
Everything posted by amym1586
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Blood bank Samples
What size tubes do you use? Is the red cell suspension made from whole blood or packed cells? Do you leave the plasma on the red cells in one tube during and storage? Thanks!
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MT vs MLT
Thanks for your feedback! I hope no one took that as me "dissing" an MLT. There are MLTs here that have been working for as long as I've been alive. And I believe no matter how much you study BB it's really the experience that counts. I was just curious if their standards here were based on the fact that we do have majority of MLT's working here. They keep a short leash on some things and other things don't check at all. I think they need some updating and rearranging. I just hope I have the guts to do it.
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MT vs MLT
I'm coming from a hospital that only staffed MTs to a blood bank supervisor with mostly MLTs. They make them call a pathologist for every platelet that gets issued, after 4 FFP have been issued and for every Cryo. I was wonder if they were doing that to keep them in check or what ? I'm just not used to that.
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MT vs MLT
If you were a BloodBank supervisor with 80% MLTs... Would you change things vs if you were working with a staff of MTs?
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Second ABO/Rh sample
Is there anything that says you must have 2 antibody screens done before eligible for an Electronic crossmatch ?
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Everything Saline!
We normally have 2 cubes open at a time. with 2 different lot numbers. One is hooked up to our cell washer and one is opened to fill our squirt bottles. How do you handle qc for that? Currently we are just writing down the QC for the cube lot# going to the cell washer. Do I need to update my qc to include the saline going into the squirt bottles?
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Giving Rhogam to weakly D mothers?
Yeah, I've done plenty of KB stains at my old hospital ( I don't miss them ) I've been here for a year and so far have not had one patient need one. I just wonder if that will suffice to give one dose of RhIg to an Rh Neg Weak D pos mother of an Rh Pos baby. Or if more testing is required. I guess we are getting by with our procedure of them not being a candidate but I don't like that. I still don't understand why there is so much gray area in blood banking. I feel like there should be way to do it and that is the way to do it.
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Giving Rhogam to weakly D mothers?
We don't perform those in house. *sigh* I've got my pathologist digging in on this now.
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Giving Rhogam to weakly D mothers?
"If the mother is D positive, including weak D, strong agglutination provides no information about the extent of fetomaternal hemorrhage" It doesn't expand any further.
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Giving Rhogam to weakly D mothers?
Would you forgo a fetal screen and issue RhIG for an Rh Neg Weak D pos mother who gives birth to an Rh POS baby?
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Giving Rhogam to weakly D mothers?
Re-evaluate to give RhIg to Du+ mothers?
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Giving Rhogam to weakly D mothers?
We only do IS on Rh Neg mom's unless it doesn't match up with what the clinic typed them. Then we add on a weak D. But when we result a Weak D pos it changes the patient to O Pos. Our procedure says Rh neg Du positive Mothers would not be a candidate to receive rhogam. But if we had no history and simply did an IS Rh we would type her as Rh neg and she would be a candidate for Rhogam.
- Transfusion Safety Officer
- Transfusion Safety Officer
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Blood bank sample collection from a line
This happens at our hospital too. Our phlebs will initial and band the patient. The nurse will pull it from the line and hand the syringe to our phleb to fill the tube and label. They put their initials/the nurses initials. That way we know it was a line draw. Our nurses aren't trained to band patients or draw blood bank samples (YET)
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Transfusion Start Time Requirement
Is there a reasonable time limit with plasma as well ? I'm constantly getting asked if they can issue more than one unit of plasma at a time. I always went by well if you get it started in the 30 minute rule I don't care how many you get.
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MTS Diluent
Thanks! I swear I read all over the Ortho printout but I didn't see that.
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Transfusion Start Time Requirement
I've just noticed we don't write an issue time on the blood tag at my new hospital. I don't know how they are monitoring that the transfusion is started in a timely manner or if it's finished in 4 hours. I am not in charge of monitoring this info here. Also, If you are issuing products in a cooler/refrigerator are they supposed to write in a time removed and then a time started?
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Validating Coolers for FFP
What did you use to validate, actual thawed plasma? I've heard 'dummy" units of blood. Are there "dummy" units of thawed plasma?
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MTS Diluent
What's the Expiration date of MTS Dil 2 after opening? And do you document the cleaning of the pump? or how often?
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The Last Chance Review
If you purchase the recording is it yours to keep and listen as often as I would like ?
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Billing if the full unit is not received
Do you bill the patient for a unit if the nurses stop the transfusion due to a suspected transfusion reaction ?
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The Last Chance Review
Do they go over how to sign up for the dang test!? I need a guide just to maneuver the ASCP website lol
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Blood Returned to the lab >10 degrees C
Gotcha, I pull a percentage of transfusion slips every month and my pathologist checks all the info. So, I'd have to check with him I suppose about how lenient we are with those numbers.
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Blood Returned to the lab >10 degrees C
yep, but we are also AABB certified