One of our smaller sites uses a specimen rocker to keep platelets agitated before being transfused. They do not routinely stock platelets which is why purchasing a platelet incubator/agitator is not on the agenda. On our last accreditation inspection we were cited for not performing a validation of the rocker for platelet storage. Has anyone done a validation of this type and could you share the details of how to set this up?
TRM.41350 states that if a patient has special transfusion requirements they must appear on the transfusion tag.
Our facilities utilize the transfusion requirement section in various ways and many of our transfusion requirements are not associated with an attribute (for example, transfuse with group O RBC, transfusion with group AB plasma).
How are you planning to achieve compliance with this CAP requirement? Will you print all active transfusion requirements on the tag or will you limit the printing to requirements associated with an attribute?
Thank you in advance for your insight!
Maureen Slackway, MS, MT(ASCP), CPHIMS, CQA
I am about to venture into performing my first ever validation of a test. I have been tasked to validate Rh+K phenotype testing on the BioRad IH-1000 (two of them). We have been, until now, performing the test manually, but as work is getting busier, performing it on the analyser might prove easier (or at least motivate people to perform phenotype). I have been given advise by my senior on how to go about it:
Select 10 Donor Red Cell units which have Rh+K phenotype performed Perform the phenotype manually Perform the phenotype on the analyser compare the result pat myself on the back, provided I don't mess it up The issue I have is donor red cells doesn't indicate if they are K+, and I wanted some K+ as well as K-. I could always keep testing a lot of donor units until I come across a K+ unit, but I don't want to was a lot of cards (but that might be my last option). If I choose the NBS or BioRad Antibody Panel Cells, then the issue is the strength of the test cells, as they are, I think, 0.8%, and it does not fully represent the way we perform our phenotype manually, as it uses around 5%. I can always try and make the strength of the solution stronger, that is another option.
So this is where I am at. If anyone has a suggestion, or better a complete plan, then I am happy to hear it. Also if there is any point I missed or need clarification, please feel free to ask, I'm fixed to this specific thread all night long.
We are going to be moving forward with testing cord blood gases. We currently run venous gases and arterial gases on our ABL 800 series. Now since a cord gas is still technically a blood specimen, does this require a new set of validation? We are not running reference ranges with this, so I don't know if that would make a difference.
Thanks for any input.