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2007 Discussions (listed in reverse chronological order)

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Date Posted Subject
Dec. 29, 2007 REACTIVATED DISCUSSION: Extraordinary effort to accommodate requests for autologous and directed donations
Dec. 27, 2007 REACTIVATED DISCUSSION: Compliance with the new requirements for labeling of aliquots and pooled components
Dec. 18, 2007 Assignment of outdate for 5 day plasma ADDENDA Jan. 2, 2008
Dec. 13, 2007 When is additional RhIG required? ADDENDA Jan. 1, 9 & 25, 2008
Dec. 12, 2007 REACTIVATED DISCUSSION: Switching from uncrossmatched type O to type-specific Red Cells in urgent bleeding situations
Nov. 27, 2007 Induction of an inhibitor antibody to factor XI in a patient with severe inherited factor XI deficiency
Nov. 22, 2007 Strategies to minimize the use of pre-transfusion blood specimens that contain the wrong blood in the tube ADDENDA Nov. 24
Nov. 22, 2007 REACTIVATED DISCUSSION: QC checks for ABO typing reagents; what is required for compliance with rules/regulations versus what is needed to assure test results are accurate for patients who might need transfusion?
Nov. 15, 2007 How to properly charge for antigen typing of donor units when trying to find phenotype matched blood for a patient with multiple red cell alloantibodies
Nov. 13, 2007 Extending the expiration date of platelet products ADDENDA Nov. 15
Nov. 13, 2007 REACTIVATED DISCUSSION: 2,3-DPG kits and reagents needed for red cell storage studies
Nov. 7, 2007 REACTIVATED DISCUSSION: What are the personnel requirements for hanging blood components and signing off on the transfusion records?
Nov. 3, 2007 Testing for viral infection in donors using NAT
Nov. 3, 2007 Using intraosseous (intramedullary) blood samples for pre-transfusion and other testing
Nov. 3, 2007 REACTIVATED DISCUSSION: Documentation of blood component transportation from the hospital transfusion service to the patient's location ADDENDA Nov. 3
Oct. 22, 2007 What is the “magic number” or percentage of patient records that need to be verified when implementing a new computer system in a blood bank? ADDENDA Oct. 27 & Dec. 4
Oct. 17, 2007 Now that California Senate Bill 'SB 250' has been signed into law, will this create compliance problems for donor collection centers that issue gift cards as an incentive to the donor? ADDENDA Nov. 7 & 15
Oct. 16, 2007 Blood product recall for a donor testing positive in an EIA for HIV antibodies but indeterminate in an HIV-1 Western Blot and negative for HIV-1 RNA by NAT ADDENDA Nov. 18 & 27
Oct. 12, 2007 What are expert thoughts about the recent articles on Nitric Oxide and banked blood?
Oct. 11, 2007 REACTIVATED DISCUSSION: What is the correct procedure for decommissioning an outdated blood product irradiator?
Oct. 6, 2007 Can cryoprecipitate-reduced plasma be converted to thawed plasma and used within 5 days? ADDENDA Oct. 9
Oct. 5, 2007 Managing a patient with whose post partum blood specimen tests positive in a rosette screening test for fetal-maternal hemorrhage, but tests negative in a Kleihauer-Betke (KB) or a flow cytometry test for the presence of Hgb F containing red cells ADDENDA Oct. 15
Oct. 1, 2007 Expiration date for a 6% solution of albumin made from a commercially prepared 22% solution of albumin ADDENDA Oct 2, 4 & 23
Sept. 21, 2007 REACTIVATED DISCUSSION: Using a microwave to thaw FFP ADDENDA Mar. 16, 2009
Sept. 17, 2007 REACTIVATED DISCUSSION: Is it necessary to determine the specificity of HTLA antibodies? ADDENDA Mar. 29 & 31; Sept. 17 & 20, 2007
Sept. 17, 2007 Patient 'wallet card' text for HPA-1a antibodies ADDENDA Sept. 24 & Oct. 1
Sept. 17, 2007 Practical considerations when collecting "shed blood" into a disposable system for blood reinfusion ADDENDA Sept. 17 & 21
Aug. 31, 2007 REACTIVATED DISCUSSION: Eligibility for pre-operative autologous donation by brain tumor patients who had a recent seizure ADDENDA Dec. 1, 2 & 3, 2003; Aug. 30, 2007
Aug. 15, 2007 Use of blood product labels that are peeled off of printed transfusion forms (tags) ADDENDA Sept. 17
July 31, 2007 Determining the correct dosage of RHIG for immunoprophylaxis of feto-maternal hemorrhage (FMH) ADDENDA Aug. 1, 2, 3, 5 & 10
July 25, 2007 How long must records be retained for deceased patients? ADDENDA July 30
July 16, 2007 REACTIVATED DISCUSSION: Policies for Ensuring An Adequate Supply of O Rh Negative Blood in Emergencies Mar. 24, 2001; ADDENDA June 10, 2005; Mar. 2, 2006; Jan. 3, July 16 & 20, Aug. 10, 2007; June 13 & July 16, 2008
July 11, 2007 Dispensing blood products for neonates in a syringe and compliance with ISBT labeling requirements ADDENDA July 12 & 16
July 11, 2007 REACTIVATED DISCUSSION: Protocols for re-entry of blood donors who are HIV-1 EIA-reactive but Western blot negative ADDENDA July 27 & Aug. 7
July 11, 2007 Management of donors who are repeat reactive on Treponema pallidum specific antibody tests but non-reactive on enzyme immunoassay or other fluorescent treponemal antibody confirmatory tests ADDENDA July 27 & Aug 27
July 9, 2007 REACTIVATED DISCUSSION: Limitation to new method for quantification of feto-maternal haemorrhage (FMH) by flow cytometry with anti-fetal haemoglobin ADDENDA July 11
June 26, 2007 Irradiating all cellular products (RBC and Platelets)? ADDENDA June 27
June 26, 2007 REACTIVATED DISCUSSION: Policies defining when platelets and RBCs should be cultured as part of a transfusion reaction investigation Oct. 4, 2001; ADDENDA Oct 6 & 8, 2001; Mar. 28, 2006; June 26, July 2 & 16, 2007
June 22, 2007 Managing neonates whose mothers have identified red cell antibodies ADDENDA July 9 & 16
June 19, 2007 Testing to measure efficacy of a transfusion ADDENDA July 8
June 19, 2007 Standardizing transfusion appropriateness
June 14, 2007 Experience with building ISBT component and modified component codes in older LIS systems ADDENDA June 26
June 14, 2007 What information is routinely available to blood bank laboratories when blood products are requested for transfusion? ADDENDA June 26 & July 17
June 12, 2007 REACTIVATED DISCUSSION: Are transfusion services in California utilizing non-Clinical Laboratory Scientists (CLS) within their laboratories, and if so, in what capacities? ADDENDA July 6
June 11, 2007 REACTIVATED DISCUSSION: Monitoring vital signs during and after blood transfusion - revisited
June 4, 2007 When is it to appropriate to discontinue providing leukoreduced and irradiated cellular components for pediatric cardiac bypass patients after surgery? ADDENDA June 11
May 31, 2007 'Decontamination' of cord blood collection bags before stem cell processing
May 30, 2007 REACTIVATED DISCUSSION: When the supernatant of a red cell unit shows visible discoloration suggesting hemolysis, should it be issued for transfusion? ADDENDA Mar. 4, 2008
May 30, 2007 Provision of washed allogeneic packed RBCs for adult cardiovascular surgery ADDENDA June 5
May 22, 2007 How are Transfusion Services documenting peer review of Medical Director competence? ADDENDA June 8
May 22, 2007 Long-term storage of stem cells in the vapor phase of liquid nitrogen vs -80°C in a mechanical freezer
May 21, 2007 REACTIVATED DISCUSSION: How do collection centers or hospital blood banks manage post donation information events involving a diagnosis of cancer when the cancer diagnosis is made AFTER one or more previous blood donations?
May 16, 2007 REACTIVATED DISCUSSION: Maintaining inventories of plasma with low titer anti-T
May 13, 2007 Policies for providing red cells for trauma patients with multiple antibodies ADDENDA May 15, 22, 25 & 30
May 2, 2007 Indications to perform a titer when anti-D is detected in a patient who has received Rh Immune Globulin ADDENDA May 4, 8 & 13
Apr. 28, 2007 REACTIVATED DISCUSSION: Donor eligibility of a man who dresses as a woman in anticipation of sex change surgery ADDENDA May 22
Apr. 25, 2007 Use of 'autologous serum eye drops' for patients with certain corneal disorders ADDENDA Apr. 27, May 2 & 4, June 1; Sept. 16, 2008
Apr. 24, 2007 REACTIVATED DISCUSSION: How well do clinicians document the reasons for their order to transfuse a patient? ADDENDA May 13 & 25, June 1
Apr. 21, 2007 REACTIVATED DISCUSSION: Donor deferral for taking medication Nov. 3, 2001; ADDENDA Nov. 12 & 21; Mar. 15 & 16, 2003; Jan. 14, Feb. 12 & Apr. 21, 2007
Apr. 21, 2007 REACTIVATED DISCUSSION: Planning for a natural or man-made disaster at hospitals and blood centers ADDENDA Apr. 27
Apr. 19, 2007 What are the requirements and practices of other blood centers in California for accepting 16-year old donors? ADDENDA June 22, 2008
Apr. 19, 2007 What categories of personnel are being assigned to perform autologous and directed donations, and what categories of personnel are being assigned to perform therapeutic phlebotomies?
Apr. 15, 2007 REACTIVATED DISCUSSION: Which solutions other than isotonic saline are approved for addition to blood and components? ADDENDA Apr. 24
Apr. 15, 2007 Are there data to support the practice of transfusing a 'trial' dose of platelets to patients with a presumptive diagnosis of ITP? ADDENDA Apr. 21 & 25
Apr. 7, 2007 Backing up vital records "off site" ADDENDA Apr. 30
Apr. 5, 2007 Using a computer program to assist in the identification of unexpected red cell antibodies ADDENDA Apr. 8, 14 & 16; May 25 & 29
Apr. 4, 2007 Enzymatic removal of group A and group B antigens: how close are we to a universal blood supply?
Apr. 4, 2007 Unexpected, severe, life-threatening hyperkalemia during liver transplantation ADDENDA Apr. 14
Apr. 4, 2007 Clogging of blood administration set filters ADDENDA Apr. 5 & 14
Mar. 30, 2007 Are institutions following the recommendation that women, regardless of inital Rh type, be tested at least twice for RhD during their first pregnancy?
Mar. 28, 2007 REACTIVATED DISCUSSION: How long may a primed ECLS/ECMO circuit run without a patient connected? ADDENDA July 16, 2003; Mar. 28, 2007
Mar. 25, 2007 REACTIVATED DISCUSSION: Reconciling conflicting results for Rh typing using different test reagents ADDENDA Feb. 4 & 5, 2003; Mar. 25, 2007; June 11, 2008
Mar. 23, 2007 Are Transfusion Services billing separately for FFP thawing?
Mar. 23, 2007 Report of anaphylactic-type reactions seemingly associated with 7-day platelet products
Mar. 21, 2007 A proposal to eliminate weak D testing on autologous RBC donations
Mar. 21, 2007 Disposition of recombinant Factor VIIa (rFVIIa) that has been dispensed for patient use, but returned unused ADDENDA Mar. 27
Mar. 15, 2007 REACTIVATED DISCUSSION: Routine cord blood serologic testing - Who needs it? Aug. 14, 2001; ADDENDA Aug. 15 & 17; Dec. 1, 2001; July 5 & Aug. 7, 2003;Mar. 15, 2007
Mar. 15, 2007 REACTIVATED DISCUSSION: Survey on Informed Consent for Transfusion Aug. 24, 2003; ADDENDA Aug. 25, 26, 28, 30 & Sept. 1, 2003; Feb. 9 & Mar. 15 & 17, 2007; Jan. 29 & Oct. 24, 2008
Mar. 13, 2007 Corrective actions for mistakenly reporting an incompatible RBC donor unit as crossmatch compatible when it is not ADDENDA Mar. 19
Mar. 1, 2007 REACTIVATED DISCUSSION: Experience in the use of THAWED PLASMA Mar. 21, 2005; ADDENDA Mar. 21, 22, 23 & Apr. 3, 2005; Mar. 1, 6, 7 & 17, 2007
Feb. 26, 2007 REACTIVATED DISCUSSION: Practical concerns regarding the location of a hospital blood bank away from the operating rooms June 28, 2004; ADDENDA June 29 & July 8, 2004; Feb. 26, 2007
Feb. 26, 2007 REACTIVATED DISCUSSION: What is an effective strategy to assure that a blood product dispensed via a pneumatic tube system is administered to the correct recipient? Mar. 28, 2005; ADDENDA Sept. 12 & 18, 2006; Feb. 26, 2007
Feb. 21, 2007 Blood component description on unit tag and transfusion record ADDENDA Feb. 23, 26 & 27; Mar. 6
Feb. 21, 2007 REACTIVATED DISCUSSION: Transfusing donor RBC units obtained from individuals whose plasma contains unexpected antibodies May 1, 2002; ADDENDA May 2, 2002; Feb. 21, 2007; May 16, 2008
Feb. 19, 2007 Comments requested on Joint Commission meeting to determine the need to incorporate blood management performance measures into their survey and accreditation process ADDENDA Feb. 20 & Mar. 17; July 25, 30 & 31, Aug. 12, 17, 21 & 22, 2008
Feb. 19, 2007 REACTIVATED DISCUSSION: Should at-risk donors be interviewed and/or tested for T. cruzi infection to prevent transfusion-transmitted Chagas Disease? June 11, 2002; ADDENDA June 12 & 21; July 11; Aug. 1; Sept. 3; Nov 29 & 30, 2004; Feb. 19, 21 & 24, 2007
Feb. 15, 2007 REACTIVATED DISCUSSION: Validating igloo coolers that are used to 'store' blood in the operating room May 29, 2002; ADDENDA Feb. 15, 2007
Feb. 13, 2007 Using bar codes to link blood products to the correct recipient: Is using a bar code that only encodes a single number a compliant and a safe practice?
Feb. 9, 2007 Importance of language: Plasmapheresis vs plasma exchange ADDENDA Feb. 20
Feb. 5, 2007 REACTIVATED DISCUSSION: Monitoring temperature of blood products transported within the hospital Sept. 12, 2002; ADDENDA Sept. 14, 16 & 18; May 12, 22 & 24, 2006; Feb. 5 & 15, 2007
Feb. 5, 2007

How cold must human antiserum be stored? ADDENDA Feb. 19

Jan. 26, 2007 REACTIVATED DISCUSSION: What do blood collection centers do with donors who are implicated in TRALI, and those whose blood is at high risk of causing TRALI? Jan. 7, 2004; ADDENDA July 30, 2004; June 3, 2005; Nov. 15, 2006; Jan. 26 & 29; Feb. 5 & 26, 2007
Jan. 22, 2007 REACTIVATED DISCUSSION: Risk of hyperkalemia from irradiated Red Cells used to prime ECMO circuits in neonates Nov. 29, 2004; ADDENDA Jan. 11 & 14, 2005; Jan. 22, 2007
Jan. 16, 2007 REACTIVATED DISCUSSION: Is simultaneous crossmatching of multiple patients by the same technologist permissible under current JCAHO requirements? Feb. 16, 2003; ADDENDA Feb. 17, 2003; Jan. 16, 2007
Jan. 14, 2007 Strategies for transfusion support of a patient with TAR (Thrombocytopenia Absent Radius) Syndrome ADDENDA Jan. 24
Jan. 13, 2007 When considering Rh immunoprophylaxis for an Rh negative woman, if a test for D on her newborn baby is negative, what methods are used to rule out the possibility that the newborn has a "Weak D" phenotype? ADDENDA Feb. 13; Mar. 27, 2008
Jan. 12, 2007 Comments requested on documents for the use of ISBT 128 for coding and labeling of cellular therapy products
Jan. 9, 2007 Medicare reimbursement policy for pre-operative use of erythropoietin to optimize hemoglobin prior to elective surgery ADDENDA Jan. 15 & 26; Oct. 6
Jan. 3, 2007 REACTIVATED DISCUSSION: When Red Cells are dispensed in a syringe, what is their expiration? Sept. 24, 2000; ADDENDA Jan. 3, 4 & 5, 2007
Jan. 2, 2007 Data or experience to support the use of plasma exchange in anti-GBM negative, ANCA negative pauci-immune RPGN
Jan. 2, 2007 Fluid replacement practices in plasma exchange when FFP alone is not indicated

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