is!
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Can anyone recommend a fast reliable plasma thawer? We perform plasma exchanges and sometimes we thaw 8-12 units at times . I was looking at Helmer Thawer is any one using it? Any comments? Martha
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Brenda, You can purchase the Thermosafe coolers from Market Lab 1800-237-3604 and the Safe-T-vue 6 from Williams Laboratories1-860-749-1350. I just purchased both items. Martha
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happy birthday ! Hope you have a great day ! Martha
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The hospital implemented Isensix temperature monitoring system and I was given the responsibiliy of validating the system -Is anyone willing to share validation protocols, or any information ? I will appreciate any type of guidance.
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The lab will be implementing the Insensix wireless temperature monitoring system can anyone be willing to praovide validation protocol for the blood bank? Thanks Martha
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I am aso from Miami , Florida and I have to disagree with David Saikin , Miami is not a third world country. In the Hospital were I work everyone speaks English and the physicians obtained their medical degree in the USA .The committee meets Quarterly and it's chair by one of our Hematology/oncology physicians. We have representation from nursing, infection control, anesthesioly , PI, transfusion services and our Medical Director. We present monthly statics, waste,appropriateness, transfusion reactions and any incident report related to blood products. The committee also reviews and recommends on any issue that has to do with blood products. This year our goal is to reduce our waste by 50 %. Martha Delgado, BS MT (ASCP)
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Hi Debbie, Yes we had used AS-3 rarely without problems.
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Kesia, Thank You for respond. We use washed cells on all ECMOs and I am trying to change to fresh RBC and avoid the washing, which delays the procedure or are wasted if the patient is not put in ECMO. I have another issue How do you store the blood for OR? Do you have coolers ? What is your process to issue /store products for the OR? We have a small refrigerator in the OR which the temperature is monitor 24/7 , and the alarmi s tested Quarterly. The blood is issued each morning and stored until each case. I just had an AABB inspection and the assesor feels that it is a high risk for mistransfusion. The transfusion service is not close to the OR and in case of emergency there is not enough time to come and pick up the units. Any ideas? Happy Holidays ! Martha Delgado:cries:
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We use Adsol or CPDA for many years with no problems.
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We are a children hospital with an ECMO Center and I am trying to change our transfusion protocol. I will like to know what are other ECMO centers doing. Does any one wash RBC to start the ECMO circuit? What is the tranfusion protocol specially to start the circuit? Thank You, Martha
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Can you please send me a copy of the audit? thanks
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How old is the patient? Being a children hospital this very common for us. Multiple transfusion of O RBC to neonates can give you an ABO discrapency. When the patient's are transferred to us they type O (may time we do not see mixfield) after four month we request new sample and we start seeing their real type.` Martha