pluto

The advantage of hospitals doing it are that some staff would miss swirling the tails around to evenly distribute the red cells - they find it therapeutic !!

Would be interested myself We electrical safety test it annually and clean it regularly but if was to fail I would be a bit stuck myself, we have had it a long time In the UK there was a suggestion years ago that all donor lines would come out segmented from the blood centres but that never happened though I seem to recall the odd centre doing it ?

Interesting thread – don’t know how I missed it 1st time around, pleased it has been bumped up Also got to consider other path disciplines , you would be amazed what fuss there would be if staff in transfusion got 1hr a week , other disciplines would state I do this in my own time etc etc we want 1hr also , with I suspect resulting pathology management meeting where 1hr is pulled as it discriminates against other disciplines. We have regular sponsored lunch time meetings with sandwiches provided even cakes on occasions but as you are expected to go in your own lunch time they are not well attended , I could guarantee if same meeting was in works time and not your own attendance would increase pluto

Have seen in past patient in wheelchair with no legs , smoking and receiving a rbc transfusion in sun at top of fire exit full knowledge of nursing staff ( patient had friend with them ) sunny day but not 30oC this is the UK after all On the other side of the coin some of these patients may not be seeing a sunny day for much longer due to their underlying conditions , I can see both sides though 30oC is a concern

Have been using Diamed for years now never had an incorrect NEQAS exercise yet, do not use enzyme treated cells either any more on exercise 98RO we were on Biovue at the time , Biovue only gave 1+ results in IAT in the panel at the time and 4 Jka+b+ cells were negative as well . Had enzyme panel at time and still 2 Jka+b+ cells were negative Can't find NEQAS report so unsure what they recommended after this exercise

What is opinion on haematology patients who have regular transfusions every month or even more frequent being excluded or not from electronic issue

has anyone experience of transfusing RhD Pos red cells to RhD Neg recipients in routine scenarios once you exclude transfusion dependant recipients and females under 60 I am considering all males / females over 60 , males possibly a bit younger ? aim is to reduce quantity of O Neg stocks received , interested in protocols elsewhere and sensitisation rates etc Is choice also based on quantity requested ie if 2 or less give Rh Neg if 3 or more give Rh Pos some good refs in this thread , thanks all

I have seen a presentation somewhere where there is a typical family photo , Dad mum 3 kids and then the one who received the wrong blood transfusion fades out

Our Transfusion practitioner uses that one as well

Not heard anything either

I have heard that one as well I believe they called it venting the bag

Very useful info will be mapping plasma thawer this year for first time and unsure of frequency after that probably every 2-3 years , cost is factor as mapping is £250 each and we have 2 Have never mapped room temp storage areas so will have to address that this year , had mhra inspection recently and though mapping not raised did ask how we were going to maintain a reasonable working temp in the lab as we had documented some high temps during summer ie 29oC . He did look at the Diamed 37oc incubator but seemed happy that we recorded temp daily from display and that it was calibrated twice a year

Also seen some feedback on transfusion guideline website that mhra want temp mapping of the lab area as well not just the equipment

Planning for Electronic issue currently does everyone NOT use it for haematology patients who are frequently transfused and some of which have special blood requirements ie irradiated , CMV(-)

happy new year no new year resolutions this year as I can never keep them love to all

Thanks John found article easily as well

Thanks for references , will keep me out of mischief for a while happy xmas to all

has anyone links / text for selection of blood for patients with autoantibodies I realise we need to avoid producing an allo antibody but can't find references to this in print Thanks

Thanks jayjay have registered for update emails today again I see they have sneaked one on " Validation and qualification, including change control, for hospital transfusion laboratories " this is much needed in the UK with the MHRA inspecting

We caused panic on ward recently by issuing 4 units RhD Pos to male nearly 80years old who was RhD negative and bleeding, actually refused to use it . his Hb was ok in end and received no transfusions . very frustrating when trying to conserve RhD Neg and we will be focussing again training in this area LIke the idea of the more RhD Pos the better

Hi Need to write procedure for batch acceptance of reagents Was going to include condition on receipt ie box not upside down ,intact , no leaks , 10 ordered 10 recd etc Testing of reagents themselves red cell antibody screening cells - against known antibodies and previously tested negative samples ABO rgts -ABO / RHD samples retested am I on correct lines regards

Hi any ideas when the "Precompatibility guideline" will be out, current sample times in relation to previous transfusions not practical , ? some time 2010 suggested on another thread that new guidelines will have 72 hour rule

thanks Rashmi years ago we also had them returned but is was very messy and we also had rare occasions when they were posted back in the internal mail - ubelievable Transfusion team have just audited this and found some on wards long after 48 hours , in one example months

THanks all will email company and get written answer , will post on here when known

Currentlly we keep used blood bags for 48hrs post transfusion which we are trying to reduce Rationale is delayed transfusion reactions , you then have blood bags to go back to recrossmatch anyone else keep them , number of times we require them are very rare - none that I recall this year We are seeing it as infection control risk having these on the ward though they are stored in a designated area in a suitable container thanks pluto