We just had an API AFB survey where the specimen was put on the back of the slide... Not the labeled side. After the staining process, the specimen circle didn’t take on any color and nothing would come in focus. I stained the other side and sure enough, positive!!!! API’s response, is we should notice where the specimen is regardless of the labeling!
The 2017 revisions were released this week. The computer crossmatch section was revised to align with the FDA guidance.
"If ABO typing discrepancies exist, you should not rely on a computer crossmatch.This is particularly important if there is mixed field red cell reactivity, missing serum reactivity, or apparent change in blood type following hematopoietic stem cell transplantation.Under those circumstances, your procedures should provide for compatibility testing using serologic crossmatch techniques."
I called CAP to verify that this included resolved ABO discrepancies. Our hospital had been allowing computer crossmatches for ABO discrepancies that are resolved, and I'm not sure that our BB LIS could prevent a patient with a resolved ABO discrepancy from receiving a computer crossmatch.
Does your LIS prevent computer crossmatches for patients with MF reactions or weak reverses?
By Sherie Bruns
Do the Blood Bank refrigerator and freezer have to be externally monitored outside of the blood bank? The lab is staffed 24/7 and able to respond to the freezer or refrigerator alarm. Does security or the Emergency Department have to also externally monitor these alarms? Are there any CAP or AABB standards, or does the FDA require this? Just wondering since it seems to be redundant, and we have an older freezer which may be difficult to hook up.
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!!