bevydawn Posted May 23, 2006 Share Posted May 23, 2006 I have a question about how other people achieve consistency between techs when grading reactions. I realize that there is bound to be some variations when people read reactions, but I feel that they should generally come relatively close to one another. Yesterday I received a specimen on a patient who has for some time now expressed very weak reactions with her ABORh, usually a 1+ and very rarely making it to even a 2+. When I did her initial type, I received the usual weak reactions. However, when another tech followed behind me later to crossmatch units, he reported her reactions out as 3 and 4+! I realize that refrigerating a specimen could help enhance the reactions, but having done this particular patient several times prior, I feel confident that her reactions would not have reached this level of reactivity. And this is definitely not the first time something of this nature has occured. We have done competencies here before, but then it is just the usual "Well, maybe I dont shake my tubes off as hard as you do..." or these few techs read them consistently with everyone else for the competency. Any suggestions?? Link to comment Share on other sites More sharing options...
Karen Olsen Posted May 24, 2006 Share Posted May 24, 2006 We use a competency on their first day of training just to be sure that they are somewhere in the ballpark. That way you could catch it before they have been working for you for a long time and would become offended at being questioned. We actually have never experienced anyone not grading reactions consistently. Link to comment Share on other sites More sharing options...
mwlister Posted June 20, 2006 Share Posted June 20, 2006 Here are some pictures of standardized grading of reactions: Got this from the internet. Under Google type Blood Bank + grading reactions. Click on Google Pictures and you can get this site. We do competencies four times a year. I have not had any issues with consitency. As long as you define how to grade reactions, and perhaps add pictures for reference, you should be able to obtain consistency. Hope this helps. MWL Link to comment Share on other sites More sharing options...
Eagle Eye Posted June 21, 2006 Share Posted June 21, 2006 I try to go to google but ...no luck. Can you please post the link here? I spent lots of time looking for same but no luck before. I like the one you have posted here but want to see if I can print from the website or if they have same in color!! Link to comment Share on other sites More sharing options...
Cliff Posted June 21, 2006 Share Posted June 21, 2006 Here you go. https://matcmadison.edu/is/hhps/mlt/mljensen/BloodBank/lectures/Basic_Laboratory_techniques&Reagents.htm Link to comment Share on other sites More sharing options...
Eagle Eye Posted June 21, 2006 Share Posted June 21, 2006 Thank you cliff. Link to comment Share on other sites More sharing options...
mwlister Posted June 21, 2006 Share Posted June 21, 2006 See Cliff found it for you. Thats great. Thanks Cliff. Link to comment Share on other sites More sharing options...
Cliff Posted June 22, 2006 Share Posted June 22, 2006 See Cliff found it for you. Thats great. Thanks Cliff.Glad to help, I love Google. With your instruction I found it on the first try. Link to comment Share on other sites More sharing options...
Eagle Eye Posted June 22, 2006 Share Posted June 22, 2006 I forgot to select images .....ooops Link to comment Share on other sites More sharing options...
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