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Posts posted by amym1586
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3 hours ago, David Saikin said:
I think that is up to you and your Medical Director. I have one 0.8% panel and two 3% panels. I would rather convert 3% to 0.8% rather than the other way around. I use Ortho gel and I have their "A" panel. I prefer not to use it only because I find the Ortho cells to be extremely sensitive and occasionally get some spurious reactions that I do not find using other vendor's converted cells. I primarily use the Ortho panel to r/o RhIg anti-D.
Would it be weird to have an Ortho gel panel and a Quotient tube panel?
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13 minutes ago, SMILLER said:
Here we have one tube panel available at all times in addition to our three gel panels. Gell is sometimes a bit problematic with cold autos and whatnot. We also use individual cells from it to control antigen typings.
Scott
I agree. When I got here their current procedure for a cold is to prewarm everything but still put it in a gel card. I think that's just setting you up for failure.
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We convert the 0.8% screening cells to do a tube screen.
Important as in, we're currently living without it. But should I have a tube screen in house? I guess we could convert the 0.8 panel cells. But man that sounds like torture.
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If we currently only have Gel antibody panels how important is it to bring in a tube antibody panel ?
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Do any of you guys extend the dates between your antibody ID workups for a long term inpatient receiving blood. Or continue to work it up with every type and screen every 72 hours?
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11 hours ago, Malcolm Needs said:
We used to keep all of our "in-date" antisera on the top shelf, and our out-dated teaching antisera on the bottom shelf. This meant that, if any of our "in-date" antisera fell off the shelf into the out-dated teaching antisera, and we didn't notice, it didn't matter. Sadly, what I had not taken into account was the fact that one of our inspectors (I can't remember whether it was CPA or MHRA) knew much more about physics than did I, and explained to me, in huge detail, that the out-dated antisera must be kept in a separate fridge, in case the out-dated teaching antisera defied the Law of Gravity and flew up to the top shelf and secreted themselves there.
Oh no! That's how we store ours!
- bldbnkr and Malcolm Needs
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I'm cutting out Lewis antisera.
The Quotient rep just left and I'm feeling mighty tempted!
- tbostock and Malcolm Needs
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MT/MLT and Phlebotomist
SMRMC has three current openings in the Lab. Full time MT/MLT for day shift 6am to 4pm. Must be able to work in Microbiology or able to be trained to work Microbiology. Will work other sections of the lab when not in Microbiology. Fulltime MT/MLT generalist position open on evening shift. This position is ten hour shifts. Phlebotomist needed. Experience preferred. SMRMC offers a competitive salary, excellent benefits and a great working environment. SMRMC is an Equal Opportunity Employer.
Send Resume to:
Matt Smith, Lab Director
E-mail: matt.smith@smrmc.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Fax: 601-249-1397Histology Technician
SMRMC has an immediate opening for a full time Histology Technician in the Lab. This is a day shift position and a Histology Technician degree is not required. Medical experience is required. SMRMC offers a competitive salary, excellent benefits and a great working environment. SMRMC is an Equal Opportunity Employer.
Send Resume to:
Matt Smith, Lab Director
E-mail: matt.smith@smrmc.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Fax: 601-249-1397 -
I have 2 Helmer refrigerators, a freezer and a platelet incubator all using paper charts/ changing every 7 days.
My paper charts in the refrigerator finish a full hour or more ahead of the other 2 even after getting changed at almost the exact same time the platelet chart rotator being the most accurate.
Batteries look fine on the screens.
Any ideas?
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Agreed ! i put my foot down and talked to my pathologist again and we are sticking to our guns about it.
- Malcolm Needs and Eagle Eye
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4 minutes ago, David Saikin said:
We do cord w/u on group O and Rh Neg mother's. Also, if a baby's bili starts to rise they might order a w/u from a mother that doesn't fit the paradigm. I've seen a +DAT due to private ag from the father. Made a good paper (mid-1980s).
Ooh, Interesting. I'll have to find that. Occasionally, the nurses call down and ask that I complete the DAT after we have to determined it to not be necessary. I don't fight them on it but I usually roll my eyes
. I guess I'll have to stop that. haha
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We Literally just had this happen to us.
Patient was only reacting with HLA+ cells on the Screening Cells and with Panel A and Panel B. We did call the reference lab and they verbally verify it.
We don't even have a non-specific or unidentified option right now. ( One more thing to add to my list)
So, I'll be curious to know how you guys are doing it as well.
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We keep a shelf for special screened units. I try to keep 2 O Pos and 2 A pos C E K and Hgb S negative.
That helps a lot for us.
- Malcolm Needs and Dansket
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20 minutes ago, tbostock said:
We used some foam packing material and cut it into squares and they fit snugly in the channels of the rack. #boom
GENIUS!!
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They are PRN QC for us. So just as needed, whenever we actually use the reagent it gets QC'ed.
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37 minutes ago, Malcolm Needs said:
I have my doubts!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Shucks!
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I like where you're going....brainstorming.
Normally it's a pretty solid Lego affect and before long they are all sideways.
You think they'll let me fill the first bottle of liquid mercury ?
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My brain is too tired to think
Can you guys think of a quick idea to keep reagents from falling down every time we open the refrigerator ?
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I just recently found some awesome reports in Paragon that make my statistics so much easier and nicer to look at.
I can break it down from ABORHs ordered/ type and screens/each type of cross match performed and every unit transfused.
I just haven't found a number for how many patients got transfused.
Still hunting.
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Anyone with Paragon, McKesson, Or Horizon Blood Bank that knows how to figure out how many patients have been transfused in a given time period.
They have a crystal report set up for it but I can't tell where it is getting its number from.
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We only do a culture if there is a febrile reaction.
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Adding a question in here..
We provide blood and platelets in coolers to our cancer center down the street.
We have a strict ONE NURSE ONE PATIENT issue policy to our nurses in our hospital.
Lately, our cancer clinic has been coming to pick up blood and wanting to get 2 coolers on 2 different patients by ONE nurse.
They have a policy at the cancer clinic that states they can pick up a maximum of 2 units on 2 patients at a time.
My boss was thinking about having us mirror their policy. But they want to come pick up 2 coolers for 2 different patients because it's convenient for them. But I don't want to I think they should follow our policy of one nurse one patient.
I couldn't find an AABB standard or anything in the technical manual that stated anything to help me.
What do you think?
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On 7/27/2015 at 6:42 AM, David Saikin said:
All my techs are generalists and can plant these cultures when indicated.
Same here.
. I guess I'll have to stop that. haha
Helmer paper recordings
in Equipment
Posted
Cool.
Crossing it off my list of things to care about!