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2006 Discussions (listed in reverse chronological order)

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Date Posted Subject
Dec. 30, 2006 Are facilities routinely performing platelet sterility QC with the BacT/ALERT® system using both aerobic and anaerobic culture bottles?
Dec. 24, 2006 REACTIVATED DISCUSSION: Stability of ADAMTS13 in thawed cryoprecipitate poor plasma (CPP) stored for more than 24 hours Apr. 27, 2005; ADDENDA Apr. 27, 2005; Dec. 24, 2006
Dec. 22, 2006 Checking plasma fibrinogen levels for patients undergoing a series of Therapeutic Plasma Exchange (TPE) procedures using 5% albumin as replacement fluid
Dec. 16, 2006 Have any transfusion services received requests for washed blood products for pediatric and neonatal patients receiving live virus vaccines? ADDENDA Dec. 19, 22 & 23, 2006
Dec. 16, 2006 REACTIVATED DISCUSSION: Relabeling thawed FFP as thawed plasma ADDENDA Mar. 5, 2002; Dec. 16 & 21, 2006
Dec. 6, 2006 How do laboratories label test tubes that are used in manual tube tests, to assure 'traceability' and compliance with AABB Standard 5.1.6.2? ADDENDA Dec. 8, 16 & 26
Dec. 5, 2006 What audit/tracking systems do trauma centers use to assess the adequacy of transfusion support for emergent and massive transfusion events in their facility ADDENDA Dec. 16 & 19; June 27, 2007
Nov. 30, 2006 Do facilities plan to request an exception to allow 5 day storage of pooled platelets?
Nov. 20, 2006 Do blood collection centers defer donors, either whole blood or apheresis, who are taking an ACE-inhibitor, regardless of the diagnosis? ADDENDA Nov. 21
Nov. 20, 2006 How are hospitals that use 5% albumin as a replacement fluid for some therapeutic plasma exchange procedures addressing a lack of supply of that solution? Do colleagues consider the use of plasma protein fraction to be a safe alternative? ADDENDA Nov. 22; Aug. 21 & 29, 2008
Nov. 20, 2006 Is there any regulation or accreditation requirement for the temperature at which a blood product should be cultured, when the blood product is considered as a possible cause of an adverse reaction due to suspected bacterial contamination? ADDENDA Nov. 26 & 27
Nov. 15, 2006 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
Nov. 13, 2006 Should stricter physical exam criteria be used for qualifying prospective blood donors over 60 years of age?
Nov. 12, 2006 REACTIVATED DISCUSSION: Preventing pre-transfusion specimen labeling errors Jan. 30, 2002; ADDENDA Jan 30 & 31, Feb. 3, 2002; June 20, 21 & Nov. 12, 2006
Nov. 12, 2006 REACTIVATED DISCUSSION: What forms of proof of identity are required of prospective blood donors? June 30, 2003; ADDENDA July 1, 3 & 5; Nov. 12, 2006
Nov. 9, 2006 REACTIVATED DISCUSSION: What is the correct procedure for decommissioning an outdated blood product irradiator? Nov. 21, 2005; ADDENDA Nov. 23 & Jan. 22 & Aug. 4 & 31; Nov. 9 & 13, Dec. 8, 2006; June 22 & 27, July 11, 2007
Nov. 7, 2006 Is "reinjection" of radiolabeled white cells by a nuclear medicine department considered a transfusion, and if so, does the transfusion service track or regulate this procedure? ADDENDA Nov. 8
Nov. 2, 2006 REACTIVATED DISCUSSION: Indications for and use of the 'Biological Crossmatch' Aug. 10, 2004; ADDENDA Aug. 11, 12, 16 & 17, Sept. 22; Nov. 2, 2006
Oct. 30, 2006 Published guidelines and standardized use of fibrin sealants and topical hemostatic agents ADDENDA Oct. 31, 2006
Oct. 26, 2006 How do Trauma Facilities limit use of uncrossmatched trauma blood?
Oct. 16, 2006 Management of other components from a donation when red cells fail leukocyte reduction filtration
Oct. 16, 2006 Management of donor registration forms found to be incomplete or lacking donor's signature following donation ADDENDA Oct. 16, 18 & 26
Oct. 9, 2006 Use of 'canned text comments' in transfusion reaction and antibody identification pathology reports ADDENDA Oct. 16, Nov. 1, 7 & 8
Oct. 9, 2006 REACTIVATED DISCUSSION: Should blood banks store autologous bone flaps in their freezer? July 19, 2001; ADDENDA July 22, Aug. 1 & Dec. 17, 2001; Oct. 9 & 13, 2006
Oct. 3, 2006 The serological and/or clinical significance of indicating "strong" or "weak" notations when grading antigen-antibody reactions ADDENDA Oct. 4
Sept. 21, 2006 REACTIVATED DISCUSSION: Should pre-transfusion ABO/Rh testing be performed twice, and if so, on different samples or by different personnel? Dec. 5, 2002; ADDENDA Dec. 6, 9, 10, 12 & 20; Jan. 8 & 9, 2003; July 20, 26, 28, Aug. 3, 10, 15, 24 & 26, 2004; Dec 28 & 31, 2004; Jan 24, May 3, 4, 8, 10, 11 & 14, 2005; Sept. 21 & 29, 2006
Sept. 15, 2006 How do blood collection centers manage underweight (under collected) or overweight (over-collected) whole blood units? ADDENDA Sept. 18, Oct. 19
Sept. 12, 2006 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
Sept. 12, 2006 A question about managing a hospital's blood product inventory when the hospital's laboratory does NOT perform any pretransfusion testing on site
Sept. 6, 2006 The use of saline washed RBCs versus premedications for patients with Sickle Cell Disease and occasional mild to moderate urticarial reactions. Should we treat the patient or treat the blood? ADDENDA Sept. 12
Sept. 5, 2006 How do Blood Donor Collection Centers (including hospital sites) manage donor consent for incompetent adults who present as prospective blood donors? ADDENDA Sept. 12 & 28
Aug. 29, 2006 REACTIVATED DISCUSSION: Collecting allogeneic units from donors with hemochromatosis? Oct. 19, 2000; ADDENDA Oct. 29, Nov. 2, 9 and 10; Aug. 29 & Sept. 1, 2006
Aug. 24, 2006 Selection of Rh-positive RBC units for brain-dead Rh-negative individuals who are scheduled for organ harvest
Aug. 18, 2006 Under what circumstances can an individual be reinstated as a prospective blood donor after being deferred for acknowledging that the reason they wanted to donate blood was to get an HIV test? ADDENDA Aug. 24
Aug. 9, 2006 REACTIVATED DISCUSSION: Quality control of automated blood pressure cuffs used to evaluate blood donors Apr. 1, 2004; ADDENDA Aug. 4, 2006
Aug. 4, 2006 Comprehensive standardized nursing protocol for manual exchange transfusion ADDENDA Sept. 4, 2006
Aug. 4, 2006 Management and ensuring compliance of "tissue banking/tissue dispensing services" ADDENDA Aug. 9
Aug. 3, 2006

The medical necessity of continuing to perform crossmatches on RBC units for patients who have experienced massive transfusion of at least 8-10 RBCs in less than 24 hours ADDENDA Aug. 7

Aug. 3, 2006 Documentation of lot numbers for supplies used in the collection of blood products
Aug. 3, 2006 REACTIVATED DISCUSSION: Pneumatic Tube Systems for Transporting Blood? Jan. 9, 2000; ADDENDA Aug. 3, 2006
Aug. 3, 2006 REACTIVATED DISCUSSION: Policies on the management of hearsay information received about otherwise qualified blood donors May 30, 2004; ADDENDA June 3 & 4; Aug. 3, 2006
July 22, 2006 The use of medical alert bracelets for patients with clinically significant antibodies
July 22, 2006 Marked changes in red cell antibody titers during continuous veno-venous hemodialysis ADDENDA Aug 7
July 12, 2006 Provision of irradiated fresh frozen plasma ADDENDA July 18 & 28
July 7, 2006 REACTIVATED DISCUSSION: Procedures to minimize errors in selection of blood products for transfusion to ABO/Rh mismatched bone marrow transplant recipients Oct. 3, 2003; ADDENDA Oct. 6 & 10, Dec. 15; June 13, 15 & 16, 2004; July 7, 2006
June 28, 2006 Should donors be deferred due to low WBC counts after automated Platelets, Pheresis collections? ADDENDA June 29, 2006
June 22, 2006 What is the experience with using pretransfusion blood samples that are routinely used for up to 10 days (or longer) after their collection? ADDENDA June 24, 26 & 29
June 21, 2006

Handling of Donor Recalls/Withdrawals for a diagnosis of CJD in a family member ADDENDA June 22

June 16, 2006 REACTIVATED DISCUSSION: How do blood banks know when a patient should get irradiated blood, if the patient's doctor forgets to order the blood to be irradiated? Feb. 27, 2005; ADDENDA Feb. 28; Mar. 1, 7 & 8, 2005; Apr. 17, 19, 21 & 23; May 25; June 16, 2006; Dec. 29, 2007
June 16, 2006 A case of possible 'auto'anti-D during pregnancy?
June 14, 2006 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? ADDENDA June 16, 2006 & May 21, 2007
June 8, 2006 REACTIVATED DISCUSSION: Informing patients when pre-transfusion testing shows that their blood contains red cell antibodies April 28, 2002; ADDENDA April 29; June 8, 9, 12 & 16, 2006
June 7, 2006 REACTIVATED DISCUSSION: Is there a regional or national computerized database of patients with multiple red cell antibodies or other complex transfusion histories? Jan. 31, 2003; ADDENDA Feb. 5, 2003; Apr. 19, 20, 26 & May 5, 2004; Nov. 16 & 20, 2005; June 7, 8, 9 & 12, 2006; Mar. 18, 2008
June 6, 2006 Selection of donor RBCs for a patient with auto anti-e, but who is E-negative and e-positive ADDENDA June 6, 7, 8, 12 & 20
June 5, 2006 Managing repeat blood donors who have adverse donor reactions on multiple occasions ADDENDA June 11 & 19
June 4, 2006 REACTIVATED DISCUSSION: Infusing drugs or IV solutions along with blood May 16, 2002; ADDENDA May 17, 20, 21, 22 & 23, 2002; Dec. 30, 2005; June 4, 2006
June 4, 2006 REACTIVATED DISCUSSION: Which solutions other than isotonic saline are approved for addition to blood and components? ADDENDA Feb. 4, 2001; June 4, 2006
May 25, 2006 Is it compliant for a hospital transfusion service to operate with a commercial computer system that is validated, but no longer supported by the vendor that sold the system to the hospital? ADDENDA June 6 & 7
May 23, 2006 Is ABO, Rh and/or K typing routinely performed by phenotyping or genotyping by the UK National Blood Service? ADDENDA May 31
May 23, 2006 What incentives do hospital-based blood donor center programs use to encourage donations, and how are these incentives obtained? ADDENDA May 25
May 23, 2006 Experience in the use of pressure pumps or other rapid infusion techniques for red cell administration ADDENDA June 5
May 21, 2006 What methods are used to measure the pH of donor platelets when doing routine QC activity required by the 23rd edition of AABB Standards (5.7.5.16 and 5.7.5.19)? ADDENDA May 29, 2006
May 12, 2006 Management of a potential PBSC transplant recipient with multiple red cell antibodies
May 12, 2006 REACTIVATED DISCUSSION: Monitoring temperature of blood products transported within the hospital Sept. 12, 2002; ADDENDA Sept. 14, 16 & 18, 2002; May 12, 22 & 24, 2006; Feb. 6, 2007
May 12, 2006 Is it considered acceptable to use a patient's historical ABO/Rh result from a previous visit when filling an order for FFP?
May 4, 2006

What INR thresholds are being used for prophylactic and therapeutic use of FFP? ADDENDA May 7, 8, 15 & 23; July 2

May 4, 2006 Freezing units of autologous red blood cells to prevent the units from expiring, if surgery is postponed ADDENDA May 8 & 17
May 4, 2006 How is a phlebotomist positively identified, so that a transfusion service knows who collected a sample for pre-transfusion compatibility testing? ADDENDA May 7 & 17
May 3, 2006 Management of pregnancies that are complicated by non-D alloantibodies that have clinically-significant specificities ADDENDA May 4, 8 & 17; Aug. 15
Apr. 26, 2006 Strategies on timing of irradiation of platelet products ADDENDA Apr. 27, 2006
April 25, 2006 Is there evidence that girls and premenopausal women who need transfusion should receive donor RBC units that are phenotype tested and matched for CDE and K antigens, to reduce risk of alloimmunization and prevent future cases of hemolytic disease of the newborn? ADDENDA May 8 & 12
Apr. 23, 2006 Practices regarding selection of CMV seronegative and/or leukocyte reduced blood products for transfusion of pregnant patients ADDENDA Apr. 24 & 26
Apr. 21, 2006 Should pregnant women who need transfusion receive irradiated blood products to prevent Graft versus Host Disease? ADDENDA Apr. 23, 25 & 26
Apr. 21, 2006 Is it clinically useful to differentiate between various subgroups of A, such as A2, A3, and others, in the setting of renal transplantation? ADDENDA Aug. 3 & 9
Apr. 16, 2006 How often should a blood donation be mixed while it is being collected? ADDENDA Apr. 21, 2006
Apr. 8, 2006 REACTIVATED DISCUSSION: 2,3-DPG kits and reagents needed for red cell storage studies Dec. 4, 2002; ADDENDA Dec. 11, 2002; Jan. 9, 17, 21 & 27; Feb. 5 & May 6, 2003; Apr. 8, 2006
Apr. 4, 2006 REACTIVATED DISCUSSION: Use of phenotype-matched donor RBCs for transfusion of patients with sickle cell anemia Oct. 22, 2001; ADDENDA Oct. 24 & 29, 2001; Feb 6, 2005; Apr. 4, 2006
Apr. 4, 2006 Transfusion Trigger Trial for Functional Outcomes in Cardiovascular Patients Undergoing Surgical Hip Fracture Repair (FOCUS)
Mar. 31, 2006 Has any hospital implemented a blood management program that is directed by the same physician who provides the medical direction of the transfusion medicine service and the medical direction of the blood management program? ADDENDA Apr. 4 & 9
Mar. 30, 2006 Do transfusion service laboratories use a 'control' to check for spontaneous agglutination to rule out possible false positive results when performing a direct antiglobulin test (DAT) by GEL Test Technology? ADDENDA Apr. 6
Mar. 29, 2006 Compliance with the new requirements for labeling of aliquots and pooled components Mar. 29; ADDENDA Apr. 7 & 21; June 12; Aug. 9; Nov. 12; Dec 27, 2007
Mar. 28, 2006 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
Mar. 28, 2006 Is it necessary to determine the specificity of HTLA antibodies? ADDENDA Mar. 29 & 31; Sept. 17 & 20, 2007
Mar. 23, 2006 Do any physicians issue a bill for the medical evaluation of patients who request autologous blood collection services? ADDENDA Mar. 31
Mar. 18, 2006 Are there compelling reasons to utilize a three-bed mini-coach rather than a full size coach for mobile blood collection operations? ADDENDA Mar. 19 & 31
Mar. 13, 2006 What offers greater patient safety, a dedicated blood administration team or extensive education of nurses who might transfuse blood and components?
Mar. 10, 2006 Detection of transfusion reactions that are not reported to the blood bank or transfusion service ADDENDA Mar. 14
Mar. 10, 2006 A question regarding methods for detecting platelet antibodies and how to report discordant test results
Mar. 3, 2006 What is a minimum change in blood pressure that will trigger a transfusion reaction work up? ADDENDA Mar. 10, 12 & 14
Mar. 2, 2006 REACTIVATED DISCUSSION: What is an appropriate way for institutions to assure patient identification? April 8, 2002; ADDENDA April 11, 2002; Feb. 24 & 25, Mar. 2 & 5, 2006
Feb. 26, 2006 Is there concern by transfusion medicine specialists that new guidelines for platelet donations may impact on the availability of platelets for transfusion? ADDENDA Feb. 27 & Mar. 1, 5 & 8
Feb. 25, 2006 Experience in the US with the use of bacterial detection systems cleared by the FDA to allow the use of platelet products for up to seven days
Feb. 20, 2006 Should a blood donor who has had a repeat reactive test result for anti-HTLV I/II with an indeterminate Western Blot in 2002 be allowed to donate blood in 2006, given that they have had repeated follow up tests for anti-HTLV I/II, and provided the individual in question is otherwise qualified to donate and currently tests negative by all required donor screening tests? ADDENDA Feb. 21 & 23
Feb. 13, 2006 Should a prospective blood donor be deferred merely because they have had sexual contact with an individual who had a reactive HIV 1/2 antibody screening test followed by a negative or indeterminate Western Blot plus a negative HIV-1 NAT? ADDENDA Feb. 14 & 15
Feb. 10, 2006 Are ABO isoagglutinin titers performed to measure IgM antibodies, IgG antibodies, or both? ADDENDA Feb. 13, 14, 20 & 25
Feb. 10, 2006 Does your emergency/disaster plan include a reliable way to contact amateur radio operators, in the event that emergency amateur radio communications are required? ADDENDA Feb. 25, Mar. 12, 14, 23, 25 & 29
Feb. 7, 2006 How much pretransfusion testing should be done for a patient with anti-D, acquired by having received an injection of RhIG? ADDENDA Feb. 27 & Mar. 12
Feb. 7, 2006 Are colleagues modifying their practice over concerns about the risk associated with aprotinin in cardiac surgery?
Jan. 30, 2006 Should a hospital dispense Rh Immune Globulin (RhIG) for a patient, in the absence of a current Rh determination on the patient? ADDENDA Feb. 7 & 15
Jan. 24, 2006 REACTIVATED DISCUSSION: Reimbursement for the computer crossmatch procedure - revisited. Aug. 29, 2002; ADDENDA Apr. 20, 22, 25; Nov. 17 & 21, 2005; Jan. 24 & Feb. 13, 2006
Jan. 22, 2006 Is it possible to incorporate a transfusion service laboratory into a core laboratory? ADDENDA Mar. 13, 15 & 23
Jan. 22, 2006 A Tissue License is required in California for the storage of "mother's milk" ADDENDA Jan. 25, Mar. 12, Apr. 11; May 12 & 13; Oct. 1
Jan. 21, 2006 Behavior-Based Blood Donor Deferrals in the Era of Nucleic Acid Testing ADDENDA Apr. 3
Jan. 18, 2006 Suggestions for the reporting of sensitive genetic test results ADDENDA Jan. 19, 20 & 21; Feb. 8
Jan. 8, 2006 REACTIVATED DISCUSSION: Improving the process of patient identification - 2003 update Dec. 30, 2002; ADDENDA Jan. 8, 2006
Jan. 8, 2006 REACTIVATED DISCUSSION: What is the status of automated pre-transfusion compatibility testing in the USA? July 13, 2001; ADDENDA July 14, 2001; Jan. 8, 10, 19 & 25, 2006
Jan. 8, 2006 Is anyone using an intravenous Rh immune globulin preparation for the treatment of ITP that has not been approved by the FDA for that indication? ADDENDA Jan. 10, 11 & 13, 2006
Jan. 7, 2006 What US States have requirements similar to the California Paul Gann Blood Safety Act? ADDENDA Jan. 21; Jan. 30, 2008
Jan. 5, 2006 REACTIVATED DISCUSSION: Emergency reversal of Warfarin effect - FFP or Prothrombin Complex Concentrate? May 30, 2002; ADDENDA May 31, 2002; Jan. 5, 6, 8, 9, 10, 13, 15, 17 & 24, 2006
Jan. 2, 2006 REACTIVATED DISCUSSION: Does your hospital have a problem with STAT pre-transfusion testing orders for elective scheduled surgery? April 12, 2002; ADDENDA April 13 & 16, Dec. 30 & 31, 2005; Jan. 2, 5 & 8, 2006

 

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