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nsfirm

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Posts posted by nsfirm

  1. On 12/28/2023 at 2:46 AM, Melanie Oliveira said:

    Hi, We use igloo coolers and three ice blocks frozen and stored at -20 to -25'C.  No colder.  One refrigerated coolant pack (stored in a fridge of 1-6'C) placed on the bottom of the insert.  Then the units on top of that and another refrigerated coolant pack on top of the units.  Coolers will stay within 1-6'C for 8 hours.  We can only send out two units in a cooler at a time.   

     

    what is the configuration for all of those? so at the bottom is the coolant pack, blood bag 1, another coolant, blood bag 2, another coolant, and at the top are the three ice blocks frozen? I tried to make a picture of it, please give me your recommendation about it. 

    how long do you prepare for it? I mean, when do you put the blood bags inside? 

    image.jpeg

  2. On 12/27/2023 at 9:21 PM, Bet'naSBB said:

    what coolers are you using and what kind of inserts?  do the inserts need pre-conditioning?  if you can let me know these things,.....I may be able to help! :) 

    I am using the usual cool box, and ice pack. 

    what kind of pre conditioning is needed? 

    sorry, I am really don't know anything about it.

  3. I really need some help about how to get the right temperature for the cooler.

    e.g. when we do cooler validation, the start was around 23-degree Celcius, we were able to reach the right temperature after 1 or two hours after we packed the Red Cells, and we only able to keep it in the right temperature for only 1 or two hours before it kept going up.

    how do we reach 2 - 10 degrees of Celcius before putting in the Red Cells?

    and how do we reach -20 degree Celcius before putting in the frozen plasma?

    thank you.

     

     

  4. On 8/28/2012 at 9:19 PM, Deb said:

    As a collection center that prepares and freezes plasma we also simulated different loads of warm units and freeze times. We used small data loggers placed in alternating positions (front/back or left/right) on each shelf/drawer to map what happened to the temps in each area as the freezer was loaded. We did a single unit on each shelf. Six units all at once. Multiple loads placed in the freezer at different time intervals, and one large load that might simulate after a busy day/blood drive. What we found was that certain places were best for quicker freezing and others were better for maintining the frozen temps. We used water bags to test this. If you want more details, feel free to let me know and I can forward more info to you.

    dear Mam, could you please share more with me? really would like to hear it from you.

  5. Hi again,

    I forgot whether I have introduced myself before, but I will just think about it as my first introduction.

    I'm Nova from Indonesia. Before I worked as a doctor in Hospital Transfusion Services so I asked a lot about blood transfusion reactions and blood administration. Not only in this forum, but also in other places, like ISBT congress, etc.

    But at the moment, I work for a Blood Transfusion Unit (where we do blood collection and blood processing). and we are in the middle of improving the quality, like implementing GMP, and as part of GMP do validation qualification.

    So I may ask more questions almost about anything.

    Thank you or in my country, Terima Kasih...

    Nova

  6. Dear all,

    I have to do validation process for the blood component making for each components that we made. But so many things still made me confused.

    1. How many blood bags should be used for validation process? Is there any rules of how to calculate it?

    2. Is it possible to do it more than one times? e.g. when I need to validate 60 blood bags, can we do it in three parts, each 20 blood bags?

    I asked the second question because in my country, the auditor said that we have to do it three times (because according to Pharmaceutical GMP, we have to do it three times). But when I ask about how many and how, it just answered by there is no certain rule about it.

    3. Do we have to do it three times? e.g. when I need to validate 60 blood bags, do we have to do 3 x 60 blood bags instead of 1 x 60 blood bags or like question number two, 3 x 20 blood bags?

    So, how do you do it in your place?

    Thank you.

  7. The consent is ongoing for as long as the patient turns up for (routine) transfusion. In the event that they require a transfusion for a different reason, then a new consent is to be obtained.

    For inpatients, the consent is valid for one single admission period.

    just want to confirm using an example.... if one thalassemia patient needs one blood bag of FFP it needs a new informed consent? or one hemophiliac (in my hospital there are hemophiliacs who still get whether FFP or AHF/ Cryo), and he needs to be transfused with PRC, then a new informed consent needs to be made?

    and for inpatients, won't the same rule applied? I mean a new consent to be obtained when they require a transfusion for a different reason.

  8. in QPS 7 of JCI, there is a need of analysis conducted for:

    1. all confirmed transfusion reactions, if applicable to the organization

    etc

    my questions:

    1. what does it mean by if-applicable?

    2. what is the meaning of confirmed transfusion reaction, because most of the transfusion reaction reported in my hospital, is just that, only reported, no further investigation done?

    3. if what happens in my hospital can't be classified as confirmed, does it mean that my hospital doesn't have to do the analysis, because there is no confirmed transfusion reaction?

    3. what are the numerator and denominator used for the indicator?

    4. do you have samples of the analysis that has been done? just curious, what is the reason you put if the number of transfusion reaction is increased, when I don't think it's controllable.

    thank you.

  9. helppppp.....

    I'm trying to make sure that instead of using the waterbath which is already used for more than 10 years, it would be better to buy a new one of dry plasma thawer.

    when I said it has to be dry, someone said, ok put the blood bag in the plastic.

    when I said I don't know for sure if the temperature is still right, he said put a thermometer.

    at last I said it's not recommended anymore, he asked the literature.

    so, anyone, please help me with the standard, recommendation, or requirements of plasma thawer.....

    thank you before....

  10. I was the safety officer in my lab for over 10 years, and the thought of having to empty a blood bag gives me the shivers! Just too much opportunity for a splash and exposure, never mind the mess. Also, with tubing and hard plastic connectors attached to the unit, it really should be in a hard sided container. The connectors (we also call them spikes) could easily poke through a plastic bag alone.

    I do feel the same way. :)

  11. Monitoring of blood utilization states you need to have a peer-review program that monitors and addresses transfusion reactions for all categories of blood and blood components including infectious and noninfectious adverse events, appropriateness of use, etc.---it does not differentiate between products that are "transfused" vs. "applied". You also need to have all the appropriate traceability and trackability, consent, etc. There are case reports of infectious disease transmission identified through Lookback protocols assoicated with these types of "applications", including HIV.

    thank you.... I was asked about that, and the report from the journal is a kind of promising. the eye is getting better, and the burn heals fast. but I haven't read the report of reaction. there is a doctor who said that after the xth application, there are blisters around the place of application. the doctor said that it might happen because of the minimal hygiene, not because of the blood. and it didn't happen again after that.

  12. We accept verbal orders during emergency situations- trauma or OR. This generally happens with uncrossmatched for trauma or OR patients who start massively bleeding and we run out of what was originally set up.

    Same here. Our ER is good about signing releases after the chaos has calmed down.

    and expecting the doctor to come to bb afterwards? what if it is next to impossible? no verbal request allowed?

  13. indonesia,

    just wondering because I read that in some place, blood component (FFP) used as an eye drop, and I also read that buffy coat can improve the burn healing if put topically.

    so, there is still a problem of reaction after that kind of usage. is it part of the blood transfusion reaction report that was asked as part of hemovigillance survey, or not (since it's not transfused).

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