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Everything posted by bldbnkr
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Is there still a good serological centrifuge out there?
bldbnkr replied to Mabel Adams's topic in Transfusion Services
We just got a brand new Hettich and I cannot for the life of me figure out how to program it so that it is easy to switch between 15 seconds and 45 seconds of spin time. There is a manual with it , but it's so complicated to me that I just can't figure it out. -
Jumping in years later. Has anyone heard of the Blood Bank being responsible for keeping the Refusal form and documenting refusal in the EMR or Blood Bank Record? As a patient who refuses, it is my believe that there should not be an electronic Blood Bank record on said patient.
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Changing FFP (with 24hr exp) to thawed FFP with 5 day exp
bldbnkr replied to aj2018's topic in Transfusion Services
Hi everyone- We are a bit late to the game here - we had been keeping our thawed FFP at 24 hour expiration date and now with the Convalescent Plasma build I wanted to have it expire in 5 days - well the reason why we never went to 5 day originally was that it required some sort of FDA registration to do so? Can anyone update me as to the process to convert from 1 day to 5 days other than the obvious LIS build out, labels etc - is there an FDA requirement still? Thank you! -
Has anyone written an SOP for Convalescent Plasma? I am reluctant to do so, although we are enrolled in a study and the product is built in our LIS, because it is not approved by the FDA. Plus we have no patients with Covid and I doubt this late in the outbreak we will be using it. I guess I should reword my question - has anyone NOT written an SOP for this product? thank you.
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No, HCPCS is a Medicare billing code. From what I know the product is free right now so no billing codes.
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No, the Red Cross in our area is hosting a telephone conference about this. Is this a new build and will it be a blood bank product or a pharmacy product?
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Thank you David. I think I am going with the Drucker.
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Here is our procedure for dry ice. Safe Handling of Dry Ice v2.docx
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I second this question - my trusty old Clay Adams just died and was deemed unrepairable. Does anyone have a favorite since I have to purchase a brand new blood bank serofuge?
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I have a question - can hospitals go on lockdown and keep employees from leaving?
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End result: As I reread the thread I made an error - the Pathologist was the new "Medical Director" of the laboratory, we have a different person (MedTech) who is the Laboratory Director. Sorry about that. The problem resolved when the off site Pathologist resigned, and a new Pathologist who remains on site full time took the job - he will not be asking that we email photos of cells :)
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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!
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Thank you!
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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
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I should correct my statement above and I used my own scripts for the Electronic XM validations also.
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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.
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Massive Transfusion - who do you call for additional help?
bldbnkr replied to OregonBB's topic in Transfusion Services
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!
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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.
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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.
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Problem is this Pathologist is now our new Lab Director!
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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.
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Psoralen treated platelets
bldbnkr replied to Monique's topic in Computer Systems / Software / ISBT128
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
