9 August 2020 (Sunday) - e-learning

 

A couple of days ago I checked my e-learning. My fire safety e-learning was out of date, but that was all. Suddenly I had an email telling me that our separate bits of e-learning had lapsed. I would have thought that the software might have given me some notice?

So in between other stuff on the night shift I did some e-learning.

 

  • Anti-D Clinical Module
  • Cell Salvage
  • Safe Transfusion Practice
  • Safe Transfusion Practice for Paediatrics 

 

A refresher is always good…

 

8 August 2020 (Saturday) - BTLP-TACT Excercise

 

 

Despite it only being a week since I last did a BTLP-TACT exercise I had an email from the boss telling me to do another.
So I did.

The software presented me with two cases:

19995 – a twenty-nine year old woman from the haematology clinicrequiring two units of irradiated blood for the next day.
She grouped as uninterpretable ABO group but was Rh(D) Negative with negative antibody screen.

I selected two units of o Rh(D) Negative K Negative irradiated blood

22775 – a sixty-nine year old man from the haemophilia clinic requiring group and save.
He grouped as uninterpretable ABO group but was Rh(D) Negative with positive antibody screen in cell 1.

I requested antibody panels. The IAT and enzyme panels were positive in cells 1, 2 and 4 which was indicative of anti-C but did not exclude anti-Cw.
 

Matters weren’t helped by the software crashing half way through… but I got the green light

6 August 2020 (Thursday) - Fritsma Factor Newsletter

 


The Fritsma Factor newsletter appeared in my in-box today. All useful stuff for keeping me up-to-date with what’s going on in the world of haemostasis.

 

6 August 2020 (Thursday) - Transfusion News Email

 

The nice people at Transfusion News sent me quite a lot to think about today. As I said yesterday about something else, pretty much all COVID-19 related, but I’m not complaining. It is good of them to do what they do for me, and all for free…


Convalescent Plasma Is Safe and Likely Efficacious for Patients with COVID-19

August 4, 2020
There are limited therapeutic options to treat COVID-19, and COVID-19 convalescent plasma (CCP) is currently one of the most common treatments for patients infected with SARS-CoV-2. However, limited data on efficacy have been available. Additional data in support of the safety and efficacy of convalescent plasma from [Read More]

 

Studies Find Variable Anti-SARS-CoV-2 Antibody Responses

July 29, 2020
Three recent studies have analyzed anti-SARS-CoV-2 antibodies among individuals with asymptomatic and mild SARS-CoV-2 infections, and they have found that antibody responses are variable and short lived. In 37 asymptomatic, RT-PCR positive cases in China (median age 41 years, 40% male), anti-spike protein IgG levels were significantly [Read More]

5 August 2020 (Wednesday) - Transfusion Evidence Alert Update

 

The nice people at the Transfusion Evidence Alert sent me quite a lot to think about today. Pretty much all COVID-19 related, but I’m not complaining. It is good of them to do what they do for me, and all for free…

 

4 August 2020 (Tuesday) - Fire Safety e-Learning

 

I did my fire safety e-learning today. Whilst I appreciate the necessity of it, I honestly don’t see how it counts as CPD. But I am reliably assured that it does… so I mention it…

1 August 2020 (Saturday) - BTLP-TACT



Bearing in mind that what with one thing and another I’d not done a BTLP-TACT exercise for nearly a month I thought I’d better get busy.
Despite an incredibly slow PC, the software presented me with two cases:

42890 – an eighty year old chap going for cholecystectomy requiring Group & Save. But having an inadequately labelled blood sample (no NHS number) I rejected that one.

83689 - a fifty year old chap requiring Group & Save as a prerequisite for a bladder tumour resection.
He typed as O Rh(D) Pos with a negative antibody screen

I got the green light. I would have gone on and done more, but what with the PC running so slowly I decided to quit whilst I was ahead.