By Learning from the experts
We get lots of grouping problems due to weak reverse. When we cannot resolve it at RT we incubate at4Cx60'. This leads to nonspecific reactions due to cold agglutinins.
We set up a cold panel of 3 cell screen, A1 cells, A2 cells, B cells, and auto to find the specificity.
Q1. If everything comes up positive at 4C, how do you resolve this? We call it NTD.
Q2. Is there something else that we can do? We don't want to send samples for Geno?
Q3. If you have to do cold auto adsorption, how do you remove IGM coating the RBC? Same reagents as you use for ZZAP? DTT?
Q4. Most of the time these samples come to our lab for reference testing and we can not reproduce the initial results. The auto control becomes negative. The nonspecific cold agglutinins disappear.
Initially, I thought it's due to cold auto adsorption but the cells are separated from the plasma. Any thoughts, what could be causing this? Antigen sites blocked?
There is a lag of one week between the initial testing and the reference lab testing.
Is anyone using SafeTrace TX with Orchard Harvest AND Epic?
I looking for someone who can answer a few IT type questions and offer a little advice. We are building STTX right now and are Community Connect Epic users via a much larger facility, with Harvest for our LIS. Our Epic 'parents' have asked us if we have any contacts who could answer questions about our interface build, etc.
We are going live with Epic/BPAM and Softbank (current system) this year. Our hospital uses blood bank wristbands and wants to continue their use, but we are having difficulty getting Epic to document the Wristband check at the bedside by the two RNs. Group O policy is not an option. Does anyone have experience with the blood bank wristband documentation in Epic/BPAM?
We have had Epic as our HIS, and we will be moving to Epic Beaker next year. We will be using a Standalone version of Sunquest, but the details have not been ironed out yet. Does anyone have experience with Epic and the Sunquest Standalone product? The primary problem we are having right now is figuring out how BB specimens will be collected once Beaker and Rover go-live. We would prefer to not re-label specimens if at all possible. We are not SMART. Any advice is welcome!