Auntie-D
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Posts posted by Auntie-D
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We have Seimens Advia 2120i and I hate them - they are high on maintenance and really high on downtime!
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Ah... Ortho in the UK uses different ratios.
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Don't griffols use a totally different cell:plasma ratio to Ortho though?
I thought Ortho were 50ul:40ul and griffols were 50ul:25ul
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It doesn't happen in the UK - there is a minimum Hb to allow donation. What's the point in issuing short packs to patients either - I'd much rather give a 320ml fat pack than a 220ml one on a patient who is borderline iron deficient (I've not seen a pack in the UK yet with less than 220ml in). Iron deficient donors mean that patients are having increased number of donor exposures due to being 'short changed' in their transfusions.
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I missed steak and BJ day yesterday so I've promised the other half beef wellington tonight
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23 hours ago, amym1586 said:
Everyone gave me their blood type So I'm going to incorporate a game with that along with some Killer questions Malcolm gave me.
Ooo as in which staff member could kill another?
- Malcolm Needs and amym1586
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On 2/26/2016 at 8:36 PM, pbaker said:
When they are adults, they will get run on our instrument (NEO) that picks up most weak D reactions, so they stay Rh pos.
And what if they are partial and should actually be classed as rh neg?
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I do college talks and do tile groups and explain the test and results. I then test myself (they seem to like seeing a grownup bleed with a fingerprick) and get them to guess what group I am.
- amym1586 and Malcolm Needs
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There is good documentation on the UK regulatory site. I don't know whether this would be transferrable?
It contains transfer documentation as well as guidelines.
Standard transfer
Emergency transfer
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On 2/20/2016 at 5:03 PM, drwajiha said:dear Davidi want to know how do you ensure the identity of staff identifying the patient and staff extracting the sample from the patient.also what about the authorized person to order the blood products.how do you manage these things electronicallyregards,drwajiha
I can't speak for David but the way we do it is on completion of training and proof of competency the person is given a PIN. This is required to be used - we input this on our system and it notifies us if the person is compliant for that particular task, be that sample collection, blood collection or blood administration.
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On 2/19/2016 at 3:24 PM, AMcCord said:
Close enough to escape though!
Are you saying Kansas is like another country? Planet? Dimension?
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I must try and get myself on one of the ones you are doing - I always seem to end up with the coag scraps that noone else wants to go on
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14 hours ago, Malcolm Needs said:
I would, but I hate haemostasis with a passion that knows no bounds!!!!!!!!!!
Yeah you get to go to all the good talks - I get SOA, you get USA
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Anyone going? Want to join me on the hangover table on the second day?
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When I played for a bit at being boss I gave them 3 chances - first was a reprint of the paperwork to fill in, the second was a letter that went to the charge nurse, 3rd went to ward manager and then a letter went to the chief exec - it was fab having the chief exec on board as he would give them a rocket. We went 3 years with 100% compliance!
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11 minutes ago, bldbnkr said:
I just realized that the flying phenomena is isolated to the UK...after all...Mary Poppins....Harry Potter....I think we are safe in the USA
Dumbo
- bldbnkr, AMcCord and Malcolm Needs
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What Malcolm said! The wouldn't get away with it if it was Morphine...
I've PM'd you ours anyway though.
- frenchie, Likewine99, tricore and 3 others
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Heather - don't panic! You will have bright minds in your own centres - it's just a case of identifying them.
I don't envy your job - your biggest challenge will be stamping out ingrained habits that are terrible practice. Every lab has that one tech who just does it their own way despite the SOPs. They're easy enough to identify as they are the one that noone wants to take over from, and if they have to they will start again rather than taking over and continuing
- AMcCord, David Saikin and Ensis01
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Surely anything is going to be more compatible for the patient than their own cells
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1 hour ago, SMILLER said:
Except that, if I am not mistaken, the primary sequelae in this case would be death from a severe HTR. So not much from a clinical standpoint to deal with there. I suppose if they were bleeding out for some reason, they would be OK for the time being, and later die from a DHTR. I am not sure if there would be any way around this, even if only a few units were transfused.
This case would be a huge problem even for a large teaching hospital. We have to hope that someday we will have real, practical blood substitutes that carry oxygen.
Scott
They're not going to die from that though - a DHTR may occur, but there have been cases where Kpb+ units have been transfused without any shortening of the red cell lifespan. They may have unpleasant clinical manifistations that the clinicians can deal with at some point but this is a better option than exanguination.
Stick them on iron, B12, folate and erythropoetin and they will produce their own red cells pretty sharpish - hopefully quicker than the transfused cells are destroyed with a DHTR.
As long as the clinicians are aware that it is going to happen, they can deal with it.
Slide Stainers
in General Information
Posted
The siemens stainer is dreadful! Keep with your haematek - they're great