ANORRIS

16th ed AABB Tech Manual, page 298 still states "the appropriate transport or storage temperature has been maintained or the component has been returned within a prescribed time frame from issue"...does this not mean a 30 min rule still can apply? It doesn't even state validation must be done on this time frame.

Not even Benny Hill?????

A clinical staff representative, who has appropriate training in blood borne pathogens

What regulatory agency says these labels are no longer allowed?

The BB's that are doing these T/S and XM's beyond 72 hours...are there only certain pre-op's you allow this to apply to or all pre-ops (other than the obvious)? Joint repairs...hysterectomy...cardiac..major vascular??

Does anyone know if a CRNA can place an order for blood to be XM'd and brought to the OR? We are an AABB Blood Bank but I can not find it in the tech manual.

This is all "OK" per AABB? Even changing the specimen draw date to a false one?

This is all "OK" per AABB? Changing the specimen date too?

How is this done in the computer? Does it separate them from other patients that do not fit into this catagory? We have Meditech and it will give ALL BB pateints the chance to have no 72 limit, even those transfued in the past 3 months. Do you keep the specimen for that long and XM at the time of surgery or XM it that far in advance? Can anyone help me here???

We allow one month. We antigen type any units needed (if the patient has an antibody) and have them ready for the date of surgery. However, if blood is needed at the time of surgery and it is beyond 72hrs since the Pre Op T/S was drawn, we require a new sample and repeat the entire work up.

My question does dot really relate to this thread, but for lack of knowing where to place it, I am placing it here. LOL When performing a T/S and an antibody is detected and identified, we automatically screen for 2 units og antigen negative blood to the corresponding antibody, as I am sure most do. My question....do you charge for this screening or do you have a doc place an order it first? In my opinion, for what it is or isn't worth, it is the same as performing an antibody panel automatically when you get a positive antibody screen withpout a doc's order. Is anyone charging for these antigen screens?????

I have a question. When thawing FFP and placing a new label on it with the new exp. date I cross off the old original 12 month exp. date. Is crossing off the original date a no-no with AABB? I can not find this in the technical manual any where. Another Blood Bank said this is "off limits" with AABB. Does anyone know if this is true?????

The cube of saline only suggests a neg control be run daily..."should" what does aabb say?

We perform a T/S on all.

I thought I remmebered a while back where the score did not need to be reported any longer????

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We use Ortho confidence control system to QC our screening cells. Can this not be used to QC the panel cells? Or has anyone tried them?

What about all the other antigens in those 11 vials?

This is right up there with having to do an IS XM with every Gel XM......geez!

What was your answer?

YUP----Brain fart

These are on the same patient, correct? How could the antigen expression widely varry? Maybe I am brain farting here????

So if we relabel Thawed FFP and use only for 24 hrs., do we need an ISBT code on the label or just out modified Thawed FFP label with the new 24 hr exp. date?

Me three anorris@georgetownhospitalsystem.org