tupton
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United States
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Handheld phlebotomy with Meditech
We also have used Mobilab for about 5 years. It is much better than the PHH feature that comes with Meditech.
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Anyone using Ortho Vision and Meditech Expanse?
We just went LIVE with Expanse and use the Vision. Send me an email and I would be glad to help Thomas.upton@thomashealth.org
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Antibody Problem, Mysterious
Contaminated diluent should have been discovered when running QC
- Meditech - warning for patients with special transfusion requirements
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Complement Control
I have been using them for about a year now. The reactions are usually 1+ when incubated at RT for 5 min
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Complement coated sensitized cells
Question - why are you making these cells in-house when they are readily available from a manufacturer? Cost?
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Use of CPT Code 86885
Thread back from the dead.......... I just recently had an issue from the coders at my facility concerning 86885. They say I can only bill 3 of code 86885 per day. The problem is with reference lab testing. On AB ID's we get billed for 20+. If anyone has more input, I would welcome it. Thanks
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Routine use of Anti A,B
No value for routine patient testing. Ditched it a couple years ago.
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How would you have handled this?
Rh negative units that are retyped from a blood supplier do not need to have a test for weak-D
- If no filter, wash?
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To send or not to send (to a reference lab)?
We would have also sent to the IRL. The incompatible crossmatches are a dead give-away something is formed or forming.
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Malcolm Needs reacted to a post in a topic: Need opinions...Giving Ag neg units vs. antibody "rule-out"
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Expired ABID Panels
We use expired panel cells for rule-outs up to 4 months. We did get cited by CAP for not running controls, so we had to change our SOP to included QC of the panel used. Usually a D+ cell with Anti-D and a D-control (either saline or dilute albumin).
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Need opinions...Giving Ag neg units vs. antibody "rule-out"
In this situation this would be a one-time scenario for K-neg units. However, as Galvania posted, because this patient has already formed 2 antibodies, her chances of forming another are greater. Thus, giving phenotypically similar units would be advantageous, if at all possible.
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Complement Control Cells
We switched to Bioscience from Immucore because of price
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Blood Bank or Pharmacy?
Blood Bank only handles Rhogam. All others by pharmacy.