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amym1586

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Everything posted by amym1586

  1. ORTHO QC Data Sheet bb.f..qc.2.odt
  2. yay! We've got Biomed trying to figure out a way to hang our bags for us. But we tested it today and one person just held the bag and we got almost to 500g today! So, I'm feeling better about these bags now.
  3. I just read over the instructions again and it does say to suspend the bag 30 cm below the patients arm. We are laying to down close to the floor on a scale and occasionally rocking it . Could that be our problem ?
  4. It's on an electronic scale below the venipuncture site.
  5. Yeah, We've tried 19G and 18G. I don't know what the deal is.
  6. So I've been trying out the MacoPharma bags. And every time the bag stops flowing at about 296 grams. Different patients/ different phlebotomist. Any tips ? @David Saikin
  7. If they chose to do it on paper then they also fill out this form to go with the unit. BB.f.er.release.1.odt
  8. Down time book consists of basically everything we would go over at issue: Patient, Blood type, Medical record number, BB wrist band #. Unit number, blood type, visual inspection, Date, Time, Tech that signs it out and the nurse that signs it out. We have uncrossmatched stickers to put on them. We average 1-2 Emergency Releases a month. I'm not sure we would benefit from pre labeling.
  9. We're in a similar boat with HBB. Almost everyone has completely given up using the computer and going back to paper method. For us the worst part comes after we've issued the units. The steps to follow are a pain and confusing for the techs to follow. A lot of times they make a photo copy of the unit. Have the nurse sign the downtime book. And give them an emergency release form for the doctor to sign. Then they'll use the photo copy to sign out the unit.
  10. amym1586

    Lab week

    That's great Terri ! Right now I've got. Red M&M's for Guess the #RBC's Gummy worms Guess the #parasites I'm collecting funny looking RBC's and WBC's that like other things. Like one that looks like a cat and they'll get to name the cell. Most creative will win. Guess the cost of lab supplies. Everyone gave me their blood type So I'm going to incorporate a game with that along with some Killer questions Malcolm gave me. Someone else is asking for things no one knows about each person and putting together a game. And I'm making a Pin the needle on the vein game! I think we'll have a good week if I can get it all together!
  11. Gotcha! We don't spit units here. There's a small paragraph about prevention in the Technical manual guess I'll put something like that in there. Thanks for putting me on the right track!
  12. http://www.pathlabtalk.com/forum/index.php?/topic/6998-mts-diluent/#comment-51896 That should help!
  13. Could anyone help me out with this AABB standard 5.19.7 for Transfusion Associated Circulatory overload (TACO) BB shall have a policy for responding to request for products for patients identified by the ordering physician or other authorized health professional as being increased risk for TACO. I'm drawing a blank as to what a BB policy would need to say for that
  14. amym1586

    Lab week

    A little of both! Make them use their brains for something.
  15. amym1586

    Lab week

    I'm trying to think of a fun lab week game with all our Lab blood types. I got everyone to send me their blood type. But I don't know if I should just make it into a simple matching game or do more with it. Any ideas ?
  16. Cool. Since we are gearing up for an upgrade from Version 3.8 to 3.11 Quite a big jump and I never got trained on the guts of this BB system they are going to ask to have someone from a build team come and help us. So I'm definitely going to see if I can incorporate QC !
  17. I'll definitely ask. We are getting ready for an upgrade on the system. So I'll bring it up to see if it's an option.
  18. That's a great idea. When our previous supervisor left a few months ago (putting me in charge) he said that the as needed QC was something he wasn't focused on and suggested I try to get more involved in it. So Im guessing they've all be very lax about doing over the last few years.
  19. Currently, I don't think there's a way. We have our fetal screen set up to put in the positive/negative/ patient at entry. But there's no way for Lot numbers and things like that. So they are having to also go to the LIS and enter the Lot number and QC.
  20. Speaking of Poly DAT.... Our current Positive and Negative control for the poly qc is : Positive control add 1 drop Poly IgG to one drop of Coombs control spin and read. For the negative control Add 1 drop of A1 cells to 2 drops and Anti-D. Incubate tubes for 15 minutes and centrifuge, wash 3 times with saline and add 2 drops of Poly specific coombs reagent. Spin and read (verbatim) Our manufactures instructions Drections for Use Bring reagent to room temperature (25°C ± 5°C) prior to use. Direct Antiglobulin Test 1. Prepare a 3% to 5% suspension in isotonic saline of the red blood cells to be tested. 2. With a clean Pasteur pipette, add one drop of the prepared cell suspension to a small test tube. 3. Fill the tube with fresh isotonic saline; centrifuge at high speed and decant. Perform this washing a minimum of three times. 4. Decant completely after the last washing. (CAUTION: Do not reintroduce human serum components after washing procedure.) 5. Add two drops of Anti-Human Globulin BioClone. 6. Mix well and centrifuge immediately. Suggested centrifugation: Approximately 15 seconds at 3400 rpm (900-1000 rcf) or 1 minute at 1000 rpm (100-125 rcf).* 7. Resuspend the red blood cells by gentle agitation and examine immediately for macroscopic agglutination. 8. Examine negative tests with an optical aid Do I need to change our procedure??
  21. Thanks for the advice ! Time for hardball. I really don't mind it as much as I thought it would. I get a lot more work done when people are mad at me! I'll start with a full on in service. My boss said after that if they still miss it print it out and make them sign it. Then he said he would get involved with a written warning, a verbal warning and you're gonna wish you put in that QC warning.
  22. Well I know the daily QC is getting done at least 5 days a week because I do it It's the as needed QC I can't get anyone to enter like Poly DAT. They say they are doing it but they forget to put it into the computer.
  23. I can not get our techs to enter QC into the computer. If I had to guess they aren't even doing the QC. I'm just fuming right now. That I can't get grown up techs to think. Just THINK. This isn't rocket surgery! Should I take away computer PRN QC and take it back to paper? I feel like I've followed all the steps to get them to cooperate.. Emails, verbal communication. Nothing is working.
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