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April 2024 Challenge

jojo808

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Everything posted by jojo808

  1. jojo808
    same here
  2. jojo808
    We cannot obtain frozen pooled cryo at our facility so when needed, we thaw and pool individual units. My question is, If I'm pooling five O pos and five O neg units, can the unit tag state: A. "Unit contains ten O cryo units?" Or do I have to say, B. "Unit contains five O pos and five O neg cryo units" We are CAP accredited only (not FDA).
  3. jojo808
    Sounds Sci-fi to me .... I think it would be a remarkable feat if that could be done without incident. I want to believe our incredible human body with all it's functions and capabilities including its humors are irreplaceable!
  4. jojo808
    We Still do quarterly alarm checks manually (hi and low). As far as I know we still need to validate it this way. I believe the AABB technical manual recommends you check it quarterly. However if this is above and beyond what is needed we would appreciate feedback!
  5. jojo808
    Thanks Malcolm
  6. jojo808
    With a completely negative DAT would you find anything in an elution??
  7. jojo808
    Excluding the "blood bank" ID band, laboratory personnel is not involved with removing or replacing hospital ID bands at our facility. Our nursing staff is responsible to make sure that the correct hospital ID band goes on the correct patient. If you are talking about technology such as iris image mapping, we are not anywhere near there yet! I assume that most admission processes involve verifying verbal information and a photo ID. Hope I'm on the right track.
  8. jojo808
    If a patient has been identified with an Anti-M using Gel technique we retest at 37 to see if it prewarms away. If it does prewarm away, we give AHG crossmatch compatible units. If the M is prewarm positive, we give M negative, AHG compatible units. We do honor the history of the antibody by AHG crossmatch compatible units regardless if it is reactive at 37 or not or even if it doesn't show up in subsequent antibody screens. We treat Lewis antibodies the same way. And like "mprodo" we advise to use a blood warmer if it is a strong M.
  9. jojo808
    Although our SOP follows the 30 minute rule most of us choose to physically put the unit back into refrigeration and tell the transfusing RN that he/she has only what is left of the total 4 hours to infuse the unit. The unit is "quarantined" and can be used only for that patient it was initially issued to. It is discarded otherwise. We do not take back any spiked units.
  10. jojo808
    All comments are very informative ... I'm a newbie to the site but am enjoying all the responses! It's so great to collaborate with people from other states and finding out that we are all pretty much on the same page and playing for the same team which is our patients' safety and well being. I've been in this field for a little over 20 years and started out loving the job but the times have shown me the "ugly business" side of the job and frankly it is not as enjoyable as it was. You guys have made it interesting again, sounds cliché' but it's true. I'm sure I'll have more questions later but thanks again for validating what we do!
  11. jojo808
    Thank you for the response. Yes I agree the terminology is confusing but technically the units will be incompatible due to the positive reactions from the autoantibody. I like "serologically incompatible" (makes sense). And yes we do have a policy that is approved by our medical director but we did not notify him of each case. But I think we will definitely implement that ... doesn't hurt to keep our MD informed. Thanks again!
  12. jojo808
    Our lab does not work up warm autoantibodies, we send them out to a reference lab for consultation. My question is: If a warm auto is identified (with or without underlying alloantibodies), do we need a medical director/pathologist approval for transfusing "least incompatible" units? We do have the ordering physician sign a document to allow the transfusion of these units.
  13. jojo808
    We follow reporting very similar to "falgunijoshi's" facility. As for QC, we run it at least every 6 months or whenever we get a new lot or shipment. I believe the 6 month came from the manufacturers recommendations.
  14. jojo808
    Recheck bloodtype every admission
  15. jojo808
    Just going to throw this out and it may sound crazy but has anyone thought about using a "go-pro" or webcam to use for direct observation?? You could ask the blood bank techs to record themselves doing a task that would be too time consuming to Actually observe yourself. For example let's say a DAT or whatever and you could see exactly how the techs are labeling, washing, how much drops of reagent, etc. Too crazy??? JP from Hawaii
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