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LKSchroed

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Posts posted by LKSchroed

  1. Ortho Vision has been installed.  We are training techs on use.  I am writing the validation process as fast as possible along with required procedures. 

    We have hit a snag with connecting Ortho Vision to DataInnovations to Cerner Millenium.  Right now Cerner doesn't like the info coming from the Vision via DI.  Not sure yet if its just a matter of mapping or what the problem is.

    So far the techs being trained think it is great.

  2. I am hoping we won't have a problem with gel card usage on the Vision.  On day and evening shift hardly an hour goes by without multiple screens being done.  Night shift slows down a bit.

    But as soon as we get it up and running I will watch for the problem.

    How many samples did you run in duplicate by both methods to validate the Vision?

    Thanks

     

     

  3. Our three most common uses for FFP are:

    1.  To correct prolonged Coag times due to Coumadin overdose.

    2.  Massive transfusions

    3.  Plasma exchanges

    We have a Helmer that thaws up to 8 at one time which is very usefull for the plasma exchanges in particular.  Each FFP goes into a separate plastic bag.  The BB lab does all of the thawing and issuing of FFP for the hospital.  Our backup thawer is a Thermogenesis that will do 4 units at a time.

    Hope that answers some questions and helps.

  4. Transfusion reaction workups that are negative (no hemolysis, DAT neg, clerical checks OK, etc.) are left for the next business day for the pathologist to review. 

     

    I am curious how many institutions wait for pathologist approval to continue transfusions.  Currently transfusion reaction workups that are negative, the tech releases any additional units for transfusion, but our new blood bank pathologist is reconsidering this policy.  A review of CAP and AABB regulations do say one way or the other unless I missed something.

  5. We still type our patients using the tube method.  The debate come with the strength of the Anti D reaction.  Some techs call any reaction Rh positive.  Some techs believe the reaction must be 2+ or stronger to be Rh positive.  Our current SOP is not specific.

     

    Any suggestions?

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