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slsmith last won the day on February 19

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. I wouldn't trust a nurse in performing ABORH testing, they have a hard enough time with other point of care tests.
  2. Yes we charge for the antigen testing whether or not it is positive. or negative
  3. Here the type and screen/xm is okay for 28 days but the patient has to go through "preadmissions" for their pre-surgical testing and asked questions about pregnancy, prior transfusion, known antibodies. The outdate is extended 3 days passed the surgical date no matter if blood is given or not. If an antibody is found the patient is not a candidate for preadmission and has to come in within 3 days prior to the surgery.
  4. We have had that issue and found when doing the centrifugation have the brake off the centrifuge and then we also do an extra spin in the buffering process
  5. We work up a transfusion reaction for plasma or platelets just as we would a rbc
  6. Pathologist makes all the calls we just give them the information; pre/post vitals, reason the rx is being called, clerical checks and pre/post ABORH and DAT
  7. I would read the book, "Modern Blood Banking and Transfusion Practices" by Harmening. It is pretty easy read unlike the Technical manual. Plus it has short quizzes at the end of the chapter. As far as workflow you probably need to wait to see how your BB does things. Only thing I tell Techs that I train on the simple things such as loading the centrifuge or setting up their tubes for testing is to be consistent in how you do that task, don't flip back and forth.
  8. The OR runner or nurse brings a "patient label" which has the full name, MR #, Acct# and DOB. If blood is needed emergently and there is no Type an Screen the doctor places the order "prepare emergent blood" for how many units they want. The way the order was built includes a electronic signature so no high risk form needs to be sent
  9. Cliff I feel your pain about this issue. We have often had to explain this issue with much difficulty to physicians whose patient have a historic RH positive from another facility but we call it negative. And sometimes it is truly negative not calling it negative because the reaction is 1+(that is Legacy's cutoff). I agree with the other panel member(sorry can't remember your name) if we call antibody screens + that are 1+ why don't we call a patient Rh positive if their D is 1+. Anyway what we have done is explain that RH D testing can change based on the reagent or testing mechanism and that is safer to go with the RHIG injection than not go with the injection but it is ultimately up to them ( of course I don't say this but the pathologist does). We have also (once) sent a sample to the reference lab to see if the D was partial or weak and were able to get the results back within the 72 hours. I don't see us doing this all the time though
  10. I do not know of any requirement such as this and none of the accreditation agencies that have come through including ISO have ever commented on this. It could be a previous "rule" from an incident that occurred? At one time people who did doubles were not allowed to work in the BB for both shifts, because the common factor(excuse) for errors made while doing a double in the BB was "fatigue".
  11. I have never thought of putting cryo in the Platelet incubator but I don't see any hard in doing so. That being said we just leave the cryo sitting on the counter
  12. Sometimes I use the Coombs Control. Other times I have antigen type an expired unit for E, C or K and if positive for one of those put a couple of mls in a tube add the corresponding anti-sera, incubate for 30 minutes. I found the another anti-seras don't work so well.
  13. We don't re-spin the card , we re-spin the sample. If this doesn't work here is our process >Perform a full gel panel with auto control >If not pattern, no antibody identified(some cells pos/some negative) >not all clinically significant antibodies r/o consult tech specialist or technical lead >all csa ruled out report as an "no significant antibody" and use gel xm
  14. The Blood Center we used does not label with historic antigen types, only confirmed. They do however put them in a spread sheet which gets sent to us. If we need a particular antigen we scan the spread sheet, find the unit/s we need and antigen type them ourselves
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