[Cost analysis on reference lab testing]

We are 165 beds.  I feel like we do just above the minimum.. We do type and screens/ antibody ID, antigen typing and Poly Dats.  We only send out about 5 samples a year to a reference lab.  I don't think it would be cost efficient for us to bring any of those tests in house. 

[Search Feature]

Thanks Cliff! 

[Search Feature]

Is there a word length when searching?

I'm wanted to search for SBB topics but when I search for SBB it says no topics found.

 

 

[Lot to lot testing]

49 minutes ago, goodchild said:

Which webinar was this? The Immucor "Answers to Your Questions About Blood Bank Proficiency, Competency, and QC"? Anyone have a copy? We've never done lot-to-lot comparisons for fetal screens. It really seems absurd.

Same here!  Would like to watch it as well.

[Labels on reconfirmed units]

We have a shelf labeled "Blood Received Shelf"  As we get the blood in from our supplier it goes on this shelf.   After we bring it in our system and retype it the blood will go on its respective shelf.

I've been doing this for 7 years (not very long in the grand scheme of things) but I've never seen or heard of ABO confirmation stickers! 

[Lot to lot testing]

Is this lot to lot testing in the AABB standards ?

[Labels on reconfirmed units]

This  may be from before my time as a blood banker...

 

You're putting a sticker on the unit after its been ABO confirmed at your facility ?

[Blood Recall]

At first we ordered some Non LR but we don't have an option for doctors to order NonLR RBCs and we don't have any products built in our system to be NonLR and it was going to be a nightmare.

 

So, we called a new blood supplier and they got our shelves filled.

[Blood Recall]

Some of these units on my list were transfused over a month ago.   I'm already up to 100 units and I'm still not finished going through it.  My blood supplier has given us ZERO information on what to do.  Only to keep a record of it.  

 

[Billing for Incubation of Crossmatch]

All it says we do is an IS compatibility 86920   and AHG compatibility 86922

[Discolored Plasma - unfit for fractionation]

I wouldn't want one full of fat!   I hate giving out those that look like they ate a cheeseburger and milkshake before donating.

[How long does RhIg really persist?]

I've always wondered about the women who have gotten RHIG at 28 weeks and it not show up at all in Gel at delivery.  

[Blood Recall]

I'm the same way.   But my MD is very umm.. I can't think of a word.    But there's a good chance he'll want me diving in to every patient that got transfused.

 

I feel like our blood supplier also should be telling us how to handle this since the FDA is involved. 

[Blood Recall]

19 hours ago, mollyredone said:

Yes, but all the units that were recalled for us (so far) had already been transfused.

We had transfused quite a bit of ours too.  

Is your hospital doing any follow up with patients that got the units? 

[Blood Recall]

Anyone else here affected by the blood recall with the defective leukocyte filters ?

 

 

 

I think that sums up my week.

[Discolored Plasma - unfit for fractionation]

Has anyone else had nurses complain/question you about the milky plasmas ?

[Ortho MTS Gel Pipette]

I've been looking for the MTS ortho electronic pipettes.  Anyone know where I can look to get a price ?

[Positive Autocontrol in gel, negative DAT]

27 minutes ago, Dansket said:

I don't understood the rationale for using a less sensitive methodology (Tube Test DAT) to invalidate the results of a more sensitive methodology (Gel-DAT).  An auto-control (rbcs+plasma+37C incubation=Indirect Antiglobulin Test) and a DAT (rbcs only - no incubation=Direct Antiglobulin Test) are different tests and I don't expect them to agree 100% of the time (having done gel testing continuously for past 11 years).  Auto-control is not a reportable result.  If the Gel-DAT (anti-IgG card) is positive, I report DAT-Positive regardless of the auto-control results. Just my 2 cents!

Oh I understand completely!   I have not been the blood bank supervisor here for very long. They do a few things I do not agree with.  I'm working on so many things but  I hope to get this process fixed.

[Positive Autocontrol in gel, negative DAT]

1 hour ago, AMcCord said:

Suggestion...drop the routine autocontrol. There is no requirement to run it with the antibody screen. If your patient has a positive antibody screen or incompatible crossmatch, then do the auto as part of the antibody ID workup. If the auto is positive, do the DAT. If the DAT is positive, do the differential DAT.

If the auto is positive, but the screen is negative and the crossmatch compatible, what do you do differently to transfuse the patient? Anything? If you aren't changing the transfusion protocol in that case, is there value in performing the test routinely?

If this is for me, we are only doing autocontrol's with an antibody panel.  I couldn't imagine doing one with every antibody screen!

[Positive Autocontrol in gel, negative DAT]

Currently we are doing     Autocontrol in Gel.  If positive--> Poly DAT in tubes.  If positive--> IgG DAT in tubes.  Then mass confusion.   

[KB stains... in-house or referral?]

We send ours out to a hospital not too far away.  We do so few it's not worth cost or pain of competency. 

[Transferring blood wastage charges]

No,  I wish we did.  

[Followup to nonconformances in AABB assessment]

I think I'll definitely be stealing Wbersl idea as well to keep us in check.

Now, I'm stuck on a time line.  I basically have to write or rewrite 5 policies.  That could take a while considering my current situation.   Is a few months an acceptable timeline for these non conformances ?

[look back event]

37 minutes ago, goodchild said:

Thank you for slightly improving a miserable Monday morning. Bahahahahahahahaha.

You're welcome!  I'm here all week.

[look back event]

So fun story, one of our supervisors thought the Quality systems stuff for AABB was BS.  So she made a BS manual and every procedure in there is  named BS...