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Keeping outdated Antigrams and Panels
I was refering to antibody screening cell antigrams. We record the results for the screening cells 1,2 and 3 in result fields but antigrams are not entered into the LIS.
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transfusion reactions
In our facility, if BB receives a call it is worked up. The attending is also notified but bears no decision making in the reaction workup until completed. The patient isn't charged for any part of it, therefore; we have decided to do what is best for patient care.
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Keeping outdated Antigrams and Panels
This is an old topic, but would like to revisit it. I am also a new BB sup. I have found where the previous supervisor has kept the blank antigrams as far back as 2004. I read the AABB standards and found 5.8.3.1 to be applicable. My concern is this. We do not enter the antigram into the computer. The only thing we record in Meditech are the results. Would I not need to keep these antigrams for 10 years in order to correlate reactions recorded matching antibody ID? Thanks!
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Cold screen repeated?
My Lab Supervisor thinks we should repeat cold screens on a patient that is previously identified with a cold. I believe this is unneccessary. Thoughts?
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Oxicom
We were recently inspected by TJC. We are not allowed to correlate our oxicom with our GEM3000. We do not currently have an iSTAT. Any suggestions?! Thanks!
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Antibody Screen At Delivery
This week we have had an OB that has a 4+ Anti-D at AHG(gel). Saline titer was 1 and AHG titer was 4. We had pathologist speak to doctor and he said she had amnio performed, so we assumed she had rhogam. We called her Dr.'s office to obtain date and they have no record of her having an amino done or having rhogam. When we asked patient; she said she didn't know. My dilemma is whether to result this as passive or allo-immunized Anti-D. Ultimately it does not matter b/c patient will receive rh negative blood anyway but just curious what you guys think...
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digital timer in Blood bank
I understand but the Standards just say to do it at prescribed intervals with no specifications. The manual suggests every 6 months. My problem is that it has been stated that digital timers do not have to be done...
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digital timer in Blood bank
According to the AABB Technical Manual in Appendix 1-4; timers should be checked twice yearly. Our timers are calibrated and NIST calibrated but they state on their certificate that there is no exact way of determining how long the calibration will maintain. It is also noted in the AABB manual that for each new piece of equipment...performance qualifications must be performed. What standard(s) gets around this? Thanks!
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New Fetal Screen Kit/ FMH Screen
Is anyone finding the FMH Screen very sensitive? Thanks for any input!