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kirkaw

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  1. Like
    kirkaw got a reaction from Likewine99 in Microscopic Examination   
    YAASSSSS! Dr. Issitt said that to me many times when I worked under his direction at Duke.
  2. Like
    kirkaw got a reaction from AMcCord in Safe-T-Vue 6   
    I have 2 related questions to this topic:
    Does anyone use and automated cooler validation kit, such as the Val-A-Sure kit? If so, how do you like it?
    How frequently do you validate your coolers?
    As an aside, we have deemed our coolers 'blood storage', as blood is likely to sit in them for hours in the OR without going anywhere. That seems more 'storage' than 'transport' to me.
  3. Like
    kirkaw got a reaction from John C. Staley in Microscopic Examination   
    YAASSSSS! Dr. Issitt said that to me many times when I worked under his direction at Duke.
  4. Like
    kirkaw got a reaction from Malcolm Needs in Microscopic Examination   
    YAASSSSS! Dr. Issitt said that to me many times when I worked under his direction at Duke.
  5. Like
    kirkaw got a reaction from Dansket in Safe-T-Vue 6   
    I have 2 related questions to this topic:
    Does anyone use and automated cooler validation kit, such as the Val-A-Sure kit? If so, how do you like it?
    How frequently do you validate your coolers?
    As an aside, we have deemed our coolers 'blood storage', as blood is likely to sit in them for hours in the OR without going anywhere. That seems more 'storage' than 'transport' to me.
  6. Like
    kirkaw reacted to Teristella in Extending platelet expiration date.   
    OUCH -- that hurts. We were actually told by our supplier that rotating platelets was not efficient for them, and they would rather us let them expire on our shelf and give us credit. Does not seem like very good stewardship of the blood supply to me, but it was their choice.
    I think something like this would be really valuable at my current facility considering we are keeping 6-8 platelets on our shelves at a time. We have heavy users in trauma, oncology and cardiac cases. Some nights we throw away four or five. Unfortunately today is my last day here but I'll be keeping an eye out for info to send to my supervisor about this.
  7. Like
    kirkaw got a reaction from Liz0316 in Multiple Hospital Systems   
    We are a 4-hospital system with the same HIS but 3 of the 4 hospitals have different MRN's and all hospitals issue their own encounter # for each visit.
    We do have a unique blood bank identifier # that prints on the patient's armband that is the same across facilities and across visits.
    However, each time a patient is transferred to a different facility, we require that the receiving facility get a new type and screen specimen. The only time this is not true is for preadmit/pre-surgical patients. If a patient wants to have their blood drawn at a sister hospital because it's closer to their home, they can do so, but the specimen is collected and labeled with a handwritten label and the order is a paper requisition. Both of these items are delivered to the facility where the patient will have their surgery, a new encounter is registered, the type and screen ordered and the testing performed. The specimen remains at the testing facility where the patient is having surgery.
  8. Like
    kirkaw got a reaction from cmontgomery in Any one look at Grifols Erytra?   
    I agree with Mabel's assessment. I am in the market to replace my Provue and my preference is the Erytra. The main downfall is that the Erytra is not a tabletop analyzer so space is a concern. Also, the capital expenditure is greater than for the Vision. I love that the Erytra is true random access. The Erytra's capacity is greater and the time to process is slightly faster. 
    Although I was impressed with the Bio-Rad IH1000, that analyzer is HUGE and as far as I know, it's not FDA cleared yet. 
    One of the reasons that I'm looking to switch vendors is that I feel that Ortho's customer service has deteriorated substantially over the past 2 years. Additionally, whereas Grifols manufacturers the Erytra and Wadiana, Ortho contracted Grifols to make the Provue (it's actually a Wadiana under a different name) and the Tecan to make the Vision.
  9. Like
    kirkaw got a reaction from seraph44 in IQCP   
    I have included in my antibody identification procedure, verbiage almost identical to what is listed in the Immucor package insert for panel cells. It's somewhat vague. Our JC inspectors suggested that the reason for doing QC on panel cells was to be in compliance with the manufacturer's instructions; they did NOT say it was a JC standard. I personally, think QC'ing panel cells is rubbish. I've been working in BB/TS for 25 years and this has never come up before. One argument I've heard is that it is impossible to verify the potency of the cell based on 1 antigen. If you were truly testing the quality of the cell, you'd have to test for every antigen.
  10. Like
    kirkaw reacted to Sko681 in New Ortho MTS Workstaion   
    And the above reasons is precisely why I have put off ordering new ones.   
  11. Like
    kirkaw got a reaction from longhorn2891 in Anti-CD38 therapy   
    This therapy has come to my hospital. Thankfully, our oncologist gave me a heads up. Apparently, the drug manufacturer is strongly suggesting that prescribing doctors communicate with their transfusion services. They even provide cards for the docs to give the patients, that can be presented, should the patient go to a different hospital (I'm envisioning something like a card from the Red Cross that details what antibodies a patient has).
    Anywho....since I do not routinely stock DTT, and haven't used it in 20 years, my 'frontline' strategy has been to get a complete phenotype on the patient before he gets his 1st daratumumab treatment this afternoon. I am simultaneously trying to find a supplier and pricing for DTT (anyone, anyone?) to determine if this is something we want to undertake or do we want to send these specimens to our reference lab every time.
  12. Like
    kirkaw reacted to John Eggington in Anti-CD38 therapy   
    I wondered this too, but the patients don't seem to be particularly anaemic, which is what I'd expect if red cells were being destroyed. Maybe antigen is being removed without red cell destruction? Just had a new 'cd38' case and this one has a positive DAT', with therapy starting only a week or so ago. DAT wasn't done before therapy started. Titre of the antibody is almost 4000.
  13. Like
    kirkaw got a reaction from Malcolm Needs in Give a partial unit?   
    I agree with you 100% Malcolm and we ended up trashing the remainder of the unit but I was curious as to what others would have done.
  14. Like
    kirkaw reacted to goodchild in Transfusion Safety Officer   
    That's an interesting and ultimately highly subjective question. A lot of people would posit that a TSO should have a clinical background to be effective. https://www.linkedin.com/title/transfusion-safety-officer
    Curious of the opinion of BBT.
  15. Like
    kirkaw reacted to Sandy L in AHG crossmatch for "rhogam" antibody?   
    We would do an extended Gel XM as long as the current screen is positive.  It's required by the LIS.  The computer system disqualifies them for electronic XM in this instance.  If the screen becomes negative in the future, they would qualify for electronic XM as the antibody is classified as not clinically significant
  16. Like
    kirkaw reacted to amym1586 in Blood bank sample collection from a line   
    This happens at our hospital too.   
    Our phlebs will initial and band the patient.  The nurse will pull it from the line and hand the syringe to our phleb to fill the tube and label.  They put their initials/the nurses initials.    That way we know it was a line draw.    Our nurses aren't trained to band patients or draw blood bank samples (YET)
     
  17. Like
    kirkaw reacted to goodchild in Rh confirmation of Rh Negative Units   
    We're referring to the second serological type (or possibly the third, since my understanding is many blood suppliers do double checks already) but yes.
  18. Like
    kirkaw reacted to mollyredone in Changing validated LIS results   
    And you said, Sure, pull up a chair!
  19. Like
    kirkaw got a reaction from galvania in Changing validated LIS results   
    I digress, but in response to David's post, I had a resident bring a specimen for culture to the Microbiology department, where I was working part-time as a student, and he asked if he should wait for the results.
  20. Like
    kirkaw got a reaction from AMcCord in Changing validated LIS results   
    I digress, but in response to David's post, I had a resident bring a specimen for culture to the Microbiology department, where I was working part-time as a student, and he asked if he should wait for the results.
  21. Like
    kirkaw got a reaction from SMILLER in Changing validated LIS results   
    I digress, but in response to David's post, I had a resident bring a specimen for culture to the Microbiology department, where I was working part-time as a student, and he asked if he should wait for the results.
  22. Like
    kirkaw got a reaction from Malcolm Needs in Changing validated LIS results   
    I digress, but in response to David's post, I had a resident bring a specimen for culture to the Microbiology department, where I was working part-time as a student, and he asked if he should wait for the results.
  23. Like
    kirkaw got a reaction from Dr. Pepper in Changing validated LIS results   
    I digress, but in response to David's post, I had a resident bring a specimen for culture to the Microbiology department, where I was working part-time as a student, and he asked if he should wait for the results.
  24. Like
    kirkaw got a reaction from mollyredone in Changing validated LIS results   
    I digress, but in response to David's post, I had a resident bring a specimen for culture to the Microbiology department, where I was working part-time as a student, and he asked if he should wait for the results.
  25. Like
    kirkaw reacted to PammyDQ in Specimen centrifuge   
    We have 2 brand new Hettitech/Helmer SeroSpin®-FA-280s.  The FA rotor has a maximum of 5000 rpm but we're using 3500 for serological testing. We also purchased a separate 12 place blood separation rotor to use for spinning the samples (we spin at the bench). The maximum RPM for that extra head is 6000 and we have ours set to spin at 5000 for 5 minutes and get nice separation. The centrifuge knows which head is in. I've never heard of a 80,000RPM centrifuge! That's crazy fast! Or a typo?
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