ChrisH

Just like DPruden, but we are on HBB (Horizon Blood Bank)

I asked this question because we had an office call us saying that a patient had previously typed Rh negative and we had typed Positive. 2 Different samples came up positive. We have seen this a few times recently and I know that the Alba anti-D seems a lot stronger then the Ortho we had used previously. Has there been any recent literature on reporting of Rh results?

So you are saying is that if a patient is IS +- (weak) you would call that patient as rh positive.

Question for you all out there. With all the different types of doing Rh testing human vs machine, tube vs gel etc. When is a patient really called Rh positive? I would say Tube testing read by a human is the weakest testing method, do you call all that test positive on IS testing Rh Positive? Or do you say anyone testing 1+ or 2+ and stronger positive? Would you not say that it is very dependent on what antisera ( IgM, IgM/IgG blend) and what manufacture you are using?

What I also see is that they are using BioRad, which is Tube, but they are doing gel crossmatched.... do the ABS is Gel, but then this message is over a month old so they should have already gotten their answer.... I bet an antiD missed in the tube antibody screen.

During day hours, our OR will Order the units in the computer system. When they want them they will come down with an issue form and we read and they readback name, ID, DOB, BB armband, blood type, unit number. If it is not dayshift when OR is short staffed, we will take a verbal order and enter that persons name along the the doctors name in the computer system.

We are using Igloo Marine Breeze coolers for OR and they are validated for 24 hours with wet ice..... We found the frozen gel packs got WAY to cold

Do we still need to keep our registration if we are not using our W0000 number at all?

We are going to 5 day plasma, I am trying to figure out the codes FFP from CPD (ISBT E0701) gets thawed to code E0773 for 24 hour outdate. FP24 from CPD (E2555) gets thawed to code E2701 for 24 hour outdate But I can only find one Thawed Plasma from CPD code E2684 for 5 day product. Our computer wants unique codes for each product. What has everyone else done? We are on HBB (aka Wyndgate)

Do anyone have any Guidelines setup that are willing to share. I have found a few online University of Iowa New York State ARC Our transfusion Committee wants to establish some guidelines.... thanks Chris

We noticed and called ortho. They already knew about it. Yesterday we got a product notification from them.

I agree with aunti d. Always refer to the SOPs. Good luck with your new job

I know that you should type a patient for the antigen when you have identified an antibody. Example patient has anti-Cw. But a lot of places do not carry the full range of antisera. So you send it out to be typed and ask for antigen negative units? Do you not antigen type the patient and find crossmatch compatible?

DPruden, thank you. Some one sent me a private reply and explained it all to me.

We only bring in about 15 - 20 units a day. When a unit come in we remove a segment, place a unit # sticker on it. Bundle the segments together and tape them and write the date on them. Place them in a bag for the month. We keep 2 + months. Previous place just placed all the segments in a specimen bag, labeled it with the date received and expiration date (49 days).

We are using our cancer center to irradiate and the are using Linear Accelerators. So I can assume that we do not need this certificate.

I am not getting any help in understanding the CAP requirements when it comes to Linear Accelerators. Anyone out there willing to help me?

There is documentation that the laboratory has met the requirements of the US Nuclear Regulatory Commission for blood irradiation devices. NOTE: This checklist element can be satisfied by a certificate or letter stating that the laboratory is in compliance with the US Nuclear Regulatory Commission. Anyone know how to get this certificate or letter?

There was a poll done on this site back in 2008. I want to relive this to seperate out those with manual vs machine. If you can fill out the following it would be most helpful ABS TAT in minutes: Method (Manual vs Machine):

http://www.fda.gov/biologicsbloodvaccines/guidancecomplianceregulatoryinformation/guidances/blood/ucm252829.htm Per this "As discussed above, the regulations require that you inspect and routinely validate your computer crossmatch process according to a written program designed to assure proper performance " What do you do to rountinely validate your computer crossmatch process?

this requirement has been removed "If the facility performs electronic crossmatches, is there documentation of on-site validation prior to implementation, at the time of each alteration that may affect function, and at least annually?" Does any one else require annual validation?

With all that talk about BM..... I was in the Army and was in Korea. I do not know how many O&P we did but they were lined up all the time. We would call patient a positive for one parasite. They could come back in after they finished treatment and we would find another different one. Also those BM of those that eat Kimchi, a gas mask could not spot that smell. To this day I can not be in a room with that stuff.

We have yet to go to 5 day thawed plasma, and my pathologist always ask me what the bigger institutions are doing. So who out there is using 5 day thawed? thanks chris

Both Florida Blood Services and Florida Blood Centers pre pool cryo for their customers. FBS does 5packs and FBC does it in 10 packs

I have seen places that require ABS for FFP and PLT. Mostly because of how their computer system handles the samples. If a patient has a BB ID band on or a blood sample in BB. Then some doctors (right or wrong) think that we have a sample in the BB that can be used for a crossmatch, ie ABS has been done. So to take the guess work out of it (for anyone to collect a BB sample), any blood product must have an ABS.