Eagle Eye

We do not have vision but we have been using antigen typing cards ...for many years. It is very simple and tech likes it and less human steps less errors. We require our techs to cut the segments instead of using segment devise to make sure we have enough cells/packed cells to run test.

Same here. I run one Positive and one negative for all tests.

If you use a diluted 3% panel for routine gel testing and want to validate it's performance/stability for 1 week...How many days or specimens would be required? Please check manufacturer package insert. I know Ortho insert is 24 hrs. If you are extending days against package insert, you should validate with all kind of specimens and include worst cases. And definetly, you should run every day and in parallel with reagent prepared per package insert. Eg. you can run X number of specimens (Pos and Neg) with freshly diluted cells (up to 24 hrs expiration) and diluted cells you are trying to validate. Make sure to document reaction strength and any missed reaction. I would try to make sure there is no variability in procedure. (tech to tech variation).

infared Raytek ----anyone can share make and model#?

Are you happy with Tempcheck? we have it in box for four years as our initial validation was not acceptable!

Anyone is using infrared thermometer to take temperature of returned units? Do you get reproducible reading? How do you take temperature? DO you have procedure you can share? How often do you send it for calibration? Make and model of the thermometer in use please?

We have the same BUT we decided to use production as what if!... It is very easy to block billing by just creating a code at interface level. We also use teo patient to stock in ER and OR and again we hav eit blocked at interface so it does not generate any transactions.

Any one using Monoclonal Control (immucor reagent ) when performing weak D test or for AB Pos CORD. Are you using one drop or two drop of monoclonal control.

How do you document manual entry verification? I know someone had shared their SOP here but i can not find it...please help.

You know what i had brain block!! I was thinking about digital/electronic timer....and panicked as we validate them every six month.....Oh thank GOD!

We use production as we wanted to mimic real patient. Only difference...the order is not coming from EPIC. we record specimen in safetrace. We use same last name all the time and we have it blocked at interface level so billing is not generated.

Ortho is good at adding revison summary. Immucor---says they will underline and tringle....many times there is a change in their address and which is not underline so original poster's frustration is right. I went through same and at the end noticed that the immucor address was chagned which was nor underline...

Do you calibrate your digital thermometer monthly?

I just answered this question. My Score FAIL

For method correlation: only two sample. one positive and negative. Usually postive has one of two antibodies. Initial validation was done many years ago but if i have to do it now, i will do total 20 specimens and at least five or more positive with different antibodies (Anti-E, anti-K, ANti-D due to RHogam, warm auto and atleast one example of cold antibody)

Yes. If you combine plasma and red blood cells in your blood bank you need to register with FDA and be ready for FDA inspections!

I just answered this question. My Score PASS

1) Think about taking the exam without the online course. 2) I had less than two years BB experience and was new QA position and took online course....lots of work but as suggested earlier in the post you have to have a set schedule...3-4 hours daily dedicated for this...you can do it.

We do the same. Register all CAP specimens as patients and donor as blood unit and just treat like actual patient. You might want to think about using your LIS as corrective action to prevent the error in future. Do you have second tech verifying your gel card readings? All our manual gel results are co-signed by second tech.

It really helps a ton if you are getting your specimens ASAP for massive transfusion protocol. It avoids using AB plasma or low titer A plasma...

We include a step in our method corelation (twice a year) where we run Ortho gel panel (0.8%), Tube panel (immucor 3%) and Immucor gel panel(dilute immucor to 0.8%). Our method was correlated almost 20 years ago!

physician responsibility

we have safetrace and you can search by antigen and/or blood type. for multiple antigens you can specify if you want to see unit negative for all antigens or some!

All my techs when in training they are not to enter any patient result in system until training is completed and they are competent. (Passed competency).

I just answered this question. My Score FAIL