saralm88
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Everything posted by saralm88
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Does everyone get their WB from their suppliers? Or are you collecting your own or reconstituting?
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Good morning, friends! I wanted to see how many of you give Whole Blood to your Trauma and MTP patients. We are having discussions about it and wanted to see how many places actually use this product in these scenarios. Thank you as always! Sara
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Good morning friends! I hope everyone is having a great week! We are currently in the process of converting to EPIC/Soft. Does anyone use Rover? Does it cover the AABB standard requirement 5.14.1 which states: 3. Retesting the same sample if patient identification was verified at the time of sample collection using an electronic identification system. Thank you! Have a great day! Sara
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Good morning friends! I hope everyone is doing well and having a nice start to 2023! I am hoping to get some input from the group on current practices for mismatch kidney transplants. Specifically, B patients receiving A subgroup Kidneys. Currently, we send out for a DTT treated Anti-A titer but the lab will no longer be able to provide this service for us. I made some calls to the area hospitals and reference labs to find out what the majority do and - I found it is a mixed bag. What do you do when it comes to pre and post titers for these types of transplant patients? Thank you for all your insight, as always! Sara
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Good morning friends! I hope everyone is doing well! I am hoping this is an easy question - I am trying to discard some older documents (using the AABB and CAP requirements). I have found some old audits and I wondering if they fall under the 5 or 10 year mark. I was categorizing them under my Quality system review/management and using the 5 year retention time. Does this sound right? What do others do? Thank you everyone!!
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Hello everyone! Just looking for some advice - we are replacing older Echos with 3 new Echos. The machine itself and testing methodology is the same - the only difference is the instrument is now white and purple. The last validation I did when we received new Echos ... I think I went overboard with the number of samples I ran for each test. Any advice on the number of samples for validation of instruments that are the same in all aspects of testing - just newer models? Thank you!! Sara
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Neonate Platelet Aliquots - references?
saralm88 replied to saralm88's topic in Transfusion Services
so so helpful!! thank you sonya!!! -
Hi everyone! I am writing a procedure for making aliquots from platelet pheresis units - I had done this a lot at my prior institution and I need a policy/procedure for my current hospital since we have a rather large NICU. Does anyone have any references/CFRs/CGMP that can help me or procedures they can share? Thank you!! And have a great weekend! S
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Hello friends! Quick (and maybe simple) question: how long do we have to keep staff communications (memos that I have them read and sign) or revised policies i put out for them to read and sign? I know there is a standard for approval of revisions and new policies by the medical director but I can't seem to find one about staff review Thanks! Sara
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Good Morning Friends I hope everyone is doing well and staying safe! I wanted to know if anyone has had a transfusion reaction symptom of tongue numbness along with hives and what was your pathologist's opinion on it. This patient received a platelet pheresis unit and, immediately after, was receiving a red cell unit and the hives started with the numbness after about a small amount. I just wanted to get some feedback about this type of reaction. Allergic seems good for the hives but the tongue numbness doesn't fit? Also - could a Psoralen platelet cause something like this? Apparently, there was some swelling of the lips so i am now going in the direction of anaphylaxis Thank you in advance!! Everyone is always so helpful! S
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Does anyone know the exact HCPSC code for this product? We have a charge from our center and we want to get a code in the computer. Thanks
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Hi everyone! Quick and, hopefully, easy question - are there any contradictions to giving PAS C platelets to a neonate? Haven’t had a lot of experience with PAS and I was hoping I could get more information from my BB friends Thanks! sara
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Hi everyone! I need some help/ideas today so where else to go but to my friends on here . A neonate front typing AB + but the Anti-A is 1+ and the Anti-B is 4+. Both of these were done on heel samples (different draws)and both washed. I know using Lectin is not ideal because of the weaker expression of antigens on the red cells. Anyone have any ideas on what I can possible do to try and clear up the reactions or help come to a conclusion? Any advise and knowledge is appreciated. Thank you!
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Hi friends! I just wanted to get a feel for what different labs are using. We have the Echo and Neo (new) and have been using LISS for screens and xm. I am switching to using PEG because Immucor says it is the best to use when having the machines. What does everyone else use out there? I hope everyone is having a great summer! I look forwards to hearing from you - hopefully I can get on here more and give more input of my own! Thanks!
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Hi everyone!! I hope everyone is doing well! I wanted to get a feel for which systems everyone uses to monitor their temperatures in their labs. Have you had more than one and did you like one over the other? Any recommendations? Thanks everyone! Sara
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Hi everyone!! I hope everyone is doing well! I wanted to get a feel for which systems everyone uses to monitor their temperatures in their labs. Have you had more than one and did you like one over the other? Any recommendations? Thanks everyone! Sara
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Thank you Malcolm! We have done an exchange on the baby but now I am completely confused - one of my seasoned techs just did a quick few D+ cells on mom and she is getting barely weak reactivity. Needless to say - a redraw is happening.
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Hi everyone! I hope everyone had a nice summer! I have a confusing scenario going on. I have a mom who received 2 doses of Rhogam (one for spotting and the other at 28 weeks) and upon delivery, I am picking up a strong Anti-D on the baby's cells and I did a titer on mom and it is 1:512. Anyone ever experience something like this before? I deal with a lot of Rhogam and this is a first for me . Thanks!
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Gotcha! Thanks! I wasn't asking myself enough questions like that - very helpful!
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Good morning everyone! This question may be a dumb one but I am a bit confused. I currently have an Echo and we have brought in a Neo due to volume. My question is - for validation - I know I run the samples on the Echo and then the Neo but do they then have to be run on bench (which we due for coorelations)? It's the same platform and we know th Echo coorelations with bench so is machine to machine enough at this point for validation? Thank you everyone and I hope you all have a great Monday!
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Thank you everyone! Malcolm - once again thank you for all the helpful information! This is more information than I found in any of my books! We are going to be doing some reference testing to make sure this is what we are dealing with and then --- the "fun" will begin
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Hi everyone! I am just looking for anyone who can give me more information on Anti-Henshaw especially in terms of HDN and HTR, if either occur. Any information is appreciated!! Thanks!!!
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Hi everyone! We do neonatal exchange transfusions at my institution and we also like our babies to get babesia negative units. We have trouble sometimes getting a 5 day old or less unit that is Babesia tested - does anyone do 5-7 day old red cells for exchange transfusions? The technical manual says 5-7 is ok but I wanted to get other opinions as well and see what has worked for people and their patients. The 2 more days would help us with getting babesia tested units. Also - what are some policies for neonates going to the OR and the age of blood they should receive? We are working on a new policy - leaning towards less than 7 days old but I am curious as to what other do Thanks everyone!! you all are always helpful!! S
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Hi everyone! For those of you who use cord blood samples - what do you do if the doctor would like a ABORH on a baby where the cord blood has "B-Jane Doe" on the tube but the parents have now changed the name to "John Smith"? Do you request a redraw or use the cord if you can link it back? I appreciate any input or experience anymore can give me Thanks!! S
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Hi again everyone! Everyone has been so helpful, I thought I would pick your brains again . I am looking to connect with anyone who processes units for Intrauterine Transfusion/Percutaneous Umbilical Blood Sampling. I am validating a centrifuge for these units and wanted to get some feedback as to how others may have done it. We use addictive units and I am looking for what you have used for visual acceptability. thanks everyone!!
