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Found 11 results

  1. Skye

    IQCP

    Hi Everyone, I just joined the website and I am hoping that my fellow laboratorians can help me. I recently finished a Joint Commission survey at my facility and I need to write (1) an IQCP for the media that we use in the Microbiology Department as well as (2) an IQCP for the Beckman Coulter MicroScan. I was hoping that someone had a template that would help point me in the right direction. Of course, aspects of the risk assessment (e.g. testing personnel, environment and so forth) will be specific to my facility but it would be great to have something to help point me in the right direction. So if anyone could provide me a copy of their template that would be FANTASTIC!!! I REALLY need an IQCP for the Media and one for the Microscan would be fantastic as well! Thanks in advance everyone!!
  2. We have been having problems for the last month or so with D-dimer QC on our TOPS analyzers. We are using the regular HemosiL reagents and controls, and no matter what we do, the QC runs with a Mean close to the upper insert range limit on both controls. Does anyone else have this problem? We have been using these analyzers and IL products for over a year and now this happens. We are wondering if the formulation of the QC has changed. Once reconstituted, they are supposed to be good for a month in the fridge -- it appears to us that they may be only reliable for about a day. Thanks, Scott
  3. I need some guidance! I did a quick search of the forums for any discussion about this, and the most current posting was in 2010. I'm wondering if anyone has any new information, new experiences, or any advice about CAP TRM.40120. The note states "...all analysts participate in QC on a regular basis." How frequently is "regular"? For example, when I was looking to complete our annual Competency assessment in September (don't ask...), I was looking for evidence that each individual who performs MTS testing had performed MTS QC. There were some employees who had not performed MTS QC yet in 2016. I'm inclined to say that someone who hasn't performed QC in at least 8+ months is not participating in QC on a regular basis. Being new to my role, I'm just not sure how the assessors interpret this standard, and how others provide evidence of compliance.
  4. Hi guys, I haven't been exposed as a blood banker for quite some time, so please bear with me. Recently, our institution had a case of transfusion reaction (lower back pain) with one unit of PRBCs. The testing details are as follows: History: Non-specific reaction (Multiple encounters) Pre Transfusion Sample Solid Phase : 2 of 3 cels 2+ (Positive Gel Card (Regular) : Negative Gel Card (Enzyme) : Negative Dx: Non-Specific Reaction, all siginificant antibodies excluded Transfusion Reaction Investigation Sample Solid Phase : 2 of 3 cels 2+ (suggestive with Anti-Jka) Gel Card (Regular) : Positive (2+) Minimum grade (Clear-cut Anti-Jka) Gel Card (Enzyme) : Positive (4+) (Clear-cut Anti-Jka) DAT (Gel Card) : Positive Elution Testing: Anti-Jka Detected Dx: Anti-Jka Analyzing the encounter, me and a colleague, through curiosity re-ran the Pre Transfusion Sample: Pre Transfusion Sample: (Curiosity Run) Solid Phase : 2 of 3 cels 2+ (suggestive with Anti-Jka) Gel Card (Regular) : Positive ; Wp Minimum grade (suggestive with Anti-Jka) Gel Card (Enzyme) : Positive ; 1+ Minimum grade (suggestive with Anti-Jka) Taking all details, I could presume that the Gel Card results (both regular and enzyme, which I believe was ran at the same time) of the 1st Pre Transfusion Sample was the jinx. So confidence to the testing method lies to the daily QC of the Gel Card which was ran first thing of the day. Now, I'm asking, if Solid-phase technology could incorporate a positive control and negative control to each strip of testing, why aren't there any on the Gel Card Method? Next, if the Solid-phase technology could also incorporate a "system trap" to ensure the addition of patient's sample to the testing, through it's Capture LISS, why cant the Gel Card do so? I believe that seeing an all-negative resulted panel would be enough for some people for exclusion. Lastly, if reagents aren't available for the Gel card method to ensure the addition of plasma, should our institution enforce a backup procedure that could ensure the reviewer that none of the essential components of the testing (e.g. Patient's plasma) is not missed? Hoping for the masters.. Thanks ! lingkywz
  5. Hello Blood Bankers, I recently ran into my first unsatisfactory Antigen typing QC. A tech performed QC for an "e" antisera using a heterozygous cell. Results were negative at IS and negative after 5 min incubation. This was repeated by the same tech and later repeated by myself:Results did not change. The "e" antisera was ran with a different heterozygous cell and results were negative at IS and 2+ after 5 min incubation. Both the cells and the antisera were near expiration date. However, I'm a bit confused as to what corrective action is needed. How do I prove my panel cells are working correctly and how do I prove my antisera is working correctly? I think I proved my antisera is working correctly by running it with another Hetero cell. Should I run my panel cell with a new antisera to prove the panel is "e" positive? Thank you, Serafin
  6. I am building v 6.1x Meditech. Can anyone help me build a QC rack? Thank you.
  7. It's been years since I've done test tube blood banking and even then I didn't have to do any sort of daily qc. I'm bringing back the option of running a test tube IS xm to speed up add on units and I don't know if there's any sort of QC required for this. It's patient vs donor. Is there anything to QC daily? Thanks, darren
  8. Hi, I think a good monitoring of your analyzer's performance is looking at your analytes SD from month to month, and it should stay constant. If it changes that could be a sign there is a problem. My question is what is a criteria is used to say there was a change and needs investigation? 10%, 20%, 30% differenence? Or it doubled? What is a good guideline to watch for? Thank you!
  9. I have a deep and sincere hatred for our reagent QC forms but I'm also trapped in the box and unsure of how to revise them and still capture all of the information I need (not that it's easily communicated with the ones we have now...). None of our QC is tracked in the LIS - it's all paper forms for documentation. Is anyone else willing to share what they have to give me some inspiration? I would be extremely grateful !! Secondly, how do all of you set up your QC program for things that are done every day without fail and others that are done for day of use only?
  10. Greetings, We use the Ortho Confidence system to QC our wet reagents. I have been alerted that there will be a delay in the next lot number shipment due to the (US) government shutdown. The current lot that we are using expires 10/29/2013 and the new lot # is set to ship on 10/30/2013. My question is, can I use patient samples that have established values for QC testing for the couple of days that I am without unexpired QC material? If so, how many examples of a particular value do I have to have in order for it to be a valid QC evaluation? For instance, if I want to use a group A patient to QC the anti-A reagent, how many times does that patients blood group have to have been tested? Thanks for the input.
  11. I have been out of the lab for a number of years and am trying to understand some of the changes since I left, particularly in hematology. Does anyone set up Westgard rules on hematology analyzers? If so, could you explain how you do it and on whichever instrument you use? When I was in the lab it was only used in Chemistry so this is new to me. If you could provide information on how you handle QC in hematology these days, I would really appreciate being brought up to date. When I was in the lab we ran 3 levels of liquid controls on each shift. We would look at our L-J charts and determine if controls were in or out. We also ran a patient blood throughout the day to assure instrument precsions. Is this still being done? I may be going back into the lab and would really like to feel a little more current. I hate to date myself, but my first automated hematology instrument was a Coulter S and we also used a ZBI for platelets. The newer instrument are really marvelous. Instrumentation has come a long way. Thanks in advance to anyone willing to share their knowledge and expertise with this dinosaur. Robin
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