Everything posted by CSP0102
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Order requirements for components (plasma, platelets, cryo)
We require a Blood type from the current admission
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Direct antiglobulin test
We have gone back and forth on this. We stopped using the scope for a long time then we got a new supervisor and resumed scoping. Now we recently went to Ortho gel and will only be doing C3 in tube. I don’t know the requirements
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Donor re-typing
Since I personally retyped a unit that was labeled wrong I would be very uncomfortable with not retyping.
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Repeat Antibody Investigations
We use the rule of one homozygous cell for every antibody when working up a patient with known antibodies
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Retirement
Hope you enjoy every minute of your retirement
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monitoring units in coolers
Patty how do you take the temp on your units when they come back to the Blood Bank
- Blood Bank staff
- ARC Packing Slips? Keep? Trash? HELP!
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At my hospital we manually enter Type and Screen results....
No. All manual entry at our hospital is reviewed by a second tech for typos
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RHIG stored at room temperature for hours
I believe the manufacture (Kedreon) says 10 hours. That’s what we use
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Return of Plasma to the Blood Bank
Thanks Scott. That is my thought also but fighting the lack of common sense is an up hill battle sometimes
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Return of Plasma to the Blood Bank
For several years now our Blood Bank has decided that any plasma that has been issued for more than 2 hours needs to be destroyed if it is returned to the Blood Bank. This was changed by a technical specialist who has been gone from the job for 5 years but this strange rule still stands. My problem with this is if it is sent out in a cooler that has been validated for 24 hours why destroy the plasma? I would like to get this changed but need some good info for our current lead so she can make the change. Looking for help please. To me this is a no brainer but I seem unable to convince those in charge.
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Patient's sample drawn at one site and transfused at another
We do it providing the sample was drawn by a facility associated with our hospital, they use our Blood Bank patient banding system and we do the testing. All products are associated with that alpha numeric number and before products are issued we verify that number patient name and birthdate
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Negative Control for DAT
We do a saline control for the negative and would never check cell it
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What are your rules for ruling out?
We use the rule of 3. Three homozygous to rule out and 3 positive cells to rule in. IF PISSIBLE
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FDA 30 minute rule
I would be interested in knowing how everyone is taking the unit temps when they are returned. Thanks Cindy
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Temperature Indicator for RBC Units
We use Safe T Vue. The only problem we have is they don't always stick well to the bag. We have had problems with them coming off
- Autocontrols run with Ab Screens of Patients with Clinically Significant Ab
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Infrared Thermometers
Does anyone use Infrared thermometers for checking the temp of a unit of blood when returned to the Blood Bank? If so what are the pros and cons and what brand do you use? Thanks for your help. We are struggling with how to handle returned units. Currently we are using a 30 min rule and a Safe-T-Vue 10. Our SOP states that if the unit comes back in under 30 min we return it to inventory even if the Safe-T-Vue is red. I struggle with this since we don't know what happened to that unit while it was out of the Blood Bank and the manufacturer states not to inventory it. Our units are sent out with a gel cold pack so 30 min is not unreasonable but I don't see putting it in inventory if the Safe-T-Vue is red. HELP
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Return of issued products
Scott can you tell me who manufactures the Timeview indicator please
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Return of issued products
I would like to know what others are doing when a product such as a red cell unit is returned to the Blood Bank. We currently use Safe-T- Vue 10 on products we send in an ice chest but not on products that are supposed to be infused. How do you check the temperature on the returned units, or do you have a time frame from when it left the Blood Bank until it is returned. How do you ensure the product is viable for reissue? We currently have a rule that if a fresh frozen plasma leaves the Blood Bank in an ice chest and returns more than 2 hours later we discard it. I think that is a waste of a good product so I would like to know what others are doing. If anyone has a resource for these issues I would also like to know what that is. Thanks for your help
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Cord Blood Testing
We only do cord testing on babies of Rh negative moms
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OR returns of Thawed Plasma
Our current policy is to return plasma to inventory if it has been issued for less than 2 hours even if it was issued to an ice chest. I'm not sure that makes any sense but it is the policy of our BB
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Intrauterine Transfusions
We always label with Mom's information
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Previously identified antibodies
I might not have been clear with my question. Say the patient has a history of Anti Kell. The first time we identify the antibody we use the rule of 3. 3 positives to rule in and 3 negatives to rule out. On repeat work ups. We only require 1 homozygous negative to rule out significant antibodies. I want to know if others always use the rule of 3