Alana

Hi all, Thank you for the conversion on this topic. I have found it very interesting. I'd like to mention that the package insert for OCD panel A/B says 'should be tested periodically' and Panocell from Immucor says, 'may be checked periodically'. Neither say must or shall. With that being said, the manufacturer is recommending but does not say it MUST be done. Therefore at this time, we QC the test system (solid phase, tube and gel) with a known positive and negative but not each panel. Alana

I have a physician who is asking us to prepare washed red cells with a hematocrit of 75% - 78%. The process we have today only allows for a range of 70% - 80% with no way to regulate it further. Is someone willing to share their procedure or process to obtain a washed red cell product that has a specific hematocrit. Thank you. Alana

Sherie I am part of a large system with a shared BB LIS. We enter everything in the training side of the computer (also shared). The staff member will create a 'unique' patient name. Enter the components and pick the components for the 'unique' patient to complete the EXM. The person completing the EXM will print screen shots with the patient info/unit EXM. The only way to 'discover' the name is to look on the printed paperwork which does not leave the location.

tbostock Thank you for the form example. Alana

Good morning. How do you interpret and/or comply with this CAP checklist items for your FMHS kits? Thanks for your help. Alana COM.30450 New Reagent Lot Confirmation of Acceptability New reagent lots and/or shipments are checked against old reagent lots or with suitable reference material before or concurrently with being placed in service. NOTE: The purpose of this check is to confirm that the use of the new reagent lot or shipment does not affect patient results. Matrix interferences between different lots of reagents may impact the calibration status of instruments and consistency of patient results. Improper storage conditions during shipping of reagents may have a negative impact on their ability to perform or exhibit the same levels of reactivity as intended. Qualitative For qualitative nonwaived tests, minimum cross-checking includes retesting at least one positive and negative sample with known reactivity against the new reagent lot. A weakly positive sample should also be used in systems where patient results are reported in that fashion. Examples of suitable reference materials for qualitative tests include: 1. Positive and negative patient samples tested on a previous lot; 2. Previously tested proficiency testing materials; 3. External QC materials tested on the previous lot;

Thanks everyone. Alana

kirkaw What is the source you use for a 24 hour expiration? alana

Thank you David. An Expriration of 4 hours was my thought as well. alana

Does anyone have a source that can be cited for an expiration date/time on a pheresis platelet that is received from the supplier in two attached bags and combined into one bag at issue? FYI: The system remains a closed system but the surface area for O2 exchange has been decreased. thanks for your help. Alana

David We have had poor reactions with the current lot of Immucor FMH Rapid Screen. I ordered a new kit from Immucor, thinking something happened during shipment and the new kit (same lot) is equally as bad. We have moved all testing to K/B until a new lot comes out. We have made multiple complaints to Immucor throughout this week. Alana

How do you resolve ABO discrepancies without knowing what you are pre-warming? The back type cells are really screening cells with a flavor (ie blood type). What do you do to resolve IM xm that are reactive? Just pre-warm without knowing what you are prewarming? My fear is the patient that is developing a new aby that is present in the IgM phase but is clinically significant. Alana

My system will only do the transport training once at new hire orientation. Documentation for the annual transfusionist training (blood administration and recognization of a transfusion reaction) and the blood transport are part of our LMS and electronically administered and documentation retained. The BB develops the training or approves it before it is loaded into the LMS. Good luck. alana

I validate the coolers with the minimum and maximum volume the cooler can hold. In your case that would be 1 unit and 8 unit. My reason is to ensure the 1 unit doesn't freezer and the 8 units are not to warm. In the patient care area, there will be times only 1 units is left because they are using them. And you may send the cooler out with eight. The goal is to qualify the equipment at low and high ends. Alana

Malcolm and David, thank you. This confirmed what I thought but wanted to make sure I was correct from those who had more expertise. Alana

Does anyone titer warm autoantibodies during pregnancy and if so can you share your procedure? thanks Alana