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Texas Lynn

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About Texas Lynn

  • Birthday 08/22/1953

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    blood bank

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  1. We have a canned comment built in to our system. When the Anti-D result is negative on a baby, a comment pops up that they need to do the weak D. We review all Anti-D results the next day to make sure they were done and catch Rhig candidates.
  2. I interpreted it that they added that it had to be stored in it's original vial and stored appropriately at the recommended temperature.
  3. yes, we have noticed it just last week, but we have not called it in to Immucor.
  4. Is this person on any multiple myeloma drugs?
  5. Ok, first, DAT was negative. I did the NaOh test, we only had 0.1 N. I ran a cord and adult for comparison.The cord in question did look more like an adult sample then a cord sample. Mother is O neg, so maybe it was her blood? It seems to me, a long time ago, in a lab far away, we would heelstick the babies if we got Rh negative and the mom was Rh negative. To make sure the baby's type was correct and if mom needed RhIg or not.
  6. We had a case where we got O negative on the cord blood sample and O positive on a heelstick of the baby. Results were rechecked and were the same. Results were carried out through IgG. Mom is O negative. The sample is labeled with the correct label. Besides the nurse collected the wrong patient, any ideas why this happened.
  7. For the Ortho Vision users: are you using certified blood bank saline or the NERL saline on the Vision? I don't see any specification in their manual.
  8. this is what I found from AABB "ask the FDA' estion 29: When is a transfusion service required to be FDA registered? Do the following processes require the facility to be registered? These examples were received from 4 different facilities. thaw plasma and split RBCs receive washed red cells from the blood supplier and then add plasma for an exchange transfusion divide red cell or platelet products for pediatric use re-label thawed fresh frozen plasma to thawed plasma MS. CIARALDI: There's an easy answer, which is no, yes, no, no, but what I'd like to do is just take some time to explain why. The regulation that states who must or who is required to register is 21 CFR 607.20. It says specifically any establishment that manufactures a blood product must register, and there are some other criteria, but that's the main one that applies here. Additionally, there is a regulation 21 CFR 607.65(f), that lists some exceptions under which a transfusion service does not need to register, but that's a very limited and specific list. Now, to go on to the specific examples here, what I'd like to do is bunch bullets one, three, and four together. In those three situations, a transfusion service would not need to register. Thawing plasma to prepare it for a transfusion we don't consider the manufacturing of a product. So that is why that particular practice is exempt. In addition, splitting or dividing units for whatever reason, usually pediatric reason, is also not manufacturing a product. The end product is the same as the starting product. It's just smaller volumes. So that is the rationale behind why that would also not need registration. However, in the second bullet, washed red blood cells has plasma added to it, and the final product, which is sometimes called reconstituted whole blood or reconstituted red cells, is used for exchange transfusion. The answer to this is that, yes, registration is required, because the transfusion service is making a new product. The reconstituted whole blood is the new product. The final product, the whole blood product, is different from the two original starting products. So there is manufacturing of a product going on in this particular situation.
  9. We may start doing panels here also. Where do I get these programs to ID the antibody?
  10. We switched last year from a local supplier to ARC. The big downside is not being able to return RBC or frozen products. We have tried to transfer PLTPH to our sister hospitals, but we quit doing that also. I throw away units that before I would have returned to our supplier. I also hate unpacking the units (they come in boxes) and having to throw those big bags of ice into the sink. Our local supplier would put the units in the frig or freezer if we wanted them to do that.
  11. How are deciding if it is a real antibody or if it is from the RhIg shot? to mollyredone: If patient has Anti-K and we crossmatch K neg units, we still do the IgG crossmatch. So, we do the IgG crossmatch on the patients with Anti-D. Like someone else said; sometimes to have a rule and no exceptions is easier for the generalists.
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