hello everybody!

these days, there came a blood donor who consumed Xenadrine.
any of you know or suspect a contraindication to donation of blood from people taking fat burners?
:confused:

How does your hospital handle physician orders for blood? My specific question --if a patient requires special units such as irradiated, CMV neg, Sickle neg--does the physician have a written order specifiying these requirements or is it the responsibility of the Blood Bank to recognize the need and give appropriate units. We have run into some seroius discussions with the orders matching the products. Most of our docs order PC period. It is often the Blood Bank who calls and questions or recommends. Would like your thoughts and input.

Does a unit of autologous red blood cells need to have an adhered label with the recipient information or can the information be simply attached; such as a tie tag?

I was looking for any guidelines(with references, if possible) as to how fast a bag of platelets can be safely transfused. Thanks!

We are currently doing platelet counts on our full products as well as our spilts. How many places are just doing a platelet count on the full and using that number to calculate the splits yield with the volume? Thanks

I want to change vendors on my 22% Albumin....what is the best way to parallel test it/evaluate the new reagent....????

Is microscopic examination of a (macroscopically) negative DAT required? I think it is but I can't find where at in the Standards or Technical manual it states this. Thanks!

Just wondering if anyone else went with this conversion. I would like to know how your historical conversion went and whether you have background job issues.

Thanks!

We perform weekly Blood Drives at various Universities, except in summer. Where can one go in summer??

Thanks,

Liz:) :cool:

How much is enough validation - and what is too much? Where does one even begin - for validating electronic crossmatch.


thank you

Jersey

Is there anyone out there that has gone live with BCTA as of yet? We go live in the AM. Please what are some of the problems you have encountered?:confused::confused:

I will say right up front that I have no clue what is causing this and I am looking for ideas because I have stared at it for too long.
We got a male patient who had been transfused at another facility in April with multiple units, including 5 Rh positive units due to an emergency, and was transfused a couple of units again in June . The facility reports that his screen was negative in June. Now he is here for an aneurism repair. He types as O Negative, Direct Coombs 1+ with polyspecific and IgG antisera. The eluate is 1+ with all cells tested. The antibody screen and panel in solid phase is 3+ to 4+ with all cells. The antibody screen and panel by LISS show variable reactivity (4+ with D positive cells at Coombs and nearly all D+ cells react at 37C, so I'm pretty sure there is an anti-D). D negative cells range from weakly positive to 2+.
So, we cleverly perform a differential PEG adsorption to sort things out. All the D positive cells we run are positive with all three adsorbed sera w+ to 3+ (3+ with rr adsorbed sera, so that is the anti-D, the R1R1 and R2R2 adsorbed sera are w+ to 2+). All the D negative cells are negative with all three adsorbed sera.
Now, I am making the assumption that the adsorption worked, since I got negative cells. I don't know if that is a good assumption or not. So what would be left behind by all 3 sera that reacts only with D positive cells? Wouldn't anti-LW be adsorbed out by the Rh positive cells?

:confused::confused::confused:

We have always given our thal patients fresh, group specific blood in our facility. Recently I have heard that hospitals in another region are also washing the blood x3. What is the rationale behind this and how many of you do this?

Thanks

We currently store all patient specimens for 14 days in a tray where the days are seperated by dividers and where each row is labeled with the day (Mon, Tue, etc..). Could I please have some feed back on how other hospitals store their patient specimens? Thanks so much!:)

When you issue a unit that is compatible with the adsorbed serum but not with the neat serum, do you request that an in-vivo crossmatch be performed?
In General, is the in-vivo still being requested and is so, when?

Thanks,
Liz :cool:

The updated CDC map is a major change re: Mexico. We had many deferrals for travel to Riviera Maya which is no longer a risk area. It's difficult to tell from the map- but are the ruins (Tulum, etc.) still a malaria risk? Our employees are asked to probe for trips outside the resorts.

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