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We have been Gel users for about 20 years. We see about 1-2 Gel negative, Weak D tube testing positive patients per year.. -
Blood typing is performed once an admission to receive FFP at our facility. TS in only required if transfusion with RBC is necessary.
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We only seperate plasma if it is a pre-op specimen that needs to be frozen.
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We document volume on the bag at issue. Niursing wanted the information for I/O documentation and to enter volume for the pump they use to administer products.
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If we repeat the autocontrol in tube and 90% of the time it is negative. We repeat the autocontrol in tube and 90% of the time it is negative.
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We do report the strength when positive for each component (IgG, C3 and Poly). Not sure if anyone is doing anything with the results but we have reported it for over 20 years...
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We perform the type and screen on the Pre Admission account number and on day of surgery order RBC on the new surgical account. We do this mostly for billing reasons not becasue meditech does not allow it.
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We use 4 hours expiration for syringe
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We use accounts that are good for 3 days most of the time. Some times the patient has a new account number for transfusion. In those cases we order red cells on that account and add a comment that Crossmatch was performed using Type and screen collected on such and such date and specimen number. This has worked well..
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Blood bank handles Factors at our facility. We also have a consignment agreement and therefore don't have to worry about outdating. We were requested to stock PCCs. We are using Factor IX (profilnine)
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For any blood product issued from our blood bank, we perform the testing. Results from other facilities are not accepted.
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ABO performed on each new admission
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Have any of you switched from Rhogam to Rhophylac? If so any issues? Thanks!
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How often is PM/QC performed on the blood warmers? We just got new warmers and the manufacturer's recommendation is once a year. Does AABB require it to be quarterly?
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We did it a few months ago. Kept it as generic as possible.
