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April 2024 Challenge

BBfuntimes

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Everything posted by BBfuntimes

  1. BBfuntimes
    In the recent months we have seen an increase in positive immediate spin crossmatches (grainy to 1+ reactions). Antibody screens are negative in gel. I am wondering if others are seeing this and if it is perhaps a COVID thing.
  2. BBfuntimes
    What are your rules if blood from another facility is hanging when patient enters your facility? Is nursing allowed to finish the unit or is it stopped? thanks.
  3. BBfuntimes
    Love the opportunities for improvement form! Thank you! Out of curiosity, what time frame are people using for training in blood bank for new employees?
  4. BBfuntimes
    Meditech is built by the facility, so you should have the capability to call "Du" anything you want in that test dictionary. EMR IDs come as is, and I believe this one says "Weak D (Du)".
  5. BBfuntimes
    Do you only use safe-T-vues, or do you take them temperature of the unit as well.
  6. BBfuntimes
    Thank you! Our students always ask what the "u" stands for and I never knew.
  7. BBfuntimes
    What do you call the passive anti-D in the computer? Do you have a special comment you add? We use gel and the OB docs do not like all the "Anti-D possible result of RhIG" results they are getting. We do perform an antibody screen before issuing RhoGAM, which we could eliminate, but that doesn't help the type and screen orders prior to delivery.
  8. BBfuntimes
    All whole blood derived and apheresis platelets (including PAS) will be required to be tested once every 24 hours at a minimum on days 4 and 5. I thought my blood supplier told me that verax test could not be done on the PAS platelets. You may want to check the verax package insert for interfering substances and approved products for testing.
  9. BBfuntimes
    Why don't you print a unit inventory before downtime and require that units be checked off the list before issue during downtime?
  10. BBfuntimes
    I feel your pain. We just started immediate spin only last year. People were against it at first, but they have come around. I just had lots of data available so show that no, this isn't crazy.
  11. BBfuntimes
    I enjoyed this. Thank you for sharing.
  12. BBfuntimes
    Immediately after activating several BT10 stickers, place them in the blood bank refrigerator, on top of a chilled “cold pack.” (Don’t peel the paper backing off until applying it to a unit of blood.)" do you have a time limit once the stickers are activated and stored in refrigerator?
  13. BBfuntimes
    We tried "indicator A" (from the williamlab challenge) and found them to be inconsistent. I think a lot depended on how hard and how long you pushed that button down. Will be trialing safe-t-vues next.
  14. BBfuntimes
    Would you be willing to share your Armband Change Form used for autid trail?
  15. BBfuntimes
    Do you use the same tubing 4C2223 for FFP, platelets, cryo?
  16. BBfuntimes
    Do you give the product an "open" ISBT code on the pedi pack?
  17. BBfuntimes
    Per the reference guide for temperature verification: fill reaction chamber with 100 uL of DI or distilled water... do not tape over the top of the measurment reaction chamber. Are people using a new well every day for the temperature? or just taping over the hole to slow the drying out of the gel? It also says that temp verification is "as needed." Daily is just making sure the light is green. Anyone going with that? Thanks!
  18. BBfuntimes
    For people doing a second type, what testing does that include? Front type only ABO, ABO/Rh, or full blood type? Thanks!
  19. BBfuntimes
    Would anyone share their "recipe" for 6% albumin and the expiration once it's made? What do you dilute with? Blood bank saline, another type of saline? New policies, I wanna get em right!
  20. BBfuntimes
    I am curious what everyone does for saline documentation, controls, pH testing, labeling, etc. How often do you change the saline in your bottle, how often do you clean bottle, what do you use to clean bottles, how do you document what you are doing? Thanks for your input!
  21. BBfuntimes
    What is the expiration of your diluted antibody?
  22. BBfuntimes
    Where do you find what specifies a panel? Thanks!
  23. BBfuntimes
    86885 specifies "indirect, qualitative, each reagent red cell", if you are doing an auto control and antigen typing, you are not using "reagent red cells". I do not believe this is the correct CPT code for thoses tests. There are two CPT codes for antigen typing: one for donor cells (86902) and one for the patient (86905).
  24. BBfuntimes
    standard tube
  25. BBfuntimes
    We do a prewarm, no IS phase. Which I know is a controversial procedure in itself.
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