We were sited in a state follow up ipost JC inspection for not wearing gloves when we got a unit of blood out of the refrigerator to issue to a nurse. We had taken our dirty gloves off before doing this. Does anyone know of any regulations requiring this or not requiring? Any help would be appreciated. Thanks Mary

Does anyone currently require physicians to sign a release form for other than:
Insufficient time for completion of grouping, typing or crossmatch
Group or type specific blood not available
Crossmatch incompatible

We currently ask that our physicians sign a release form for unresolved situations such as:
Crossmatch compatible/ unidentified antibody present
Crossmatch compatible/ antibody present/ no antisera available to type units
Crossmatch compatible/ positive DAT/ no antibody identified in eluate

This has always been one form that lists the situations stated above, from which one has been checked. We also list product number, group and type and completed results, but some of the newer physicians, (hospitalists) have complained that they don't feel it is their responsibility to accept liablilty for the second set of circumstances. Should the pathologist accept these responsiblities?
:confused:

Does anyone currently require physicians to sign a release form for other than:
Insufficient time for completion of grouping, typing or crossmatch
Group or type specific blood not available
Crossmatch incompatible

We currently ask that our physicians sign a release form for unresolved situations such as:
Crossmatch compatible/ unidentified antibody present
Crossmatch compatible/ antibody present/ no antisera available to type units
Crossmatch compatible/ positive DAT/ no antibody identified in eluate

This has always been one form that lists the situations stated above, from which one has been checked. We also list product number, group and type and completed results, but some of the newer physicians, (hospitalists) have complained that they don't feel it is their responsibility to accept liablilty for the second set of circumstances. Should the pathologist accept these responsiblities?
:confused:

Last week I worked up an elderly man with no history of transfusions; results as follow:

Via MTS gel method: 3+ reactions on the 3 cell screen and all 11 cell panel cells and patient autocontrol.
Via tube method: DAT 1+ with both anti-IgG and anti-C3BC3d
Gamma Elukit 2/Tube method: Eluate: 3+ reactive with 3 cell screen and with 12 panel cells.
Compatability with IgG gel crossmatches with partial phenotype matched units: COMPATIBLE x 4 units!

:confused::confused: Any ideas?

Last week I worked up an elderly man with no history of transfusions; results as follow:

Via MTS gel method: 3+ reactions on the 3 cell screen and all 11 cell panel cells and patient autocontrol.
Via tube method: DAT 1+ with both anti-IgG and anti-C3BC3d
Gamma Elukit 2/Tube method: Eluate: 3+ reactive with 3 cell screen and with 12 panel cells.
Compatability with IgG gel crossmatches with partial phenotype matched units: COMPATIBLE x 4 units!

:confused::confused: Any ideas?

We have an ATW "cooler" which we use to transport our blood products on our helicopter. This company appears to have dropped off the face of the earth. Have they been sold? What are other prople using? HELP:(

We have an ATW "cooler" which we use to transport our blood products on our helicopter. This company appears to have dropped off the face of the earth. Have they been sold? What are other prople using? HELP:(

My request for yet another BB freezer was approved. May I ask if someone knows if the Blood Bank Helmer freezer: iPF125-8 exists in a double-door version? We import a lot of our equipment and I didn't find it on their web-site and no reply from 'sales@helmerinc.com' :(

Moreover, which BB double-door freezer brands would you advise?

Thanks,
Liz :):):):)

My request for yet another BB freezer was approved. May I ask if someone knows if the Blood Bank Helmer freezer: iPF125-8 exists in a double-door version? We import a lot of our equipment and I didn't find it on their web-site and no reply from 'sales@helmerinc.com' :(

Moreover, which BB double-door freezer brands would you advise?

Thanks,
Liz :):):):)

A 3-day old A negative newborn required blood last night, his Ab screen was positive and Ab Id revealed anti-Jka. He phenotyped Jka negative, I typed his mom, also Jka negative. These are her Abs that crossed and his titer (dilution :)) was 8. The major-crossmatches with Jka positive donors were compatible; still I do not transfuse except with Ag negative units, and "fresh" for newborns. So, we performed a call in the Medical Center and to Red Cross volunteers and finally found an A negative donor with Jka negative blood. All went well.
My question is, given this situation, how would the 3-day old Jka negative's immune system react to seeing the antigen Jka?
Moreover, I plan to keep this unit for him, according to the latest literature and practice it is preferable to use the same unit up to expiry; do you only wash the small aliquots each time to remove the excess K? Anything else required? How are the 42- day old RBCs in terms of function?

Thank you,

Liz :work: :writersbl

We do autocontrol with all ABIDs. Do any of you also do autocontrol with all antibody screening tests (we do not).

Does anyone have a transfusion service computer system that they love & would recommend? We're especially interested in one that has rule based logic, great reports, and can have several different users accessing an emergency patient's application when needed. Thanks!!!

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Does anyone have a transfusion service computer system that they love & would recommend? We're especially interested in one that has rule based logic, great reports, and can have several different users accessing an emergency patient's application when needed. Thanks so much.

Currently I help to run a 5 day course which focuses on the transfusion basics. We are continually looking to improve the way we do this.
What would/ do you look for in a training course? What would you love to see covered?
At the moment the format is 2 lectures (or discussion type groups) in the morning followed by a hands-on practical session in the afternoon (to follow on from the morning's theory).
We currently cover:
Day 1: Lectures: 'antigens & antibodies'/ 'basic blood grouping techs'. Prac: ABO (in tubes)
Day 2:Lectures: 'ABO system'/ 'Rh system'. Prac: Rh grouping (DCEce)
Day 3: Lectures: 'Other blood group systems'/ 'Antibody screening & ID'. Prac: Antibody screening & ID
Day 4: Lectures: 'From Donor to Door'/ 'Pre-transfusion testing'. Prac: Compatibility testing (ABO/D, screen, ident & crossmatch)
Day 5: Lectures: 'Hazards of transfusion'/ 'Intro to HDFN'. Prac: Mum, Dad & baby samples for investigation of HDFN

During incubation/ spin times in pracs we give out various pieces of data to interpret.
We currently assess the attendees informally but need to make this more formal (for their benefit even though it puts them off attending!).
We accommodate up to 12 people on each course & have 2 trainers available each day.

We are looking to expand on the assessment part too.
Any contributions from you guys would be much appreciated!:)

I'm terrible at using the internet for anything other than the occasional video game. Does anyone have any references to studies done concerning peg adsorptions? Does anyone here have any personal experiences, pros/cons, tips and tricks? Am I going to miss weak antibodies? Am I going to miss certain antibody specificities, ie Kell, because of the peg? Four drops or six? Why do hotdogs come in packs of 10 and buns come in packs of 8?

We had a patient come in a week ago with a really strong cold and warm auto. Using a peg adsorption I was able to get a negative screen, but since my facility really doesn't do that sort of thing often when the next shift showed up that morning they went ahead and sent samples to the reference lab. ARC agreed with my findings.

I was considering taking some of the patients completed cbc tubes and spiking them with some expired antisera to see how easy it would be to pick up the antibody after the adsorption. I'd be curious to hear some suggestions/tips/tricks for that as well.

I am looking for some feedback on a policy our Nursing Staff would like to implement... They would like to have Transfusion Services "work-up" an IVIG reaction as a transfusion reaction instead of an adverse drug reaction. Any feedback? or any others who have seen it done this way? :)

Hello Blood Bankers...

I just found this website and after browsing awhile I am excited to be a part of the group!

ejani :)

We are currently looking at our staffing ratios and I am wondering if any of you in collection centers would share with me what staff to donors collected ratio you are currently using ... AND ... if those staff are performing anything other than Screening and WB Collections.

I've seen the mobile staff to donor ratio previously stated as 1.5 donors per staff per hour of collection...is this a valid number still, or are you using some other parameter?

Thanks

Hello, I am in a statistics class and we are using statistics from work for a cost analysis paper. I am comparing the manual tube blood banking to the Immucor Echo. I am needed some TAT statisitcs for the Echo. I am trying to perform an ANOVA calculation, but only have pre-analyzer statistics. Is there a vendor out there that could share Echo TAT statistics. I know there is a consistent TAT for a type and screen, but I need real numbers to plug into the excel worksheet. Please attach a link or I can send you my email.