SOP.TES.03.06 Quiz (Lab and Distribution) 2021 ATR

The practice wishes to perform the cross match in house. It is 11am on a Thursday. What do you tell them?

To complete and email to us FRM/TES/03 with the recipient's blood type and their contact details.
They need to send an EDTA sample from the recipient directly to IDEXX.
They must complete and email to us the top section of FRM/TES/10 fully indicating the recipient's blood type and if they are a referral or first opinion practice and their preference for delivery of the aliquots as well as their practice contact details including an email address for the clinician who will be receiving the results.

In relation to in-house cross match requests, which of the following statements are true? Select all 5 that apply.

PBB will complete the lower section on FRM.TES.10 indicating aliquot details
PBB will complete FRM.TES.02 indicating the aliquot details
An administration fee is charged to the practice for handling the aliquots and this will need to be added to Orderwise along with the charges for any consumables ordered
6 whole blood aliquots from units in main stock of the same blood type as the recipient will be selected and sent to the practice by the delivery method they requested on FRM.TES.10
We need to ensure the practice has sufficient cross match tests to carry out the testing in house and may need to supply these as well as the aliquots and should also check they have all the consumables they need to deliver any transfusion
If the request for aliquots for cross match is received OOH, only a same day delivery can be used to deliver the aliquots to the practice

In relation to the aliquots and units that are to be used for cross match testing select all 5 statements that are True.

Whole blood aliquots should be used for cross match testing if available
Units that are awaiting screen results can still routinely be used for cross match
3 aliquots of each blood type should always be sent for cross match testing so there is a good variety of donors
The letters XM need to be written in the storage log against the units selected for cross matching so they are not sold to customers
The aliquot stickers on the unit label should preferably be used to label the aliquots before sending for testing.
The first two whole blood aliquots from a red cell unit should be removed for cross match testing. The tubing of these aliquots are labelled with a unique series of letters or numbers
Units selected for cross match testing should be placed back in main stock storage after aliquot removal.
Labelled aliquots are placed into a biohazard bag along with the original copy of the request form (FRM.TES.10 or FRM.TES.02) once it has been scanned to your email. If going to IDEXX the biohazard bag is placed into an IDEXX envelope labelled XM , P273 or if going to the practice address they should be placed in a padded envelope labelled with the practice name and address.

When an IDEXX cross match is requested, the customer needs to complete FRM/TES/03 with details of the recipient and the practice and PBB completes FRM/TES/02 with details of the unit aliquots being supplied.

True
False

In relation to IDEXX cross match requests select all 4 statements that are true.

It is vital that the email address for the clinician that will be available to review the results is provided on FRM/TES/03 and not a generic practice address as this may go to an unmanned Inbox where it is not accessible to the practice
Aliquots for testing will need to be packaged and placed in the IDEXX drop box before 7pm Monday, Tuesday, Wednesday, Thursday and Friday
IDEXX cannot carry out cross matching on Saturday
The practice should send their samples to IDEXX using the standard Royal Mail postage service
The cross match results will be emailed directly to the practice.
To order a unit following a cross match the practice needs to complete the online cross match unit request form clearly indicating the unit they want to order
Where the cross match results show no compatible unit, the practice should be advised o contact IDEXX directly to discuss the results

Select ALL 3 answers that apply relating to the process once the practice have decided on a compatible unit based on cross match.

The practice should call PBB to place the order for the compatible unit and state the unit ID number.
The storage log needs to be updated to indicate that the units indicated for cross match are now available to allocate for other cases. This is done by scoring through the letters XM and adding initials
The units that were placed in the cross match reserve area and are not required by the customer will need to be placed back in to main stock.
The cross match record FRM/TES/19 will need to be updated to reflect the cross match results and for in-house cross match results, FRM/TES/10 will need to be updated to indicate the unit that is being supplied.

You receive a cross match enquiry at 11am on a Thursday. What information do we need to know first?

The recipient's blood type
Does the practice want to carry out the cross match in-house or is it an IDEXX cross match request
What is the practice address

SOP.TES.03.06 Quiz (Lab and Distribution) 2021 ATR

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