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April 2024 Challenge

dld

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Everything posted by dld

  1. dld
    Luckily we have not been affected by this yet. I just figured I'd use the expired cells until the new lot is shipped as long as qc is ok. We don't do much complement testing so I could make a vial last for several more weeks. Can you purchase a vial from another vendor?
  2. dld
    We only get plt pheresis or pre-pooled platelets from our supplier (Red Cross) who does the testing on those products. We no longer pool platelets ourselves because we would have to do the testing -- no techs/time for that.
  3. dld

    Thawer pockets

    dld replied to jalomahe's topic in Equipment

    I remember receiving a notice from Thermogenesis that they were no longer making any replacement items for the thawer since they were getting out of the plasma thawer business (bummer). I ordered several of the pockets. Our thermogenesis is 13 years old and is now our backup. We purchased a Cytotherm CT-DR. Not bad, but I wish Thermo was still in the thawer business.
  4. dld
    We are not a designated trauma hospital, but we have the occasional gunshot victim whose "friend" drops them at the emergency room and takes off. Anyway, if we do not have a name they are registered as "John Doe" (or Jane) and given a medical record number. When ER calls for an emergency release, we take a cooler to ER with 2 Oneg and 2 Opos along with the emergency release form the DR signs at some point. At some point the real name is obtained, and we document, with the unifying link being the medical record number.
  5. dld
    Wow, I thought we were the only BB catering to our perfusion team. We started doing mini cold panels for our CABG patients ten years ago when a patient had such a strong cold agglutinin reaction during surgery the perfusionist said the patient's blood started clumping in the cell saver. We use our screening cell set (panoscreen -- 3 cells) and an auto control. We test at immediate spin, room temp 30 minutes and 4C 10 minutes. Obviously the patient temp isn't taken down that cold, but those are the controlled temp ranges we have. We let the perfusionist know what the reactions were (for example, negative at room temp but weak pos at 4C).
  6. dld
    Prewarm technique in tubes, crossmatch compatible at AHG. If serum reacts at AHG using this technique, we would then have to find M-negative units.
  7. dld
    Ardele- We use manual gel, tubes with PEG as a backup, or tubes with no enhancement. I do this pointless comparison of all three methods we use. Gel is more sensitive than tubes/PEG, and PEG is more sensitive than tubes with no enhancement, so when I get 2+ in Gel, 1+ with PEG, and w+ or neg with no enhancement, I just write "correlates as expected". Really this is a complete waste of time because we all know how the different methods should compare to each other, but I do it anyway so we don't get dinged for our CAP inspections. Hope this helps you out.
  8. dld
    kinda funny how that happens, isn't it? It was a blessing this came up in our blood bank last week, it gave me an opportunity to review our policy/practice and I immediately sent out word to the bb staff to no longer accept spiked units back to the blood bank for reissue...and wouldn't you know, CAP shows up for our inspection the next day...WHEW!
  9. dld
    For the most part the RNs are pretty good about having everything in place before they start the transfusion, but it does happen on occasion. My gut is telling me to discontinue this practice and here is why: Unit was returned spiked not transfused to the blood bank within 30 min. We were in the process of reissuing the unit to the patient about 12 hours later when the nurse noticed there was not a cap on the other end of the tubing -- huge infection risk!! I just do not think it is worth putting the patient at risk -- I'd rather toss out that $350 unit of blood. I'm still curious to hear what others do...thanks!
  10. dld
    I have worked in the blood bank for 15 years, and we have always had a policy that if a unit was returned to the blood bank spiked, not transfused, within 30 minutes, we could reissue to that patient within a 24 hour period. My problem is, I cannot find anything in the AABB technical manual, or anywhere else for that matter, that supports our practice. I'm questioning whether we should be doing this...especially since I am now in charge of the blood bank. Does anyone have a policy allowing or not allowing this practice? Thanks
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