OneMore

St. Luke's Wood River Medical Center in Ketchum, Idaho, is searching for an skilled laboratory manager or strong candidate with prior management experience. See following link: https://careers-slhs.icims.com/jobs/8683/lab-manager/job This 28-bed Critical Access Hospital is located in the Idaho mountains near the Sun Valley ski area. St. Luke's Wood River Medical Center serves the healthcare needs of people living in the greater Blaine County area. Services include a 24-hour emergency department, inpatient and outpatient surgery, diagnostic imaging, maternity services, physical and occupational therapy, screening mammography, infusion services, intensive care, and medical/surgical units. Experienced applicants with strong people skills that enjoy a challenge are needed to build upon an excellent foundation. Departments include: Chemistry, Hematology, Blood Bank, Serology/Rapid Testing, Urinalysis, and Microbiology (minimal). Please reference official link for minimum job requirements. I am happy to answer any questions you have regarding the position or facility through email, or you can contact the St. Luke's recruiter through the official link. Relocation assistance may be available.

Thanks for the new replies, all! We are in the process of developing our current protocol, and strongly considering a long-term investment in the microwave plasma thawers for rapid plasma thawing. It will be our best chance at coming closest to the 1:1 ratio currently recommended. Especially, thank you for the attachments. It really helps seeing different written procedures, and you both had some fantastic ideas that we are going to look at for incorporating into our protocol-in-progress. Blee, even though we haven't finalized our setup yet, I will send you (and anyone else who is interested) my research files and the powerpoint presentation I used to outline some of the challenges we needed to address at our facility. We had a very long lull when the primary provider responsible for deciding on the protocol details was derailed by other projects, but it's back in a priority position now. I'll be happy to share the final product with any interested parties as well as soon as it is completed!

Howdy! As per Dr. Pepper's post, we utilize pre-warm techniques to resolve cold antibody interferences in the back type. I do not personally have any experience using cord cells in addition to or as a replacement for pre-warming. Best of Luck! OneMore

I have worked in 8 different facilities, and have never separated plasma from cells. For standard blood banking needs, the samples are fine for the 72 hours the specimen would be utilized. If reference testing was needed (send-out antibody ID or reaction confirmations), new specimens were drawn for the send-outs. Only one facility allow pre-op testing to be drawn early, and they had a 7-day limit without separation in order to preserve integrity. I believe that 7 days is the recommended limit for non-separated tubes before you have interference from degradaion, but I do not have the AABB technical referece for that at the moment. In all honesty, it is rarely impossible for patients to have blood collected in the week prior to surgery. I like the concept of collecting pre-op samples 48 hours before surgery, as that will allow the blood bank time to resolve most issues and have units available for the scheduled procedure rather than causing a cancellation due to inability to obtain units/resolve discrepancies/identify antibodies before the surgeon starts. I personally see no reason to be storing samples for 28 days pre-op, and you might really appreciate having the space back! Best of luck! OneMore

Howdy everyone! We are a small critical access hospital with 25 beds, and we are looking at implementing a Massive Transfusion Protocol to stabilize a patient as much as possible before they are airlifted to a larger facility. I have had very little luck finding any smaller hospitals that have such a protocol, and would love to hear from anyone regarding input on tailoring a MTP to a facility with limited resources. We do currently have a protocol defining the utilization of O+ units for adult male patients and women over childbearing age. We do not have the ability to provide platelets, rapid fibrinogen testing, TEG/ROTEM, or cryoprecipitate (though as a frozen product, we may decide to add that to the inventory). The addition of Tranexamic Acid, KCENTRA, and PCCs has been discussed, but there doesn't seem to be much information about their use when a patient is going to be airlifted within 1-2 hours. Thoughts? Links? Procedures anyone would like to donate? As a night-shift generalist in a small facility, I am perfectly comfortable admitting that Blood Bank is not my specialty, though I really enjoy the work! Thank you! Leah