Liz

Welcome Jennifer, The Medical director should take it to the chair who will take it to the Medical Board. The CNO is there. This is extremely important.

and EGA? please. (my excuse?.... just got back from a long meeting at the Ministry of Public Health, serving on the National Transfusion Committee, and so much side talking!!!?) My brain has not recuperated yet.

Thank you Cliff!

Hello Brenda, what does "coombs reactive antisera" mean: reagent anti-sera for warm reacting IgG antibodies.... sorry for my sudden ignorance......

Great Cliff, it looks very cute this time!!! and works impeccably.:flirty:

No thank you.

Millie your post is going to be deleted by Cliff, for advertising here.

thank you hmust1, sound good, I shall lookd it up

I agree that they can write write their initials (and be accountable) BUT not touch the patient's triple name and MR#. the "Date" I wouldn't allow, one chap (oh sorry 11 yo doctor in a white coat) had a sample in his pocket for a few days, when asked why he said I was waiting for her to require blood. What!!!!!!!!!!!!!!!!!!!!!!!

Dear tbostock, thank you for the information, does the SoftBank interface with any (in-house made, or Cerner) LIS and HIS? Dear Donna, thank you, you predicted my question of interface!

Balk means to cringe away from, but I wonder if it originated from bark. Anyhow, can you kindly give me the names of your Blood Bank softwares. I have been subjected to the demo of many at the AABB, and here by teleconference and live... There is a plan to install a well known brand for the hospital and univeristy BUT the BB part demo was through teleconference and we couldnt make anything out, we are still negotiating. Donna, Terri and hmust1 do you use a specific BIS? if so, which ones? if hospital wide HIS which ones? Thank you very much. Oh, and if you are not pleased with your system, mention it somehow in morse code

I agree Brenda. We have a file and all the AbSc and AbId are in it with a similar cover page added each time on which I write the diagnosis and recommendations. Added on this cover sheet is also a small table for the patient's selective phenotype in case we needed to do it. Also, one needs to know if a patient took RhIg. It doesn't always help though, here common sense must be used as it isn't "common". One patient had anti-D and we were told by the resident ie the 11 yo in a white coat: Rhogam!! I said I don't think so, and spoke to the OB Doctor who said no the patient has formed anti-D and is expecting twins (I know that mom is D negative and they are D positive with DAT and IAT positive). The rest is history with intrauterine transfusions etc, but please dear OB resident don't tell me the patient took RhIG and the sky high anti-D titer and HDNF are due to it.

drpratul, those are good brands.

Thank you Cliff!

Thats impressive, how do you know an order has arrived Donna? does the pc ring a bell or do you keep checking We still have hard copies of Transfusion Requests sent to us. Then there is the Release Request that comes down with the messenger. And of course the log books. We enter our work and release in the Computer.

Good for you Donna! I agree, the Blood Bank staff has so much more experience than the ordering physician. So yes it depends on the case. One can always ask the BB supervisor or director so as not to be blamed for making a smart decision. If there are antibodies we would inform the doctor of the extra time needed. Keep him/her in the picture. Most often you will be asked to prepare (wash, filter irradiate and do a rain-dance). Seriously though, we would keep the ag negative units stand-by and crossmatch when (if) requested.

:blowkiss:Hello Cliff, You know that the thanks button has given up on us, have you given up on it ???:cries:

I agree with Dave, the company and your plant engineers should take care of this. For the validation of your blood collection mixers, your supplier should have weights that you can purchase. Then you validate those on your already validated Mettler balance. and it goes on.

In Korea cisAB is relatively common, I am not sure about Pakistan. It would be interesting to know. What do you plan to do in order to confirm CisAB?

Malcolm, do you have a follow up. What was transfused and how did it go? Moreover, did she deliver and what happened, HDN is a risk. Thanks

May I ask the donor's nationality?

Shadi, 1. I do not understand what the results of the reverse grouping are? Positive or negative? 2. How did you come to the conclusion that "the donor is a Cis AB" ?

Without any hesitation we DISCARD the specimen. we ask for another collect. If it is not possible we check if there is a sample drawn at a different time in an other secction (and properly labeled). Never allow them to take back the sample and never allow them to re-label it.

No cell phones allowed, they are asked to step out and talk if urgent or wait for their break. Music is definitely allowed and required. Thankfully, each shift is homogenous and they like the same music, strangely they lower it a notch when I stroll in??? No one chats while performing a Blood group or other...what of course they don't?!?! No one chats while issuing, what?!?!. If I put up a sign it would show lack of trust. I spot check and guess what my voice gets pretty loud every 6 months :rage: . The effect of which wears out in 6 months... so...Nooooo its usually only with the new appointees and I am not bad, actually I am very nice and that makes everyone want to keep me that way hehe

I agree John!