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slsmith last won the day on August 18 2020

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 run complement cells with the daily QC, against the AHG. For patient testing if we get a positive DAT and the patient is an adult, we break it down between IgG and C3. The reason we do this is if the C3 is positive and the IgG is negative the BB is done with their testing and any follow up. If the IgG is positive and the patient has been transfused in the last 14 days we perform an eluate
  2. As David said there isn't a BB standard for time frame a transfusion needs to be started but for some reason this time frame is in the nursing policy, theirs is 20 minutes. Where they got this information I don't know. Anyway if blood is sent to the floor and it isn't going to be started in 20 minutes and the floor asked calls the BB (before they actually return it) we tell them if they are going to transfuse and it is will be completed within the 4 hours that it was issued to the floor keep it, otherwise it will be discarded (if temp is greater than 10 degrees)
  3. Here is our aliquoting procedure, hope it opens okay. I may be a good Banker but when it comes to computer uploads, downloads or whatever not so much. Sheri SKM_C55821040507520.pdf
  4. We crossmatch the A or B cells(the red cell itself) to the babies plasma, using the IgG gel card.
  5. Our purchasing people have stated there is a nation wide shortage on plastic items, not only the mla pipette tips but mts and and transfer.
  6. The liquid plasma we received from Bloodworks NW has a 26 day expiration date. But we change it to 14 from the collection date because our medical director wants to avoid the potential hypercoagulability (he read this somewhere?). We also irradiate the LP because all our products are leukoreduced and these are not
  7. My scary story is the time a nurse who transfused the wrong patient because she not only didn't compare the unit to the arm band but did not read the the unit off with another nurse. It was caught because the nurse of the patient that unit was meant for called the BB asking where her blood was. The transfusion was stopped before the whole red cell could be given. Fortunately for the patient the unit was O pos (his type) and antibody screen was negative. Unfortunately for the nurse she no longer has a job.
  8. Only thing read Microscopically is the fetal screen which is the procedure for that test. According to the literature out there (see Issett) no other tests should be read microscopically
  9. We performed elutions when the DAT is positive in IgG and the patient has been transfused in the last 14 days. There could be a rare instance that we would do an elution anyway but I can't recall a time that we felt it was indicated.
  10. We have to order on demand but fortunately it is usually less than 24 hours. To keep track cause it was rather a mess in the beginning of all this a copy of the order(doctor's) is kept with the copy of the order that is placed with the blood supplier on a hanging file in the BB. Our Blood supplier requires a MR# when we order which is they place on the product receipt form along with the unit number of the plasma. A message is also put in the shift report so staff know to expect a delivery. Once the shipment arrives it is brought into inventory and if the floor doesn't need it yet it is put
  11. The doctors have a choice here to selected irradiated red cells rather than red cells and adding a comment . Also once we know a patient needs irradiation we have a "special needs" requirement we can assign to patients. If the Tech tries to dispense a product without the special need they receive a message they have to over ride in order to go on. Of course they can over ride it or not dispense but then they are in deep do do.
  12. Only time we crossmatch ahead of dispensing to the floor is if the serologic crossmatch is required. Then we electronically crossmatch usually crossmatch/dispense when the floor calls for the product. We attach the order to a form we have(we call it the WIP) that has the patient's identifiers, ABORH/antibody screen interpretation, date of collection and special needs. We keep it in a file at our dispense area until the clot expires or patient is discharge. After that we filed it away in storage boxes that are kept for 10 years. Since we have been doing this we seldom have red cells expiring
  13. thawed cryoprecipitate is to be stored at room temp for 6 hours.
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