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Posts posted by amym1586
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Thanks for your feedback!
I hope no one took that as me "dissing" an MLT. There are MLTs here that have been working for as long as I've been alive. And I believe no matter how much you study BB it's really the experience that counts.
I was just curious if their standards here were based on the fact that we do have majority of MLT's working here. They keep a short leash on some things and other things don't check at all. I think they need some updating and rearranging. I just hope I have the guts to do it.
- Malcolm Needs, AMcCord, David Saikin and 1 other
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I'm coming from a hospital that only staffed MTs to a blood bank supervisor with mostly MLTs. They make them call a pathologist for every platelet that gets issued, after 4 FFP have been issued and for every Cryo. I was wonder if they were doing that to keep them in check or what ? I'm just not used to that.
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If you were a BloodBank supervisor with 80% MLTs... Would you change things vs if you were working with a staff of MTs?
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On 10/20/2015 at 9:29 AM, Maureen said:
To ensure compliance with AABB Standard 5.16.2.2 if you use an electronic crossmatch you need to perform both front and back types (AABB 5.14.1).
Is there anything that says you must have 2 antibody screens done before eligible for an Electronic crossmatch ?
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We normally have 2 cubes open at a time. with 2 different lot numbers. One is hooked up to our cell washer and one is opened to fill our squirt bottles.
How do you handle qc for that?
Currently we are just writing down the QC for the cube lot# going to the cell washer.
Do I need to update my qc to include the saline going into the squirt bottles?
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5 minutes ago, David Saikin said:
Unless you do these routinely your techs might have a hard time with this test. I do them for 3 other hospitals and all my techs have to read the CAP survey slides after we submit them. It is the only way to keep them confident. The counting is abysmal to tell the truth. I think the CV is around 40%. Flow cytometry is the preferred method for quantifying the fetal/maternal hemorrhage. Not going to happen in a small hospital like mine.
Yeah, I've done plenty of KB stains at my old hospital ( I don't miss them
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I've been here for a year and so far have not had one patient need one.
I just wonder if that will suffice to give one dose of RhIg to an Rh Neg Weak D pos mother of an Rh Pos baby. Or if more testing is required.
I guess we are getting by with our procedure of them not being a candidate but I don't like that.
I still don't understand why there is so much gray area in blood banking. I feel like there should be way to do it and that is the way to do it.
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23 minutes ago, David Saikin said:
Amy - I do Kleihauers on Weak D Pos mothers. We know they are weak D because the rosette is macroscopically positive.
We don't perform those in house.
*sigh*
I've got my pathologist digging in on this now.
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23 minutes ago, goodchild said:
Amy I would also recommend reading the manufacturer's instructions for your fetal screen kit. What does it say about weak D mothers, weak D babies, other special scenarios?
"If the mother is D positive, including weak D, strong agglutination provides no information about the extent of fetomaternal hemorrhage"
It doesn't expand any further.
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Would you forgo a fetal screen and issue RhIG for an Rh Neg Weak D pos mother who gives birth to an Rh POS baby?
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Re-evaluate to give RhIg to Du+ mothers?
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We only do IS on Rh Neg mom's unless it doesn't match up with what the clinic typed them. Then we add on a weak D.
But when we result a Weak D pos it changes the patient to O Pos. Our procedure says Rh neg Du positive Mothers would not be a candidate to receive rhogam.
But if we had no history and simply did an IS Rh we would type her as Rh neg and she would be a candidate for Rhogam.
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That is exactly what I was hoping to hear Linda !
Thank you so much for sharing your experience with us. I will definitely be putting in a request to go next year.
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How many of you have a Transfusion Safety officer (TSO) at your hospital?
If you don't have one, is the role just taken by the BB supervisor ?
I see UBS offers a TSO curriculum program. I wonder if it would be beneficial for a BB supervisor who does not have a TSO to attend.
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This happens at our hospital too.
Our phlebs will initial and band the patient. The nurse will pull it from the line and hand the syringe to our phleb to fill the tube and label. They put their initials/the nurses initials. That way we know it was a line draw. Our nurses aren't trained to band patients or draw blood bank samples (YET)
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Is there a reasonable time limit with plasma as well ?
I'm constantly getting asked if they can issue more than one unit of plasma at a time.
I always went by well if you get it started in the 30 minute rule I don't care how many you get.
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Thanks! I swear I read all over the Ortho printout but I didn't see that.
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I've just noticed we don't write an issue time on the blood tag at my new hospital. I don't know how they are monitoring that the transfusion is started in a timely manner or if it's finished in 4 hours. I am not in charge of monitoring this info here.
Also, If you are issuing products in a cooler/refrigerator are they supposed to write in a time removed and then a time started?
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What did you use to validate, actual thawed plasma?
I've heard 'dummy" units of blood.
Are there "dummy" units of thawed plasma?
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What's the Expiration date of MTS Dil 2 after opening?
And do you document the cleaning of the pump? or how often?
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If you purchase the recording is it yours to keep and listen as often as I would like ?
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Do you bill the patient for a unit if the nurses stop the transfusion due to a suspected transfusion reaction ?
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Do they go over how to sign up for the dang test!?
I need a guide just to maneuver the ASCP website lol
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1 hour ago, AMcCord said:
It depends on how their policy is written and how stringent the nursing reviewers are - if they documented issues with an IV (or something else legit), I wouldn't nick them for that. I would, however, make sure the infusion was complete in 4 hours.
Gotcha, I pull a percentage of transfusion slips every month and my pathologist checks all the info. So, I'd have to check with him I suppose about how lenient we are with those numbers.
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2 hours ago, goodchild said:
Amy, who accredits your blood bank? CAP?
yep,
but we are also AABB certified
)
Blood bank Samples
in Transfusion Services
Posted
What size tubes do you use?
Is the red cell suspension made from whole blood or packed cells?
Do you leave the plasma on the red cells in one tube during and storage?
Thanks!