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slsmith

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slsmith last won the day on April 24

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About slsmith

  • Rank
    Junior Member
  • Birthday 08/09/1955

Profile Information

  • Location
    Portland, Oregon
  • Occupation
    Medical Technologist
    (Lead Blood Bank)
  • Real Name
    Sheri

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  1. OR staff, usually the anesthesiologist
  2. 1. There are two in separate cores for the OR. The OR techs take the temperatures daily which the BB reviews at the end of the month and keep with the other temperature records. A circular graph is also connected to monitor peaks and valleys 24/7 which is changed weekly. The refrigerators are also connected to alarms that sound off at the OR desk, facilities and BB. Blood that has been crossmatched for patients that have a high chance of using is picked up in the am by a OR runner, They are sent in and store in separate containers to prevent a mix up. 2. There is also refrigerator with uncrossed O+ rbc and A low titer liquid plasma. Which only can be opened by a trauma RN who has the MR# of the patient that the blood is being given to. When the refrigerator is opened there is a large screen in the BB that flashes that the blood is being removed, which units and the Patient's MR#. This refrigerator temp is also taken daily and connected to an alarm.
  3. I don't understand this question? What do you mean by platelet bag?
  4. Great answer and explanation Malcolm
  5. No it does not as least with the Ortho kit (alba-science). The fetal screen is looking for D+ cells not anti-D.
  6. The OR has never said they could not scan the armband .
  7. We do the type and screen as soon as we get the sample which almost comes immediately after the patient arrives as other labs are drawn at the same time too. Not so worried about the screen part but would like the ABORH especially if it is a female of child bearing age and she is RH pos so you don't use up the O neg supply
  8. O neg less than 5 day old irradiated leukoreduced red cell that is hemoglobin S negative and washed. 1) The wash cell is transferred to a component bag and segment is made from the transfer tubing to get a hct. 2) The bag is weighed to get the volume(not exact science but gm=ml.) 3) weight of red cell x hct of red cell= final volume x desired hct. 4) the difference between the weight of red cell and final volume is the volume of the AB plasma is added.
  9. We send blood around the system all the time and once one site has performed the retype after receiving it from the blood supplier the second does not have to. We share a computer system , Medical Director but all have different CLIA numbers. This never has been a problem with the accrediting agencies AABB and CAP, nor with the FDA.
  10. We transfuse neonates all the time. If it is emergent as in the baby has just been born or being born we send a less than 5 day old O neg irradiated red cell(always on hand) in a cooler under wet ice, with a filter syringe and a high risk form for the doctor to sign(at some point).
  11. I don't think this is an AABB rule else we would be adhering to it. What we give is O= or O+ red cells less than 5 days old if large volume(>60 ml) or less than 28 days for smaller amounts. Once in a while we have received an request for an A, B or AB because that is what the baby types and that is what Daddy or other donor is and the family wants Direct Donor. We then do a crossmatch on the baby through IgG to detect incompatibility due to Mom's antibody (A,B AB).
  12. The policy at my hospital is ABORH and DAT's are ordered on babies based on the mother being RH negative.
  13. The Trauma patients are assigned MR# when they arrive and banded. Usually the request is for what we call a R-Pack(resuscitation) which includes 6 O red cells, 4 A liquid plasma and a platelet pheresis. Either a OR runner or ED Tech comes to pick up the blood product bringing a ADT label which has the patient's MR# , Doe name, and generic dob. The blood is issued in millennium documenting location, reason, transporter's employee number. The same log for issuing regular old blood products is use which has the patient's identifier, the two Techs issuing(reader and listener), the transporter's number(or full name) and the number of each product that is issued. There is also a refrigerator between the 2 trauma bays that has 4 O+ red cells and 2 liquid plasmas. The nurses have to scan their badges(employee id) and enter the Patient's MR# to get access. There is a huge computer screen in the BB that shows that the refrigerator has been opened and we can see what got removed, who removed it and who it went to. However, I don't recommend this feature it is a pain in the behind ):
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