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gene20354

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Posts posted by gene20354

  1. Hello everyone.  I am working on the billing for a new LIS and I would like to know what others are doing.  Do you charge CPT 36430 for all transfusions (adult and neonate) or do you use CPT 36430 for non-neonatal transfusions and CPT 36440/CPT 36450 for neonatal transfusions?

    36430 – Transfusion, blood or blood components

    36440 – Push transfusion, blood 2 years and under

    36450 – Exchange transfusion, blood, newborn

  2. 1 hour ago, SMILLER said:

    That makes sense to me, too.  Would you have to be careful with platelets though?  They are often in plasma that's not necessarily ABO compatible. Letting O platelets sit with A RBCs in a reservoir does not seem like a good idea.

    Scott

     Yes.  We do not allow platelets and cryo to be transfused using the Belmont Rapid Infuser.   

  3. I work at a level 1 trauma center. During trauma/MTP the Belmont Rapid Infuser is frequently used.  Up to 3 units at a time (any combination of RBC/FFP) are hooked up to large diameter tubing that drains into a large reservoir. The products mix together in the reservoir rand then are rapidly infused in about 1 minute.  

    I also agree with David's comments about making WB. 

  4. I agree with Malcolm's statement about trying to preserve ABO antibodies on the cells.  This made me think for a second.  At my facility when we prepare eluates we use cold saline for the first wash and then cold working wash solution for the remaining washes.    I looked at the Immucor Elu-Kit package insert.  It has the following statement in the limitations section.  

    The degree of dissociation of antibody that occurs during the washing procedures. This may be minimized by washing in 1° to 10°C Working Wash Solution. In most cases, satisfactory eluates can be made after washing the cells with Wash Solution at room temperature.

  5. Albaugh,

    We also have Cerner for the whole lab.  As it stands now we are being told that Cerner BB is going to be replaced because the main lab is going to Epic Beaker.  I am not sure if keeping Cerner is an option for us.  It is a question that I am going to ask.   If we keep Cerner I want to be upgraded to the latest version.   Are you using Cerner 2015?  I have seen some screen shots.  Looks like the application icons have a new look.

  6. Hi Ann,

    Yes that was me that also posted on the AABB Hub.  Thanks your for your advice.   I appreciate that you can speak to using Cerner and Haemonetics.   We have been using Cerner since 2005 so this is going to be a big change for us.   You are absolutely right about how great the vendor makes their system sound. This is why I am reaching out for user's opinions.     The Haemonetics product was not very visually appealing and looked like it would be difficult to learn.  Do you have any opinions on this?

    Gene

  7. Currently my lab is using Cerner Millennium.   We are being asked to look at new Blood Bank LIS systems because the rest of the lab is going to Epic Beaker.   I have seen demos of Haemonetics SafeTrace and Mediware HCLL.    I am also trying to get one with Soft scheduled.     I am seeking advice from current users of` these systems.

    Are you happy with your BB LIS?  

    If given the chance to change to another would you?    

    Any additional advice is appreciated.

  8. I have 2 questions for those of you that use group A plasma for trauma/massive transfusion instead of AB plasma.  

    1. Do you have a limit on the amount of group A plasma that is transfused?

    2. Once the type is complete and its determined that the patient is B or AB, do you continue to provide group A plasma until the bleeding event is over or do you switch to ABO compatible products?

  9. I agree with the everyone's comments regarding the failure rate of the MTS Biohit pipettes.   Currently we have 5 of them.   Out of the 5 I have 3 that are malfunctioning.   We seem to be purchasing 1 to 2 replacements every year. As jmonroy1973 stated the batteries are just as expensive as the pipette.   I am also looking for recommendations on another electronic pipette to try.      

  10. I work in a transfusion services at large hospital. We dispense coagulation factors, RHIG, and albumin. Most of the factor products that we use are on consignment. The products are RFID tagged and stored in a fridge that reads the tags and automatically sends inventory levels to the supplier. Feel free to contact me if you have questions.

  11. Some time ago I asked for advice on validating Immucor's Anti-C3d with Ortho's bufferd gel card. I got the help that I needed but I have run into a problem. I have tested 4 samples that produced weakly positive to 1+ reactions with anti-C3d in the tube but all were negative when I tested them in gel. I have been converting Immucor’s complement control cells to 0.8% and using them as my positive control. The control always works but I can't figure out why my samples are coming up negative. Has anyone experienced this?

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