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armymt2002

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  1. When a confirmatory test result for a donor is reported as non-confirming what exaclty does it mean. Thanks.
  2. Thanks for the information. I do have the directions from the website but since this involves the nurses and doctors I was wondering how others are tracking the bag (i.e. do you put a patient label on the bag) so the wards can't try substitute uncut bag for one they cut open instead of using the lock. How does the wards get the armbands if the nurses draw the blood (which they do here) and not a phlebotomist drawing the blood. Who is responsible for training the nurses? Thanks.
  3. My boss has tasked me to write a policy and SOP to use this system. Would it be possible to look at someone else's policy/SOP to see how it is done? None of the military hospitals are using it yet. Thanks. Kristine
  4. We are switching to pink tubes and I am currently writing the validatin plan. I believe we are going to be using the 10 ml BD tubes. On the BD site it states the tubes must filled plus or minus 10% is stating that they must be filled to the top of the label good enough? The QA manager and myself were also discussing reaction grading. We still use the manual tube method and were wondering about a reaction variation for the red top vs pink top tubes. My question was what if someone says the red top is 4+ but the pink top is 2+ (I realize this is extreme but I work with Soldiers who are not MLTs/MTs so I have to prepare for just about everything) is that a valid difference? Thanks. Kristine
  5. We also weigh the bags as we do the confirmation testing. The form the military uses requires that the volume infused be put on there in the post transfusion data section. Most of the time it is wrong as the nurses don't pay attention to the volume written on the form and use the volume from the pump which includes the saline to prime the line or the put 1 unit there. Kristine
  6. Thanks for the information Bob. I do know what the military is doing in Iraq as I am in the military but in Iraq there are a lot of things they do that will make a blood bankers hair curl so I don't want to take what they do as the standard as they don't have to worry about the inspection agencies that a regular hospital has to deal with. Kristine
  7. For those facilities who perform plateletpheresis do you have an RN or MT do the aphresis? Does anyone have any SOPs that they can share on QC and collection procedures? My facility is looking into starting this and I am trying to get some information on the requirements. Thanks. Kristine
  8. My boss is mountain/mole hill type of guy and it is really frustrating. I would like to move on but he won't.
  9. I just got home after an interesting meeting with my boss. We had been having some problems with the chart recorder of our freezer that we store FFP and CRYO in. It was running a bit slow--we have since figured out the problem but we taking 4 hour temp in conjunction with daily temp and still having the chart going. Over the Memorial day weekend the temps were not taken every 4 hours but the daily temps were. My boss is saying because the chart recorder was running two hours behind the real time that the FFP and CRYO needed to be quarantined. We did and one of my techs said he checked the units and there was not any evidence of thawing and refreezing. The temp and chart both indicate that the temperature did not go above -18C. We have an alarm on the freezer (it is a Jewett Freezer) and there is someone in the vicinity of the blood bank (currently we are renovating the lab so the blood bank was moved into a big cubicle type space). My question is since someone is always near the blood bank and would be able to hear the alarm go off is that considered 24 hour monitoring or does the chart recorder have to be used. If someone can point out any references that would be awesome. Thanks.
  10. Monique, Could you forward that SOP to me also. This may be something I can look into for my facility. Thanks.
  11. We have a 9 day baby who had a negative DAT cord blood. He had a high bilirubin and so the call went up for an exchange transfusion. Another DAT sample (pink tube) was drawn for a DAT and it was positive (weak to 1+). The 2nd DAT was drawn a day after the baby was born. We repeated the first DAT and it was negative. The baby's bili went down later that day so there was not a need for the exchange transfusion. The mother was Opos and the baby Bpos. The baby's H&H are dropping and the docs don't know why. They are also questioning why the DAT can be negative then positive and then negative. I and my technical supervisor tried to explain that is was an ABO incompability. We no longer do Lui Freeze. I tried to do a search on the web for any journal articles about this but got so many hits that I can't tell which are the releative ones and which are not. If anyone can point me to a article so I can give it to the docs that would be awesome. How many do Lui Freeze? I have never done one before here. Thanks.l
  12. Hello Again, We have a NICU that is somewhat active. The blood services OIC (previously referred to in other posts as my boss) is rewriting the policy about our neonatal transfusions. Our donor center does not collect platelets by aphresis or from the units they collect on blood drives. This means we have to buy platelets from the German Red Cross. In rewriting the policy my boss has put in that we give ABO specific platelets and if for some reason we cannot we replace the incompatible plasma in the platelets with compabitble plasma. We try to give ABO specific platelets to everyone but since "beggars cannot be choosers" we take whatever the German Red Cross can send us when we need it. They only collect platelets by aphresis and don't do random platelets. Is this the first hospital where I have worked that has a NICU, the hospital I worked at before this used to send the babies to Indianapolis if they were going to need transfusioins. Do all hospitals that support NICUs do this or is it just for randome platelets. Any references you can point me to so I can present this to him would be great. Thanks.
  13. He won't let us write an addemdum to the standarized procedure becasue it does not say that it has to be done in the AABB standards. He feels that if it is in the standards then it has to be done and if it is not in the standards or the Medical Command's SOPs then it should not be done at all and if it is then it is a variance and must be investigated. Thanks for the help.
  14. Thanks everyone for your help so far. Does anyone have a chart review form they use and could send it to me as I am trying to come up with one to use here.
  15. He feels that if you deviate from the SOP or policy even the slightest then an error/variance should be written and he wants us to conduct a root cause analysis on why it happened.
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