BANKTECH

Thank you all for your replies

Wondering if everyone does QC on their antibody panels, prior to being placed into use. What is being used for QC? We currently use patients with known antibodies. This has never been questioned by inspectors. I started thinking though, if I perform QC with Anti-K there are other antibodies that will be identified with this panel. Should I continue as is? Should I use a serum that is positive on all cells? Do I not need to do QC on antibody panels? Sorry if this is a repeat topic, I didn't see when I did a search.

Do any of your facilites require ID before admission (except trauma). I'm wondering if government issued ID and insurance cards upon admission would help with this problem. This person was admitted with one name and then the name was changed. No one was identified of the change. Same armband remained on the patient. Computer information did not match. The resolution that is being considered are the blood band. Although it would have 2 unique identifiers, the patient is still ID'd incorrectly. A redraw would still be required, correct?

We currently use patient name and medical record number to identify the patient. We are considering using a special blood bank identifier (typenex, hollister). My question is, if in the middle of an admission the patient name changes, is the medical record number and other blood bank ID system acceptable for 2 identifiers. THE NAME WILL BE INCORRECT. Please advise.

Our preadmission testing become the inpatient account also

Hi Everyone!!! Wondering if anyone out there is billing for transfusion reactions? If yes, do you bill for testing or just pathologist interpretation? Does all transfusion reaction workup testing get entered into LIS? How does doctor get final results? Thanks in advance!!

We are mostly 100% leukoreduced for general population and considered 'CMV safe'. However, for the neonates, we give leukoreduced and CMV negative.

Thank you everyone for your input

Hi Everyone! Wondering if anyone knows of a good way to get adequate responses and corrective actions to errors. We try to be non punative in regards to errors, but the same errors occur over and over. An example would be when a hand written error occurs. I don't think it is difficult to line through the error and add date and initials. Same with write overs. There are other errors too that I encounter (not related to documentation) that seem to occur over and over. Just wondering what steps are taken at other facilities. Any input would be greatly appreciated. Thanks in advance!!

Thank you everyone for your insight!!

Hi Everyone!! We have a Helmer Platelet incubator for our Pall eBDS system. We keep the temperature range at 34 to 36 C. We have a calibrated thermometer inside the incubator that occasionally reads 37. This thermometer is in glycerol solution. The chart occasionally read slightly below 34 degrees. The alarm never sounds. The alarm setpoints are 34 and 36. Our refrigeration department states the discrepancy is between our thermometer in glycerol and the chart temperature reading air temperature, which fluctuates more quickly when opening and closing the door. Plus the refrigeration department said it is difficult to maintain a temperature range that tight. Does anyone else have this problem? Should platelet incubator internal temperatures not be in a glycerol solution? If someone can guide me to some references or provide feedback, it will be greatly appreciated. Thanks!!!

We perform BDS testing, using the Pall eBDS Oxygen analyzer. We do this for apheresis, randoms, and pre-pooled platelets. It is easier for us to test before we label the products, instead of lengthening turn around time by testing once an order is received. we can sample 24 hours after collection.

We do Rh controls only on AB Pos patients. Saline is used as our negative control

We do the same as Terri

we use 2 hrs as the length of time, since that's how long it would take to get from a supplier (being out of the rotator). We also ensure the temperature is with acceptable limits and check for presence of swirling and pH prior to re-issue.