Everything posted by Eagle Eye
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one pos and one neg specimen for each test we perform.... -
OK the smaller facility may not have ISBT printer capability, in that case they can order preprinted labels for thawed pooled cryo and hand write expiration date and time>....
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All our sickle patient we are trying to get DNA typing done so .... many time we do not need to order Fy(a-b-) units if patient is showing GATA mutation. That case we only honor Fya ....
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BUT are we required to relabel product code or not? Is PAT or ERWIN around to answer our question...
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Where are you located? I wish our supplier does the same!!
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SO LET'S SAY IF I SCREEN 20 units for c, then four of them I screen for E, then 3 of them I screen for K. Patient needs c-,E-,K- units.....How many time 86902 i can bill?
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Study what you have. I looked at the book and it was overwhelming and i did not think it was going to help me so I did not study the book and return it to my friend. Good Luck...
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I think my question was misleading... I have a question regarding pre pooled cryo?
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When we open a new reagents (excluding anti-sera), we run QC again with same QC material and document the result on same form. We divide column into two and document on same and document as parallel testing done and new lot is acceptable for use. Most cases we end up doing this on day of expiration of the reagent. To me it is not lot to lot comparison but you are testing your old lot and new lot against same material and making sure that new lot gives you acceptable result and if you decide to use old lot for the day, your QC is done... For panel: it can be done periodically.
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How do you label thawed pooled cryo? Do you change product code label? do you apply new label? Can you just hand write expiration date and time? Hoping that PAT or someone else from ICCBBA will also answer!
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How do you charge the patient for screening donor units for antigen? How do you charge if patient has multiple antibody and you need to screen more units to get required units?
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Does anyone know if there is a separate Pcode for pooled cryo? If not how do you bill for Pooled cryo?
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I would document continuous non compliance and go with progressive discipline. Luckily we do not have this problem but my tech knows that if they missed QC or they had failed QC....My director will make sure that we repeat every specimen gets repeated related to that particular QC. Do that....make them repeat all tests which were performed that day. You might need to show that to inspector as if you do not have QC results and no corrective action....you will be in ....
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Are you screening for M- units? is anti-M clinically significant or you always give M- units? your cost per antigen is very good. If I am paying that much I may consider buying from my supplier. It all depends on antigen you are screening for. eg. anti-S 1 drop of anti-S will cost you $15 (if you are paying $900 for 3ml vial), add controls, frequency of finding units, other supply cost plus tech time. it would be a good exercise for you to take your Jkb example and add all costs to see what was your cost per unit and compare that to your supplier cost. By the way your supplier is really giving you good pricing? east cost or west cost?
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I agree with Michael when you add 50ul saline to 50ul plasma and 50ul cells your concentration is different then what is in package insert. I am sure you must have validated your procedure as you are adding saline and technically diluting your plasma. when we do saline replacement in tube, we only use it to resolve discrepancy not to ID antibody! DO you take same tube where you perform saline replacement and carry through all phases...
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same at my place...we are level I trauma center...
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too me culturing all transfusion is definitely overkill. It should be based on sign and symptoms, patient's clinical condition and Pathologist review.
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How about abdominal trauma cases? they usually need results STAT...
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Please rsepond to my poll. Thank you
