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Whole Blood for Traumas or MTP
Of course level 1trauma center stock 4 whole blood o pos low titer
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Rh pos to Rh neg patients
Basic guideline from our trauma center-- O Pos to all males and females over 50 Critical shortage--use O Pos. The Medical Director can sign after the emergent event
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IV vs IM Rho (D) Immune Globulin
mostly given IV cuz reimbursement is greater from insurance than I'm
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Factor Assay Testing for Trauma Patients
We use the Thromboelastograph and allow surgeon and anesthesia see real time results.
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DAT - ACCEPTABLE METHODS FOR PERFORMANCE
We do only the IGG in gel or tube and C3 in tube. The Poly has proven unacceptable.
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Whole Blood Products for MTPs
How did you get a supplier to support you? Ours says no way!
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Group A plasma for traumas
MTP POLICY IS IN PLACE: USE A PLASMA IF AB IS NOT AVAILABLE.
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monitoring units in coolers
The Sure-Cue indicators are touchy-but work ! We use them in our level 1 trauma center for MTP packs.
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RHIG stored at room temperature for hours
similar situation--Rn kept in her pocket for 12 hours after dispense. I wrote technical service at Rhophylac company--they said no worries--should be fine.!!!
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Temperature Indicator for RBC Units
Safe-T-Vue is the only brand to use for long term The HemoTemps do NOT stay activated. Safe-T-Vue -each box comes with validation! They are more expensive
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Eluate testing? Screens first or straight to a panel?
do the screening cells/control cells first--then if neccessary-panel
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- Blood Bank staff
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Repeat Testing for FFP and Plts
No retype give product and have transfusion committee review
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Cleaning the Helmer Plasma Thawer
regular maintenance-drain weekly
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Rhogam testing
only perform the fetal screen on a post delivery specimen