Everything posted by BBCLS
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Using complement coombs control cells with polyspecific antisera.
We QC our Poly DAT daily . One tube for IgG coated and one tube for C-3 coated cells. We use the same C-3 coated cells vial for the monospecific anti-C3.
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Ideas and interpretation on Emergency Release forms
Yes, and we audit to make sure all orders are signed.
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Resolving Abo Discrepancy In Mts Gel
We use tube to resolve ABO discrepancy.
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Rbc Returned Unused By Nursing
1-10 C
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Saline QC
Sorry ! Incomplete. Add IGG , spin , read before your control cells.
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Saline QC
We QC all our saline cubes from the washer and squirt bottles every morning. 2 drops of saline 1 drop of pool cells 2 drops of peg Incubate at 37 Wash x4 Add control cells - - - Updated - - - We QC all our saline cubes from the washer and squirt bottles every morning. 2 drops of saline 1 drop of pool cells 2 drops of peg Incubate at 37 Wash x4 Add control cells
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Alias in BB
What is the purpose of the Alias? Is it change of married name? We keep track using social security or medical record #. Sometimes per admission a patient could change from Trauma name to real name then VOV (victim of violence) name. The hospital and Lab computer should be able to communicate.
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pipet calibration verification
We , Blood bank staff calibrate our pipettors every 6 months using Artel .
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CMV negative or leukoreduced
testing? Are you giving CMV seronegative and leukordeuced only for neonatal patients?
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Plasma transfusion and ABO history
As long as they indicate in the order that patient did not have bone marrow transplant, we use that ABO/Rh history.
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Expired ABID Panels
We use commercial antisera as positive control and saline solution as negative control.
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Least Incompatible Form
We started ordering in the computer with DIN # as Serological Incompatible for the doctor to sign .
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Quality Control of Anti-A and Anti-B reagent antisera
In addition to QC kits we freeze AB plasma for negative control. The AB plasma is known negative for screen.
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When a patient has a warm autoantibody for whom you can't produce crossmatch compatible blood
We notify the ordering physician and require a physician to sign a serological incompatible units.The serological incompatible units order can be signed by physician electronically. - - - Updated - - - We notify the ordering physician and require a physician to sign a serological incompatible units.The serological incompatible units order can be signed by physician electronically.
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Billing Date
We do the same, add on to the original accessation #.
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Rouleaux detected in IS crossmatch
Those who are using electronic crossmatch do not even see this scenario, right? I work in a place like yours.
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How do you issue?
We only call emergent crossmatch. We have pneumatic tubes, primary method. When we send blood in the tube a " Delivery Receipt Form" goes with it. Orders in computer.
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new specimen following transfusion reaction?
Same here.
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units spiked not transfused returned to the blood bank
We do the same.
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Emergency Release Signature
LIS takes care of the computer link, BB Quality Assurance takes care of compliance, Pathologist takes care of ordering doctors. I believe we have a system.
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how to link a neonatal transfusion to the testing done on the mother?
Newborn Screen still needs to be done even though pedia unit was crossmatched with the moms plasma.
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how to link a neonatal transfusion to the testing done on the mother?
It looks like you don't have NICU unit. In our case, we just go to the babies computer chart to check the mother. - - - Updated - - - It looks like you don't have NICU unit. In our case, we just go to the babies computer chart to check the mother.
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Emergency Release Signature
We ask our doctors to sign the emergency release orders in the computer. So far the last audit was 100 %.
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Transfusion service platelet bacterial testing?
Same here.
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Daily QC QSA.02.09.01 #3
Same as David.