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Everything posted by BANKTECH
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Thank you all for your replies
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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.
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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?
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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.
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Our preadmission testing become the inpatient account also
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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!!
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We are mostly 100% leukoreduced for general population and considered 'CMV safe'. However, for the neonates, we give leukoreduced and CMV negative.
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Thank you everyone for your input
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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!!
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Thank you everyone for your insight!!
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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!!!
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Transfusion service platelet bacterial testing?
BANKTECH replied to LaraT23's topic in Transfusion Services
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
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We do the same as Terri
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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.
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If a product expires at a given time, such as today at 8pm. Does this mean the product must be issued before 8pm or the product must be transfused before 8pm. If anyone knows of any references regarding this question, please let me know. Thanks so much!!!
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Thank you to everyone who replied to this thread!!!
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We use a 3 line timer that comes with a traceable certificate. Once it is expired, we just take out of service and buy new. It's not too expensive and much easier this way.
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We are currently validating the Tango. We have not had problems with connectivity or carryover. So far, it is definitely better than the Galileo. Hopefully, we will think the same thing when we go live in a few months.
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David, I am looking for 1+ or + reactivity using LISS. Thanks for your help!!!
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Hi Everyone!! I need to do compentency assessments on everyone in the department, but I want to make the antibodies weak. Does anyone know a standard way to dilute? Should I dilute in albumin or saline? Any helpful hints are appreciated. Thanks!!
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At our most recent inspection, the inspector told me the only thing she considered a critical result is a trasnfusion reaction also.
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Don, We are using the same amount (4 pools or 4 apheresis units = 20 plts). I am interested to know what your point of care instrument is used at your facility. Thanks!!
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Therapeutic phlebotomies are done by the nursing staff in Dialysis here.
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I was wondering if anyone out there has guidelines as to how many products can be ordered/issued at a time? Or cardiac surgeons want to request 20 platelets at a time (could be more depending on the case). Our blood issue policy states that we will only issue 10 at a time. There are no rules from a regulatory standpoint that I am aware of, but we want to do this on an inventory manangement basis, as we have Oncology and other departments requesting products as well. Can anyone tell me what is a regular request within their hospitals cardiac OR? Do they monitor platelet counts? Any information would be very helpful. Thanks in advance.
