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slsmith last won the day on March 24

slsmith had the most liked content!

About slsmith

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    Junior Member
  • Birthday 08/09/1955

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  • Location
    Portland, Oregon
  • Occupation
    Medical Technologist
    (Lead Blood Bank)
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  1. We use the containers from the blood supplier. Then take the temperature every four hours.
  2. We use the shipment container the blood supplier uses which is validated for 24 hours. However, the platelets never stay that long in the courier car as when the platelets are shipped to another site it is usually a direct shot.
  3. The charge(how we do it) comes from the hematology when they perform the sickle testing as requested. Sorry, that wasn't any help
  4. The in house irradiated product label doesn't say "irradiating in house" but it does in the lower right corner of the label have the hospital name and the FDA registration number. Probably the same thing? Anyway my hospital is inspected by FDA, AABB, CAP and ISO; never have we had a issue with this process.
  5. reply to SusieQ132: yes we our satisfied with the label. Sorry for the delay in my response
  6. Since all elective surgeries have been postponed and restaurants/bars have closed the BB has been incredibly slow which is rather scary in itself (the calm before the storm?). Due to this we have voluntary reduced our inventory to help with the blood supply.
  7. What AMcCord says plus if you can find one of the seminars called "passing the first time"
  8. We use a system called CAPA(corrective action/preventive action). I don't know if it is something the QA people built or what. Anyone can write one but after that only the leads, supervisors and managers can review and follow up on. Some techs have felt it is punitive but that as seem to have ebbed once the number of CAPAS you received is no longer brought up in your yearly review . It begins with a brief description of what happened, when it happen and the name of the Tech involved (if applicable) then entered in the file for new occurrences. The QA specialist assigns it a tracking number and puts it in the departments "in box". Once in the "in box# one of the leads investigates starting with the Tech involved. And the explains what was the immediate action, how did this happen and what was being done to prevent it from happening again. Then it is moved to either a folder for preventive action. Where it stays to up to 30 days for either further comment from another lead, supervisor , ect. Then it is moved to the closed folder Or it may be moved to the corrective action folder where you have to do a RCA and an effectiveness check. This can't be moved until the manager and medical director of the department review it.
  9. We don't QC the saline we wash with, never thought about that. Something to ponder. We do QC the saline squirt bottles with the daily control as we still test ABORH and DAT using the tube method, thus saline suspensions.
  10. We have both the Helmer DH8 and DH4. The DH4 is really a backup (but always in service) as sometimes on a long massive the DH8 decides to take a time out so we use the DH4 until DH8 is happy again. We drain and clean once a week per manufacturer's instruction. It is filled with DI-water which fortunately we have a tap on the sink the plasma thawer sits next to.
  11. 400 bed level 1 trauma center which just changed the mtp protocol which seems to be working well. Previously, 4 red cells were sent out every 15-20 minutes with platelets, plasma and cryoprecipitate being sent base on lab results. As Scott mentioned above cumbersome and it seem like we couldn't keep up. Now every 15 minutes; 6 red cells, 6 plasmas (usually low titer A) and a platelet pheresis is dispensed. If the patient is an OB then a pooled cryo is also sent. Part of the MTP start order includes lab orders that can be pulled 6 times during one start order. I don't have any idea how that works or what happens when the 6 orders are used up. But the orders are PT-INR, fibrinogen, platelet , ROTEM and H &H. The other level 1 trauma center is using whole blood low titer O which they send out 6 units every 15 minutes. Which sounds heck of a luck easier than what we do. But they use a different blood supplier than we do (ours doesn't have low titer O). Also we are AABB accredited and there is some issue with AABB and giving low titer O whole blood to non-O patients.
  12. > Trauma T & S is 45 minutes >Stat T & S is 60 minutes >Stat cord blood 15 minutes( don't know when there has been a "stat" cord ABORH/DAT ordered)
  13. Right now we are using Radsure but are going to switch to RAD Control(made by TYPENEX). It is a smaller label and stored at room temp rather than the refrigerator. The thing everyone likes about it is the lot number and exp date that we write on the irradiation log is actually a sticker on its own that you peel off and attach to the log. As far as a making doses from the parent bag we use a ISBT based label that has irradiation printed on, like Malcolm's.
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