San Diego Blood Banker

Thank you so much everyone! <3.

The hospital transfusion service is performing the crossmatch and issuing the products. And it gets shipped to the infusion center directly. We do not wash, split or irr. We do thaw FFP and cryo and prepare syringe for neonatal transfusion. So under the exemption, we don't have to apply for FDA registration, but i'm concerned about issuing products to the infusion center that is part of the same hospital entity.

Hello everyone, I am so glad I found the group for all the blood bank information. Now, I have FDA registration question. My sister hospital provides blood products to the infusion center (xm RBCs and platelets) that is at least 10 miles away (infusion center is part of the hospital system, same name). We reached out to FDA CBER for information, but no response. All the transfusion services at the hospital have CA biologics license. If our sister hospital provides blood products to the infusion center outside of the facility, do we need to apply for FDA registration? So far this is what i found on the website. However, the legal terms are so confusing. Can anyone help me? Thank you!

Thank you so much everyone!

Does anyone have a lead where I can find the gel crossmatch rack? Marketlab has none. I tried Fisher Scientific.. nothing. I am looking for this type of crossmatch rack where I can do tube and gel on the side... Orto doesn't have one either.. Help. Thank you!

So we ended up sending it out to ARC. Patient is subgroup A2 and Anti-M identified.

Hello everyone.................. I hate anti-a1 to be honest with you... I never liked it.. Patient's history blood type: A pos. no discrepancy noted on the other hospital.. One hospital reported inconclusive antibody result. Received 2 prbc within 30 days. Patient is at my facility. Now has back type discrepancy. ABID- Anti-M and inconclusive. Before getting the absc result.. my tech decided to work on the extra reaction backtype discrepancy thinking that it's a subgroup.. anti-A1 lectin was negative and RT tube screen was positive at IS. A2 cell was negative at IS, but when I let it sit for 15 min.. it was 1+w positive. So I'm thinking it's not a real subgroup. Vision Gel ABORH : Anti A- 4+ Anti-B- 0 Anti-D - 4+ DC 0 A1C: 2+ and BC: 4+ ABSC: Positive and Auto control: Negative. I tested for M antigen for both affirmagen 0.8% and 3% and both are positive for M... so I am guessing it's reacting to that.. However, I ran extra cells for 3 positive and 3 negatives. Extra cells were strongly positive and some cells were HLA +. Is this patient a subgroup? Or is it the Anti-M reacting? Or is it the cold? Help Thank you!

Does any of the hospitals accept or use "Keep Ahead" Orders? My new medical director is trying to deactivate the "keep ahead" section on the prepare order because any physician can always place an order in EPIC. Most of the time our physicians do not know what "keep ahead" means, if a physician sees "keep ahead" section, the order gets placed. So, my C:T value has been high. Is it worth it to keep the "keep ahead" feature in EPIC? Please share your wisdoms. Thank you!

Thank you so much everyone. The current hospital is not equipped to issue blood through pneumatic tubes.. very old building... can't support it. I miss those days i can tube up the blood products.

Good afternoon everyone, I have a question. We just had our unannounced JCAHO inspection today in the blood bank. The surveyor asked us why we use clear plastic ziplog bag when issuing blood products when blood products are considered biohazard. Why not use the biohazard bag. What kind of plastic bag does everyone use in the blood bank when issuing blood products to floor? Help~ Thank you!

Thank you so much everyone!

Where I work, it's up to the pathologist to request haptoglobin test on the transfusion reaction case.

Good morning everyone, We are in process of upgrading our Wellsky to the new version. My question is..... how do you attribute Psoralen Treated platelet in Wellsky? Our current Wellsky version can't connect that the psoralen treated is equivalent to CMV= and Irr product. So before I came to this hospital, the previous leadership decided to automatically attribute psoralen treated platelet as cmv= and IRR.... which kind of untrue.. cause it's equivalent.... Does anyone have Wellsky and have solution how to implement this change in the Wellsky? Thank you!

Good afternoon, I am new to the group and this is my first post. Currently I am in California and my blood bank still does IS XM with gel xm when patient requires full AHG crossmatch. We use Ortho Vision. And we do electronic crossmatch on negative absc and no history of antibody. This was something new for me because when I worked in New Jersey, we did not perform IS XM along with gel xm since the LIS blood bank system can detect ABO incompatibility. I really want to discontinue performing IS XM on patient requiring gel crossmatch since our bb system can detect ABO incompatibility. However, I am new to California, I'm not sure CDPH requires to do IS XM even though the LIS can detect ABO incompatibility. CAP checklist says either serologic or LIS system. However, I want to get everyone's opinion before I present it to the medical director. Does anyone perform IS XM when patient requires gel xm when the LIS blood bank system detect ABO incompatibility? Thank you for your help.

We have haemobank from haemonetics. It's in the trauma bay. The trauma nurses can access the refrigerator as long as they are registered in the system.

Me, too. I had two patients within a week that had reactions to MTS. We sent it out to ARC and it was all negative.

All our staffs use emergency functions for emergency issue and MTP. Please send me your email address :).

I've reached out to the vendor and said they don't sell the just the luggage handles. We ended up purchasing new integrated MAXQ coolers.