kimblain
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kimblain started following CGM (continuous glucose monitor) - inpatient setting
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CGM (continuous glucose monitor) - inpatient setting
I have had a request for use of a patient CGM during their inpatient stay. Upon research I have found that use of a CGM was given an EUA during the COVID pandemic but FDA has not approved use in an inpatient setting. I found a study done by Stanford but more data is needed. As these become more prevalent what are the approaches you are using to implement usage off label of these or are you just using a glucometer? How are the results being documented if using as you cannot bill for these results.
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Hemocytometer QC
How often do you run Hemocytometer QC, is there a CLSI standard for this? We currently run every 8 hours but I would like to do every 24 - should this have an IQCP
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Refrigerated Platelets
No, I have someone on staff that was doing research on Cryopreserved platelets and I was wondering on the history of it.
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Refrigerated Platelets
Are any countries using refrigerated platelets, Does anyone know of current research?
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Infant transfusion units
As I am reading the AABB manual they speak about potassium release with units that are irradiated and stored for >1 day. Did you look at this concern?
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Infant transfusion units
For those that do not irradiate on site, do you keep an irradiated unit on hand or do you keep a regular cmv= fresh unit on hand? We get a new unit every 2 weeks and we rarely transfuse infants but we have a unit on hand just in case
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Convalescent Plasma
What are your facilities doing with CCP that isn't labeled as High Titer? We have stocked CCP that isn't labeled as such
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Crossmatch compatible antibodies
Great! Thank you I will give it a read
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Crossmatch compatible antibodies
Which antibodies does your transfusion service typically give crossmatch compatible. Only when antisera isn't available? Those that aren't know to give hemolytic transfusion reactions?
- Transfusing Cryoprecipitate
- TAT Quality Monitors
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Antigen Typing Charges
When performing antigen typing on units for transfusion do you charge for all units tested or only those that are crossmatched to the patient?
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RH TYPE ON CORD BLOOD SAMPLES
Question: How do you report the Rh type on a cord blood with a positive DAT? If the Rh is negative with a positive DAT do you take it through DU and report the Rh type from there?
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blood in free standing ED
Does anyone know of a standard or requirement that states there has to be blood available in a free standing emergency dept.?
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Antibody Screen before Issuing RhIg
if you have a patient present at 15 week in the ED and perform the type and screen, administer rhogam. At 20 weeks they come in for an amnio - do you perform any testing? Or because you have the Type and screen previously you just administer the Rhogam?