dcubed

IMO, it is important to reconcile inventory on a daily basis. It seems to become exponentially more difficult to fix something when more time has passed.

I received a response from a customer care coordinator from the collecting facility. "It is required to initially shake the Platelets strongly to resuspend them. Later, in the process at the manufacturing labs ,the Platelets are placed on agitators or rotators to be mixed (rotated/agitated) gently while they are stored." So, not entirely satisfied with this answer, but not sure where to go from here.

I have reached out to someone that I know at the collecting facility to see if they can get me in touch with the appropriate staff to whom I can address this matter.

Unfortunately, I don't have access to that information. I'm not sure a vendor would want to talk to someone like me who is now retired and out of that loop.

I've been searching for procedures online, but have not had much success.

Treat as a transfer between hospitals. When we were asked to send product with a patient to another facility we would fill out a transfer form to go in the box and pack per our suppliers instructions.

I recently started donating platelets. Being an old retired blood banker I was kind of shocked at the end of the collection when the platelets were removed and were violently shaken to get them resuspended. I recall, when I was still working, doing a volume reduction procedure on platelets and we were taught to always be very gentle with the platelets and resuspend them gently. So, I guess that I am wondering if this violent resuspension is harming the platelets?

Rees monitor. Temp probes in freezers, fridges, etc send data to a central computer.

What were the blood types of mom and baby? Mom is O Neg and baby is O Pos.

I need help understanding a strange phenomenon. I have a D negative Mom by gel testing that has delivered a D positive (3+) infant by gel testing. A maternal post delivery sample was used for an FMH screen. The FMH screen was macroscopically positive 1+w. The Mom's post delivery sample was tested for weak D and was found to be 1+w. The Mom's pre delivery specimen was tested for weak D and it was negative. The sample was tested for FMH with a KB stain an no fetal cells were seen. I was expecting the KB stain to reveal a large number of fetal cells.

Does anyone know a vendor in the US that sells an anti K1 typing sera that is an immediate spin and read?

Thanks for the replies. I was not aware that being a registered/licensed facility with the FDA was a requirement.

Is anyone out there using the PGD test to extend the shelf life of apheresis platelets?

How many out there are using complement control cells?

You hit the nail on the head! The K positive cells were also positive for Bg. Went back and found D neg Bg neg K pos cells and they did not react. Mystery solved.

R1wR1 cell=wk pos R1R1 cell =1+ R2R2 cell=1+ strong Ror cell=1+strong rr Kk cell=1+strong R1R1 Kk=2+ Rhig was given Dec 11, 2013. Tested on Feb 19, 2014

1. Baby was full term. 2. Mom was treated for E Coli UTI. 3. We have given this same lot of RhIG to other patients and have not noticed anything other than passive anti D when these patients come back to us.

Shily, that thought did cross my mind!

We have a Mom: A neg with a positive antibody screen presumed to be positve due to antenatal RhIG. A set of D neg screening cells yielded a positive reaction with one cell that prompted a full antibody ID. Anti K was ID'ed. Here is the rub. Mom's antibody screen at time of antenatal RhIG administration was negative and the baby does not appear to be the source of antibody stimulation as she types as K neg. Could this be a "naturally occuring" antibody?

Issue gel AHG compatible units. Things can get sticky though if the anti M reacts when doing the immediate spin crossmatch.

Hi Terri, What is the process for sending the Sunquest reports to a PC intead of a printer? Thanks

Provue users: When doing the monthly data back up have you considered using other media besides a CD? Seems to me that a thumb drive would be a good alternative.

When I did my clinical training as a Med Tech student I remember my blood bank instructor saying "antigens and antibodies don't read the text books". And boy oh boy I have seen several examples over the years of things, that according to statistics should not have happened. One of the most memorable was in the days when an AHG crossmatch was done all the time, had a patient react with 3 of 4 random red cell units....turned out to be an anti V!!

Current lot of Ortho screening cells, lot VS546 has given us very weak to weak 1+ reactions with 4 patients to date. When a panel or panels are run, no cells have reacted. If anyone else out there has had this experience would you please report to Ortho.

We have a patient 13 weeks pregnant. Type and screen done. Patient is D neg, with "anti D" id'ed. There is no record of patient getting RhIG and patient denies getting Rhig. Antibody was tiltered with a less than 1 result obtained. I have never seen a "real" anti D that was not detected in the titration. Have others seen this?