Liz

Hello, since I started his thread I wish to thank all for contributing what you do and what your ideas and propositions are. I wrote the final SOP, it is approved by all concerened factions, and was written after many objected to pricking the patient twice AND one resfused added cost (guess who). This is it: a. ................ b. Two individuals shall identify the patient before specimen collection. These two individuals are the person collecting the sample (phlebotomist, Physician or nurse) and an available health care provider (i.e. phlebotomist, Physician or nurse) c. Upon entering the patient room, the phlebotomist identifies her/himself and states the reason for the visit (e.g. I am Mr. John Smith and I work in the laboratory. Your physician has requested some tests and I am here to collect blood for the tests.) d. The person collecting the sample shall ask the patient for his/her name in the presence of the other health care provider (phlebotomist, physician or nurse) who will witness the process and confirm that the patient has stated his/her name e. The two individuals shall check the patient’s bracelet to see if it is compatible with the name given by the patient and with the name on the physician’s request. f. The two individuals shall document their names (in print) and signature on the request. At this point the witness may leave the room It goes on, but this is the part about identifyng the patient to satisfy that CAP checklist question.

I agree that Cephalosporins can cause drug-induced AIHA.

Thank you John, now that makes sense!!!!!

I shall answer that myself: yes it is..I only perform the KB test, not the Fetal screen. But I understand from this thread that : We can have a "Positive Fetal Screen but Negative KB" and that would mean the fetus is Weak D. My question is: How can this help me in the, or change my, management of the mother? In all cases we give prophylactic RhIg. Please elaborate. Thank you.

Just for clarification, Fetal Screen refers to: Testing for FMH by the Rosette test, right?

It makes sense, thank you Malcolm.

Newborns should be tested for weak D, for the sake of their D neg moms. Oups sorry, misread "excluding" ok I agree.

If IS is now a routine test with the Major CM, ask to have cost analysis done; you may have to include the extra cost of the IS in the Major CM code.

Thank you for your explanation Malcolm; do they know how the intracellular amino acid substitution can stimulate the immune system and the formation of anti-D? Is it because after hemolysis of senescent RBCs the internal "weird” D is exposed? Regarding patient management, I agree with Anna on this one. I prefer to err on the safe side.

Dear Mabel, thank you for the useful information. I am looking it up now, (yes, it is a 2). liz

I contacted Dr. Norman A. Marcus and he replied, he is just charming, thank you for the contact. I shall get in touch with Dr. Timothy Hannon. It is one thing picking up info from “Google” and quite something else getting the opinion of people who have used it and the experts; it becomes a valuable learning experience. That is the benefit of this forum. Thank you very much for your kind help. Liz

Malcolm is right again!

Dear Yvette, Thank you for your reply and useful information. I shall look up Dr. Norman A. Marcus and the Angel system. Indeed that is helpful Thank you. Liz

Is it still experimental? How can that be if the machine is FDA approved. Or are the actual procedure and the accuracy of the machine separated with reagards to FDA approval.

Absolutely Ellen, that is what I need it for, the platelet granules that carry growth factor (they later degranulate and hasten the healing process). Thank you, I am glad to hear that there are FDA approved machines, I shall look them up. Liz

So I assume that the patient did not have an adverse Transfusion reaction...?

I do not have the AABB Perioperative standards. I have looked up machines, the thing is I like to see what users think of them and how users proceed. We have all learnt our profession and then corrected things through experience. Thank you.

I thought that if I can prepare (manufacture) blood components to be given intravenously and proper Patient ID, I should be capable of preparing and tracing PRP. Still, I welcome your thoughts. Thank you very much.

For those who know Doctors or Medical Centers who perform PRP for Sports Medicine, do you have an idea how many a year are performed? I am told I would have to prepare 200 a year. Is this a low, high or normal number? I am wondering because I have to justify investing in the machine. Thanks

Thank you Raafat, this is good to know!

Thank you all for the valuable information and opinions. I am not so excited about because I agree that it should be a point of care treatment, as a mix-up can occur...... but then I think that I am issuing BLOOD! So if I can do that, the PRP should be within my spectrum of what is "possible" for the BB.... still thinking about it. Thank you Liz

Thank you Avid123 for the eye-opener points.

Dear Mabel, Thank you for your reply, yes I would appreciate it if you could ask her the brand name of the machine and if she is pleased with it. Is the machine FDA approved and is the actual procedure FDA approved, or does it not need approval. Thank you very much. Liz

The purported benefit of injecting PRP is that the autologous growth factors contained in the concentrated platelets speed the healing of bone or soft tissue.

Thank you Adiescast, do you have a procedure? The tubes must be sterile obviously and I would collect several tubes, I read between 30 to 6o mL. Should I transfer under a hood? We do not work with tubes at the Blood Bank but we do at the Stem Cell Processing lab. Thank you Liz