Seveets

Unfourtanely, I FAILED. I got my Performance Report with scaled scores which is supposed to "assist in determining their relative strengths and weaknesses" but without the secret formula, I can't make heads or tails of it. Not sure if I want to take it again but they give you 5 years to decide if you want to spend the $ again.

As long as we have a history of the patient being Rh negative we give out Rhogam. If no history we will do a type/Rh. We also do the prenatal workup including type/Rh and the 28 week ABS on Rh negatives. There is another thread regarding this topic. See: http://www.bloodbanktalk.com/forum/showthread.php?t=287

Our system (Meditech) prints a daily cummulative report on each inpatient. At the end of the stay there is a final discharged report that replaces the cummulatives. On this report are all the units transfused on that particular stay (only). Of course you can go in the computer and inquiry for a lifetime of blood bank history including tests and products. There is also the management report of transfusions asking the doctor if their patient has come done with a transmittable disease that might be linked to the products the received. That's all I can think of for the Meditech computer system

If the anti-M shows up in gel in the antibody screen and is identified in the gel antibody panel then we give M- fully compatible units. I have not seen a mixed field in gel. My last one was wishy washy in gel and would not go away with prewarming anything. So I had to screen the units. I proved it with a cold antibody id panel with the gel cards.

Hi Cliff, I wonder if you would take a second to explain the titles we are given and at what point they change. I look in FAQ but could not find it. Junior Member vs Member vs Seasoned Poster. Thank you for all the work you and others do to maintain this site..... I have found quite informative in my short time here. Seveets, ps -- I am extremely partial to Element Red................... pps -- and with this message, I became a full fledge Member ................... I am so PROUD.............

Somebody correct me (please) if I am wrong but the Written Implementation plan is only required if your facility is accredited by AABB.

LOL, That would be too easy and ordinary.......... You would think the reaction for anti-A would be stronger than a 1+ but it is a possibility.........

We test all Rh negative mothers and mothers that are type O

I know nothing about this company or its product other that it is NOT available until 2007. http://www.volarisconsulting.com/

I am interested in getting my hands on: Passing the 1st Time: Blood Bank Review Guide. The author/publisher is all sold out until most likely I have already taken the exam.. Is there anyone willing to part with their copy...

Other than a slight decrease in Factor 8 levels, these two products have been found to work identically. We made the switch a while back but I don't remember anyone being told....

Well, I can tell you that Ortho does use the MHO4 clone and it is in lot # BAA559A but I can't tell you about your lot or Immunocor. Please keep us informed....

Sounds a lot like http://www.bloodbanktalk.com/forum/showthread.php?t=2034 I assume you did all the normal things: washed the cells, incubate, etc. Very interesting..

The tech manual seems to say that those results you got are due to the MHO4 clone used in the anti-A reagent and to verify the B(A) phenotype you test the patient with anti-A that does not have that particular clone. Does each anti-A lot specifies it's clones?

There is a B(A) type that will react with the MHO4 clone of Anti-A reagent.

In 2 weeks, I will be a graduate of the UIC SBB program and will have a nice certificate to hang on the wall. Whether I pass the SBB exam is another story. With online learning I was not forced to memorize anything, and I think that will be my downfall. I will continue to review before I take the exam so we will see........... Although expensive (work did reimburse some of it) it was worth it.

Whatever anyone does --- DO NOT go to that website..... VERY DISTURBING.................. ;-)

Hear, hear Unfourtanely our policy states that after the first 5 units of packed cells are transfused and more are ordered, we (blood bank) thaw 2 units of FFP and order pheresis platelets (we do not carry a supply of them) and deliver them ASAP. We will be notified when the crisis has passed.

Ours state the a change >= 30 may be indicative of a symptom of a transfusion reaction

$274.55 in MA We charge the patient: $315 -- not sure what Insurance pays.

We use Gel as well, and in my case, the anti-M wouldn't really go away... so to prove that's what it was I did cold gel panel.

I believe I am the only one who has done a cold panel here. But I am just finishing up a SBB course and so I was filled with ambition. It was to prove a pesky anti-M. I don't even think there is an official procedure here for it -- I just went for it.

Hi all, I am looking into the possibility of performing electronic crossmatches and would appreciate any documentation (or helpful hints) about validations and procedures. If it matters, we are using Meditech v5.5 Thanks

Hi, Patient was brand new with no history -- 39 year old male with no signs of bleeding and a Hct of 27. I did a DAT on my own with the idea he might have WAIHA. It was 2+ in gel with a negative ABS. I did not do an elution because the patient was never transfused = warm auto or drug induced. In my head, I had ruled out all major antibodies, and thus did not need to do full crossmatches. I was cited for not following the SOP.

Thank you Karen and Jane, We wouldn't know either but it happened to me last week and I DID NOT do the full crossmatches. My actions caused an internal incident report and a product deviation report to be filed. I wanted to know about the reasoning behind doing full crossmatches is this particular situation but as of yet have not come up with them, nor has the supervisor.