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    Blood Bank Technical Specialist

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  1. We will be implementing computer crossmatching this spring. I'm starting to write the procedure for this. Would anyone be willing to share their procedure with me? I'm having a problem coming up with something intelligent for the purpose section. I also have seen in previous feeds that most of you do NOT require an ABO/Rh verification on the sample if another tech wants to set up units for a computer crossmatch. Our current policy now is if another tech crossmatches on a sample that someone else did the type and screen on they must also type the patient's sample for verification. I'm hoping I can eliminate this for speed and ease since the computer crossmatch is supposed to be quicker.
  2. My hospital's transfusion committee is re-evaluating who's responsibility it is to provide informed consent. Currently our procedure states it's the physician's responsibility to explain the risks, benefits and alternative treatments of transfusion. After discussion with several physicians it was discovered that this hardly ever happens. We are considering shifting this responsibility to the nurses as they are getting the signature from the patient. Is there any specific rule/regulatory mandate that the physician has to be the one to provide this explanation?
  3. DebbieL, do you spell out how close your positive control needs to be within each other for it to be acceptable or as long as they are both interpreted as Positive you're good? For example, what if you get 10 on the old lot and 20 with the new lot?
  4. Thanks for the info. I thought that was basically what I had heard but needed to verify. I don't know why our previous supervisor never did this but I guess I need to get it started!
  5. I recently listened to a webinar that had experts from CAP, the Joint Commission and AABB answering questions. The topic of lot to lot testing came up concerning Fetal Maternal Bleed Screening kits. The experts said it is required to do lot to lot testing on these kits. We have never done that! I'm wondering what you all do for your lot to lot and do I also need to do this for KB stain kit also? The KB stain kit does not contain controls, just the stains but the FMS kit has it's own controls.
  6. I used BBguy website. Watch all his videos and take all the quizzes available. Other than that I used my notes from SBB school and had a book with sample questions I went through. Good luck!
  7. Thanks all. She wants to change b/c she's afraid a patient may be confused when answering the question if they've been transfused or not. She thinks we may not get a reliable answer and wants to keep it 3 days across the board for everyone.
  8. I'm sure this has been asked before but I cannot find a feed about it. What does everyone use as their expiration for a sample when the patient has NOT been pregnant or transfused? We currently use 10 days but my pathologist is considering changing it to a 3 day expiration of all blood bank tubes regardless of whether they've had an exposure or not. I'm thinking of the ramifications of this with not being able to do our pre-surgical specimens a week in advance and it would really change our workflow. Advice please.
  9. Auntie-D- Do you use the 5 ml or 7.5 ml EDTA tubes? Right now we use 6 ml BD tubes. I don't know if I want to go to 5 ml or not. I'm afraid of running out of sample. Have you had problems?
  10. Does anyone use Sarstedt collection tubes in their transfusion service? Our lab is evaluating them and possibly switching from BD. What kind of validation did you do? Run everything in duplicate with both BD and Sarstedt? We are a small transfusion service and I wonder how many I need to do. Appreciate any help!
  11. Thank you David for your feedback. My thoughts exactly. Unit warms to >10 anyway and the transfusion will be competed by 4 hours from original dispense. My pathologist heard at a conference that we should not be taking back units >10 even if we will dispense to same patient and complying with the 4 hours rule. Can' t get her on board with it. We've now changed our policy to throw the unit away. Thankfully it doesn't happen very often! I've also just been through a CAP inspection with this policy in place and no deficiencies found.
  12. I see discussions about the 30 min or 10 degree dilemma, but not this particular issue. I'm not talking about if the unit has been spiked, this it is definitely discarded. If the unit is issued to the floor and returns say 15 mintues later, the unit is 11 degrees, we change expiration to 4 hours from dispense and quaranteen the unit for only that patient. Floor can re-request the unit as long and the transfusion can be completed within the 4 hour time frame from original dispense. The unit never goes back to the general inventory. They have 4 hours to complete the transfusion.
  13. I have in my procedures that if blood is returned to the blood bank from the floor and the temp is >10 C that we quaranteen the unit. (For example, lost the IV site.) We change the unit expiration to 4 hours from the original dispense time. If the floor request the unit back we can issue to that patient IF the transfusion can be completed within 4 hours of the original dispense time. Does anyone else do this? My pathologist wants to discard the unit. My thought is that if they can transfuse within 4 hours, it's ok. I would appreciate any feedback.
  14. I was looking for information on aliquoting for babies. We never transfuse babies but we have a new pediatrician on staff that specifically asked how to order an aliquot to transfuse a baby. We are currently NOT inspected by the FDA and I wanted to say we couldn't prepare aliquots so we don't open ourselves up for FDA inspection. (A CAP inspector told me it would) We also don't have bags or syringes available. Any advice?
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