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Hi, Could anyone please share the most recent (2016?) AABB guidelines for transfusion of RC's, platelets and FP? Or your own hospital's guidelines? We have a new Medical Director and he quickly pointed out that our criteria are out of date, apparently the platelet level has dropped to 5 instead of 10? Thank you!

Thank you!

Hi Blood Bankers, Rumor has it that the FDA has issued Final Guidance for the Psoralen pathogen inactivated platelets. Has anyone seen a copy? Maryann

I should correct my statement above and I used my own scripts for the Electronic XM validations also.

I have been through two different implementations, SoftBank and Meditech (yes we downgraded). In both cases I did all of the validations myself. For Soft I wrote my own scripts, for Meditech I used my scripts for truth tables but I used Meditech scripts for everything else.

If it occurs on day shift or 3-11 we will pull from other departments if needed. If it occurs on 11-7 shift usually a phone call is made to a tech who lives the closest, we do have a call tree that would activate everyone but that should not be necessary. They often call the BB Lead (me) but usually is not requested to come in, unless working that morning and coming in early.

Hi Immucor users, Has anyone noticed a new lot number of CorQC Antisera is not reacting well with Screening cell #3? It appears that the Anti-c component of the mixture is not as strong. I am wondering if anyone has contacted the manufacturer for a recall/replacement? Thank you!

In our area the only place I know of using this is Mass General in Boston, and I believe they keep 2 units of low titer O Pos in the ED for emergency use.

Hi Blood Bankers, This question may have been brought up in the past, but I did not do a proper search of the forums to see if it has. My Question: As Blood Bankers, how do you make sure that the Nursing Orders to Transfuse (or Administer) Blood Products are followed - for example...Physician orders Products to be crossmatched but not transfused...Nurse sees that blood is ready (or receives a phone call from Blood Bank that they are ready), does not check the Administer orders and comes down and is issued the product and hangs it. Or second scenario...Blood is ordered to be Administered (and of course is crossmatched). Nurse never comes down to pick it up from the Blood Bank. We do not call nursing a second time - once is our practice to call when the blood is ready (plus they can see it in the EMR on their side). Thank you.

Problem is this Pathologist is now our new Lab Director!

We have a Pathologist who is off site, and she has asked that techs take photos of abnormal hematology cells with their cell phone and text them to her if they have any questions. We are very uncomfortable with this for the following reasons: 1. We have a no cell phone policy in the lab due to tech distraction and universal precautions (everything in the lab is considered dirty and handled with gloves 2. The hospital does not pay for our person cell phones. Has anyone ever heard of this request? Apparently she also does not like to have to review a slide and locate the cell in question, she wants it shown to her. I say she is getting paid for a Pathology Review of a slide and she can find her own cells.

Hi Blood Bankers, We are trying to prepare for Psoralen treated platelets - I thought that I had built them in my LIS but now I have received new codes from the Blood Supplier - I initially built ISBT codes E7001, E7002....etc...to E7008 (4 plain and 4 irradiated). I now received new codes from the Blood Supplier and they are codes E8440 through E8344 and more. My question - does anyone know if the E7001 was ever actually used? I have yet to receive any of these products but I am trying to get ready for the FDA guidelines and mandate that will be coming eventually. Thank you. Maryann

Thank you Malcom and David, In doing some digging I did find another thread about Anti-M a few years ago that both of you gave input on, and it was a similar situation but perhaps more tube testing rather than gel. Sorry about calling cells homozygous, Malcolm - what is the correct name for an M+, N- cell and an M+, N+ cell? Just MM and MN - no homos or heteros? Maryann

Hi Blood Bankers, Question - if you find a patient who is demonstrating an Anti-M in the MM cells only, the MN cells are negative when testing in Gel, in otherwords the Anti-M is only showing up in homozygous M cells in Gel, and in tube testing with LISS, all cells both homozygous and heterozygous for M are completely negative in all phases, would you go ahead and call the patient Positive for Anti-M antibody? I have always called these patients as having Anti-M even if it is showing with homozygous cells only but other people are telling me that they can rule out of 3 negative heterozygous cells. Thank you.