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Everything posted by BANKTECH
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same here as R1R2
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Where to place irradiation indicators???
BANKTECH replied to BANKTECH's topic in Transfusion Services
Thank you to everyone who has replied. I appreciate your input. -
You could get a small file box (from Staples or Office Max) and get alphabetical dividers for your box, so looking for patient name would be easy. Or as R1R2 said, use computer system.
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Same here.
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We will retype the units as we do with all red cells brought into inventory. We do not confirm the crossmatch (as the reference facility generally has done absorptions or a technique we are not able to repeat....so if we did a crossmatch, we would likely call incompatible). Antigen testing is not repeated if the reference facility confirms the antigens. However, if the antigen testing is historic, we will perform at our facility. When the unit has been crossmatched and/or confirmed antigen testing performed by the reference facility, we will make a note of this on the unit.....so if we have to look at it with an inspector for any reason, we know and can dig out the paperwork.
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We also have Helmers. They seem to be reliable.
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Where to place irradiation indicators???
BANKTECH replied to BANKTECH's topic in Transfusion Services
Are we out of compliance if we use the 15 Gy indicator and place on the edge of the units? Does anyone know? Thanks!! -
I know that when a product is irradiated, 25 Gy must be in the central portion of bag and at least 15 Gy to the entire bag. I am wondering, does it matter whether using a 25 Gy indicator and placing in central portion of bag or should we use 15 Gy indicator and place in periphery? Wondering what everyone else does. Thanks in advance for the input.
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Does anyone that has SoftBank have a good way to pool products and number during a downtime? I am updating my procedure from using codabar to ISBT. I know that I need the facility code, yr and 6 digit number. I know the pool number counts up from 000001 at the beginning of the year. However, during an uplanned downtime, I'm not sure how to indicate the number. If the wrong number is chosen and is issued, I would have to report a BPD. Any suggestions??
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Time limit for type and screens on outpatients
BANKTECH replied to jerriemc's topic in Transfusion Services
We extend the expiration date on these patients for 7 days, assuming they have not been pregnant or transfused in past 3 months. This, of course, needs documented for us to extend the expiration date. I have heard of other facilities that use 30 day timeframe. -
QCDan, We used to have a Galileo, but do not have a Neo. If they use the same plates (2 cell screen, 3 cell screen, weak D, XM, ABID, ExtendI and Extend II), I would compare using the same lots between each automated platform. I would check for similar reaction strengths, how many patients you have to manually interpret due to ? results.
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Antigen testing donor units
BANKTECH replied to Whitney's topic in Donor Services and Donor Recruitment
Did you check with the manufacturer as to whether it is screening test vs test of record? -
We also enter the CAP testing into our LIS system as well as the donor unit. For the donor unit, I place a comment on the unit so there is never a question that it is not a real unit. Seems to work well for us.
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We have 4 Helmer freezers. The charts function properly, alarms sound at appropriate times. The issues that we do have with the freezers are that they are in a small room with extreme heat and poor ventilation (Opening them to rotate stock can force them into defrost quickly). In the winter, the freezers are fine. Hope this helps!
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Similar to lindam923. If a name or medical record number changes, we require a new sample to be collected. We do not label with DOB, but if we did and the DOB was incorrect, we would also require a redraw.
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We perform auto controls only when running panels. We do not perform autocontrols with antibody screen testing. Hope this helps!!!
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We attach a notecard with the same label as the pedi-pak bag. It includes the ISBT label and patient label. When nursing draws the blood into the syringe, they rubberband the notecard to the syringe.
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Maybe you could keep it simple and only aliquot into Pedi-pak. Then, nursing can put in syringe and trasnfuse. Once out of Blood Bank, unit should be transfused within 4 hrs. This way, nursing can have the full time with the unit, since they are probably infusing at a slower rate. This way you can keep the divided A0, B0, etc label on the unit.
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QCDan, What company do you use for wireless temp monitoring?
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Thank you all so much. I wish we could scan badges and/or have drop codes, but we don't ahve that ability until we upgrade.
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We do NOT allow correction of the patient identifying information. If a date or time is missing, we will allow this information to be added.
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Hi everyone! For everyone that uses the pneumatic tube system to issue blood, do you also apply a temperature indicator (such as HemoTemp or Safe-T-Vue)? Does nursing know how to use the temperature indicators to check the unit? Or is the temperature indicator only used by Blood Bank for requalifying the unit if it was returned to the blood bank? Thanks in advance for all your input!!
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Maribel, Our policy is to give Rh Pos RBC.
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Thank you so much for the information, Terri!! One more question: Has your wireless temperature monitoring system ever stopped working?
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Hi Everyone! We just had a wireless temperature monitoring system installed for the whole hospital. I don't have access to the equipment for Blood Bank. I have some questions I hope someone can guide me in the right direction. First off, I think I need access to this information. Secondly, would I validate all the temperatures against the NIST for high and low alarm points (we do this for all equipment quarterly). In refrigerators, should there be an upper and lower bottle for the wireless program? Do we keep the manual thermometers in upper and lower locations in addition to the wireless bottles? :confused:Does the wireless system and manual system need QC'd quarterly? :confused:Does everyone still take temps daily once the equipment has been properly qualified, or is a daily alarm check sufficient? :confused:If anyone can answer these questions or has anything additional that I might not have mentioned, I would like to hear about it. Thanks in advance for all your help with this.