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Changezi

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Everything posted by Changezi

  1. For all that option we are using irradiated blood for transplant and neonatal and all other. we irradiat the blood just when we recive call for transfusion . ( coz it takes less time to irradiat)
  2. Same here i was on night duty find a difficult case its midnight 2am have tried to solve the problem as i put some tubes on incubation , mean while i tried to get some help from net and use Google and find out this website and at vary early morning i solve it i still and i informed all my staff about this usefull website , most of them are now visiting here but active less of them
  3. We have special ward for our regular patient (day care ), most of staff and patient knows each other even we know them with their name and antibodeis or what ever . and the patient and close to the patient know their blood group and product ( irradiated or not or single donor or multipul unit or what the secound choice for that patient we have that all . just like thalassemia major patient's , most of them call us directly hay mr riaz should i get addmission my blood ready come on do it hahahhahahh (a boy age 7 brings chocohlate for us and always insist u ppl get chocolat and give me a freash one okay i dont want to come soon ) it is nice to have direct conversation with help us some time for more sample in case of antibodies present but some time its Hard when any one like that patient left us really left us cry the whole blood bank staff aahh i must stop now .
  4. It is safe to do the freash grouping , we face one problem . old age around 56 Female Came in Emergency. Dr request FFP previosly in system it is B+ we find it O+ check again with freash sample with signed by ER doctor on sample still O+ . staff went to ER and talked to doctor as this patient previously transfused 4 unit B+ PC . ( Long discussion start............ ) at the end result is patient came in ER using his sister insurance .( from picture looks like same ) some time it canbe some mistakes from addmission side , it can be wronge patient labelling and some thing u even didnot think, now in this case even if there is no previous record the transfusion is safe so repeat with every addmission is safe for patient
  5. one more thing if you find some patient or donor with bombay try to screen the whole family even if he or she is just a donor chance to find another one
  6. A vary interesting discussion , Its happend with us long before a lady came with massive Bleeding and she was bomby . I was on duty what i did okay i called all the known blood bank with in the city for help called the donor's we have in our own blood bank record. with in one hour we find two adult donor (brother and sister ) who gave blood and immidiatly transfused to the patient with out any checking directly. and as i remember we got the secound unit again from the same donor after checking Hb after 24 hour and then latter uptill that time we arranged it from nighbouring city and country All to say we have list of Donor with Bombay blood Group Record with the blood bank . i dont remember how many and all of them knows about this and are always ready at any time to donat . when ever we find new patient or donor with bombay we call that person and let him know every thing about his blood group and let him be with us in contact so by the time and time we keep screen them for HbsAG HIV..... and all others donor test . and we have coordinate with other blood bank within the city as if any one find bombay we informed each other and share the donor detail for any kind of emergency.
  7. agreed only Helmer
  8. Same here agreed with malcolm Needs and above
  9. Donation (donor) area = [TABLE=class: FL] [TR=class: even] [TD=class: BBG] ABO/RH(D) [/TD] [TD] [/TD] [TD][/TD] [TD] [/TD] [/TR] [TR=class: odd] [TD=class: BBG][/TD] [TD=class: BBG]ABO/RH(D) RECHECK [/TD] [TD] [/TD] [TD][/TD] [TD][/TD] [/TR] [TR=class: even] [TD=class: BBG] [/TD] [TD=class: BBG]Antibody Screen [/TD] [TD] [/TD] [TD][/TD] [TD][/TD] [/TR] [TR=class: odd] [TD=class: BBG] [/TD] [TD=class: BBG]LABEL CHECK [/TD] [TD] [/TD] [TD][/TD] [TD][/TD] [/TR] [TR=class: even] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR HBS AG [/TD] [TD] [/TD] [TD][/TD] [TD] [/TD] [/TR] [TR=class: odd] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR HEPB CORE T [/TD] [TD] [/TD] [TD] [/TD] [TD] [/TD] [/TR] [TR=class: even] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR HEP C [/TD] [TD] [/TD] [TD] [/TD] [TD] [/TD] [/TR] [TR=class: odd] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR HIV AG/AB [/TD] [TD] [/TD] [TD][/TD] [TD][/TD] [/TR] [TR=class: even] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR HTLV TEST [/TD] [TD] [/TD] [TD] [/TD] [TD][/TD] [/TR] [TR=class: odd] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR MALARIA TESTING [/TD] [TD] [/TD] [TD][/TD] [TD][/TD] [/TR] [TR=class: even] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR NUCLEIC ACID TESTING [/TD] [TD] [/TD] [TD][/TD] [TD][/TD] [/TR] [TR=class: odd] [TD=class: BBG] [/TD] [TD=class: BBG]DONOR SYPHILIS ANTIBODIES - ELISA PATIENT = ABO-Rh ( FROWARD & REVERS) , IAT , XM AND DONOR BLOOD GROUP[/TD] [/TR] [/TABLE]
  10. we are working on that transfusion Audit form through which we start comunication with the nursing staff, as i went to audit the transfusion i talked there with some nursing staff in a vary friendly way and tell them how thay can help us and feel its working . like every time you meet some new staff and with in while all of them knows what to do . for example with in week we find some return of the blood immidiatly as thay feel it will take a time to transfusion . all we need is to have some comunication with the floor staff thats the only solution .
  11. thanks for all and now lets talked about problems facing and solution
  12. we are doing it using 0 neg but because of less stock to o neg we cannot go for it more , and specialy for male patient after 4 or few transfusion we go with O pos depending on our stock , on arrival of sample which is collected by our phelbotimist staff directly recived to blood bank we start of same blood group transfusion , this is TRAUMA CENTRE we recive polytrauma patients at any time with any number so try to keep our stock of 0 neg . so what whould be the blood bank policy for this ....? ( emergency blood releasing policy)
  13. hay this is intail work out introduction i try to make more in which i try to explain facing problem attantion Mabel Adams; Eoin; David Saikin; and all any change or addition is appretiated
  14. i try to attach and send to you pplt my intail work presentation but dont know how to attach
  15. hay thanx , we got all here packed cell , single donor pletlet , FFP , cryo . the most of the problem is which i have to explane is , 1 = ordering STAT while in the system all ready some xm unit is available ( means not a real emergency transfusion) 2 = recive call to thawed FFP ( most from OT few from WARDS ) and not used . next day all goes to expire. these are the major problem which i have to explain them and find them in a good way
  16. good morning all, i am assinge to present blood bank for all doctors and nursing staff of our hospital . i have to give presentation which includ our work and trying to understand them about product and solve the most problem which we face some time with staff nurse and emergency situvation . any contribution is appreciated . thanks in advance .
  17. well Come to the amezing site , if u r new like me so be the nice reader you will find many experience people here teaching you and sharing the cases . As i am learning from here and my special thanks for all senior here like Malcolm Needs ,Cliff , LIZ , RH fan , Mabel and so many others to keep u educating and updating
  18. really looking forward for both detail lecture .y dont attached here so every one can have it thanks
  19. we are doing it . As recived order one of our blood bank staff go to the ward and collect it . i really want it tobe done by the ward staff some time really difficult to release a staff when have much work in blood bank .
  20. well come to this wonderfull forum
  21. well come tobe the part of this gr8 forum .
  22. agree with brenda and i have seen that some time patient with the strong DAT like +4 having problem to find compatible XM or i can say on least incompatible transfusion the blood warmer is used for the safe side but as above for cold auto reaction it is used
  23. As reading all above for the donor retype using tube is fine as a time and cost saving .but as some one mentioned quality should consider

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