saralm88

Thanks for all the responses everyone! This has all been so helpful

Hi everyone! We are looking to put together a sickle cell policy in our institution since we seem to be having more visits from this patient population. Can I pick everyone's brain about what they do at their facilities? I use to work at an institution that provided E, C and K negative red cells (unless the phenotype proved otherwise). Thanks! I am looking forward to reading the responses

Thank you so much Malcolm! That explanation was so very helpful! And the slide you attached was great!! Thanks again for your help!

Thanks for the reply Malcolm! I guess that is one of my questions - we do titers alot because have a focus on OB and I read somewhere that if the C titer is higher than the D, it would be considered G? I am under the impression as long as we titer the patients and provide D and C negative blood, all is good Am I am the rigth path? Thanks again for your help!! Your insight is always appreciated!!

Hi everyone! I was just wondering if anyone has had experience with Anti-G - if so could you share your experience with it? I was asked about it today by an MD (his patient is pregnant) and I want to be able to give him more information. Thanks everyone!! Sara

Hi everyone! Has anyone ever had the experience with platelets where the reaction is dyspnea, back pain, rigors, chest pain but there is no evidence of TRALI (xray negative) and the patient received washed platelets? The reaction workup was clean and there are no HLA antibodies. Any experiences would be appreciated Thanks!

Hi everyone!! Just wanted to pick some brains about his topic! I am in a new position (about 1 year now) and I am noticing that the Massive Transfusion Policy does not state anything about how to approach a patient with an antibody. I just want to get some feedback on what other facilities do - thanks S

They come in bunches!

Thank you to both of you for your insight!! THe patient has a Hgb of 10 and is holding steady so we are monitoring her and the baby and keeping an eye on the strength of the reactions . Thanks again for all the help

Hi everyone!! Has anyone ever had experience with ob patients and warm autoantibodies? Especially ones with specificity to the Rh family? If so, do you mind sharing what you did or your case? Any experiences are welcome!! Thanks! Sara

Hi Everyone!! Just had a quick question about the newest software update for the Echo - the package insert say you don't need to validate but ... does anyone want to share their validation for a software update on the Echo or does anyone have any ideas they are willing to share Thanks for all your help in advance!! Sara

Yes this was also my school of thought --- the techs say they have always been able to get a new sample and continue on ... which I find scary ... am I right?

Hi everyone!! I wanted to get feedback on a scenario. I come from the school where if you run out of sample on a patient and still have testing to complete - the sample should have a type and screen performed on it and then you continue your testing and XM if needed. Does anyone know if this is stated as a must anywhere or does anyone do this or agree? Thanks!! Sarac

Hi blbnkr ! We do a crossmatch on anyone going to the OR who has an antibody - Rhogam or real. For normal delivery - we do not. Hope this helps!

Thanks everyone for all your feedback!! It is appreciated!

Their competency in each area is documented every year - this is how I would determine if they are a trainer.

Hi everyone Quick question about the review of SOP by the techs on an annual basis -- is it enough to justm have them document that they read all the SOPs or must I have a place to sign off on each individual SOP? I can not find any specific standard stating this in detail, just that they need to be reviewed. Thanks! Sara

We do a type and screen on all our OB patients

The trainers will be Medical technologists - I need to have documentation that they are competent to train in different areas of the lab

Hi everyone!! I am looking to put together a Train the Trainer program in my blood bank and I was wondering if anyone had one already established and, if so, would you be willing to share your ideas? Thanks in advance!!!! Sara

THe manufacturer has said pretty much the same thing as R1R2 - there is no real need to validate with plasma products in the freezer. We will see how this goes! Thanks for everyone's feedback!!!

Hi everyone!!! I am doing some research into the potential of switching my facility to Rhophylac from Rhogam and I had a quick question. The last time the company was here (before my time:)), the safety device on the needle was not liked by some people - does anyone know if this has changed or can anyone give me feedback on what they think of the device? Thanks!!

That's what I thought as well - and if it is, does anyone have a suggestion as to how I achieve this without using real plasma (in case it fails)

Really? I come from a hospital that does a freezer validation empty and then also loads it with frozen recovered plasm s and monitors the temperature for 24 hours - mimicing the presence of real plasma. I am glad I am asking this question I would love to hear from others as well Thanks R1R2

Hi everyone!! I am hoping to receive some suggestions I have a new Helmer Freezer and I am going to start validation next week but - I do not have any expired frozen plasmas or any recovered plasmas I can freeze and mimic the presence of real plasma in the freezer - does anyone have any suggestions for me as to how to get the validation completed? (Holding the temp as an empty unit should be no problem). Any advice is much appreciated!!! Thanks!!