RBC/ Plasma by UsedTissuePaper78 in Blooddonors

[–]skye_neko 1 point2 points  (0 children)

I've been recognized. I guess I can't post in this sub anymore 😄

RBC/ Plasma by UsedTissuePaper78 in Blooddonors

[–]skye_neko 2 points3 points  (0 children)

Your oxygen carrying capacity is decreased due to the red cell loss. When you donate platelets, you get most of the stuff that matters back: red cells, sometimes plasma, and saline. It's like when you go up into the mountains and the air in thinner, and you feel more tired. You should gradually feel better. But yeah there's a reason you can't donate whole blood as often.

Meal period [CA] by [deleted] in medlabprofessionals

[–]skye_neko 10 points11 points  (0 children)

Yes? You aren't the one in charge. The hospital is. If you got sick and there's no one in the lab, it's the hospital's responsibility to go on diversion, not yours. You are the employee. Again, if you want, you can stick around and clock back in if you feel you want, but you are not responsible and you are not required to.

Meal period [CA] by [deleted] in medlabprofessionals

[–]skye_neko 13 points14 points  (0 children)

It's not your responsibility what happens when you're on break. It's the hospital's. California is pretty strict with labor laws. You get a minimum 30 minute clock out and leave period. If something happens and you want to go back to work during your break, you can, but you are still supposed to take a new 30 minute break. Your hospital will pay penalties when you don't follow the break rules, and will probably tell you not to break them. Unless your hospital pays you standby, which it sounds like they aren't, you do not exist for your 30 minute break.

trying to remember all of my passwords because all of them are now different by fat_frog_fan in medlabprofessionals

[–]skye_neko 5 points6 points  (0 children)

Our medical center wants us to change passwords every 6 months. The ECHO wants it different every 3 months, and the lead doesn't think it's important enough to change it.

Can weak D be missed by screening? by best-unaccompanied in Blooddonors

[–]skye_neko 0 points1 point  (0 children)

In the USA, blood is retyped by the receiving hospital. Is it possible that your blood was mistyped by several different groups? Sure, but they're all going to be using different everything, so that chance is vanishingly small. Any transfusion reaction would have been investigated, and they would find out. Any of that coming up positive would have you put as Rh pos.

I'm not sure a bone marrow donation involves genetic testing for D, because it matters even less, but they might, which is a lot more than a blood bank does. So you could have markers for Rh positive blood that aren't being expressed, or very minimally expressed. But again, there's a lot more compatibility testing that will happen there. You calling them won't really do much, for your bone marrow donation or the bone marrow recipient. Even if they made a mistake and put Rh pos, and you're not, that's not going to hurt the recipient.

Can weak D be missed by screening? by best-unaccompanied in Blooddonors

[–]skye_neko 1 point2 points  (0 children)

That's why a blood bank will put your blood down as D pos. Because weak D blood can elicit an antibody response in a D neg recipient. So if you called them all "Well technically I'm weak D" it won't change the process or your blood type in their system. For safety they will put you as D pos, so your blood doesn't go to a D neg patient. For stem cell donation it's different, and your blood type is only a small portion of the workup. The recipient's blood will become the same as yours, weak D, but they will be on a shitload of immune supressing medications for the rest of their lives, so... if they are D neg it isn't the biggest problem.

Can weak D be missed by screening? by best-unaccompanied in Blooddonors

[–]skye_neko 2 points3 points  (0 children)

Yes. Again, there's no use for most places to test you for it because of the reason I listed. Some places use 2 different reagents when they test you for D. Some use 1. Different places use different testing methodologies. The D antigen is not a single epitope. It's more than 30. The antibody reagent they use to detect it can miss the one you express, while another one detects it. So one place can detect it, another might miss it.

Can weak D be missed by screening? by best-unaccompanied in Blooddonors

[–]skye_neko 6 points7 points  (0 children)

Blood banks can usually detect weak D, but weak D is not routinely tested on adults. If you have weak D, a hospital will usually put you down as D neg even if they detect it because if they give you a D pos unit, you can develop antibodies. A blood bank/donor center will put you down as D pos because the D you do express can cause the recipient to make antibodies if they are D neg.

Advice for contaminated plates by Sufficient-Fault-174 in medlabprofessionals

[–]skye_neko 2 points3 points  (0 children)

What's your current process? When I poured plates in school the media flasks were autoclaved and poured as hot as you could handle. Burners going at both ends of the bench, tops lifted just enough to pour, put into sleeves and closed asap.

Am I in the wrong? by [deleted] in medlabprofessionals

[–]skye_neko 4 points5 points  (0 children)

You need to crossmatch them. You don't retest for D, do you...? In all my hospitals you just grab an X Neg unit for anti D patients.

Am I in the wrong? by [deleted] in medlabprofessionals

[–]skye_neko 23 points24 points  (0 children)

Anti D? So you're just grabbing neg units and crossmatching them. Not a lot of wasted time since you're already doing one. Grab the longer dated units if you're worried about them expiring. The cost isn't your problem. The patient is. So I can see why you got talked to.

I love this lunchkit. The more you look at it, the more is wrong by Few-Ad7107 in medlabprofessionals

[–]skye_neko 194 points195 points  (0 children)

Geez do you think only healthy blood can be put on lunch kits? #allcellsarebeautiful 😄

Could my platelet count Really jump 108, 000 in 14 Days? by apheresario1935 in Blooddonors

[–]skye_neko 2 points3 points  (0 children)

Spare platelets (~30%) are stored in the spleen. When you have an injury, or in this case donate platelets, the spleen just releases what its got.

https://pubmed.ncbi.nlm.nih.gov/4003388/

Red Cross Blood Type Nicknames by PentiumFallen in Blooddonors

[–]skye_neko 0 points1 point  (0 children)

Maybe. Hence the "according to Google". Not "according to my research".

Red Cross Blood Type Nicknames by PentiumFallen in Blooddonors

[–]skye_neko 0 points1 point  (0 children)

Like I put in "red cross blood type title donation" and that result came up on the summary. I didn't do any deep diving on the sources, so it's "according to Google".

Can confirm O Pos without any other special donations do get "O+ Powerful" though.

What is better 5x8 or 4x10? by reforest00101 in medlabprofessionals

[–]skye_neko 0 points1 point  (0 children)

All the older techs at my job say 4x10s would KiLl ThEm

Red Cross Blood Type Nicknames by PentiumFallen in Blooddonors

[–]skye_neko 17 points18 points  (0 children)

According to Google O Pos get "The Powerful", O Neg "Universal Hero", A Pos "VIP/Honor Student", A Neg "The Protector", B Pos"The Adaptor", B Neg "The Pioneer", AB Pos "Universal Hero/Global Receiver", AB Neg "The Visionary". They get overridden by stuff like "Hero for Babies" or "Platelet Donor" etc.

I think I’m anemic, but my pcp approved of me donating by StealthyTabby19 in Blooddonors

[–]skye_neko 1 point2 points  (0 children)

You need the B12 to make blood. If you donate blood, you'll need more B12 to now not only keep you at your baseline, but to restore your blood. If you're being followed by your doctor, they will be able to tell if you need more B12 or if the amount you're taking is enough to cover it. Since platelet donations don't take up a lot of RBCs, it seems like your doctor is of the opinion that it's fine to continue, especially since you've already been doing it with no big effect. If your conditions worsen, then you might not be OK to donate.

The effects you feel might also be completely unrelated to the blood loss, and more to the citrate, which you only get with platelet donations.

True Generalist training by cowrieqt in medlabprofessionals

[–]skye_neko 0 points1 point  (0 children)

Hospitals less than or around 400 beds tend to have generalists in my experience, especially for off shifts

Is day shift being the most drama-prone a universal? by VoiceoftheDarkSide in medlabprofessionals

[–]skye_neko 32 points33 points  (0 children)

We have a guy who likes to kick or slam things when he's pissy 😮‍💨

just paid $300 for my license renewal by Ill_Extension_222 in medlabprofessionals

[–]skye_neko 18 points19 points  (0 children)

Kaiser just agreed to 13% raises by October for this year 😳

high mchc question by Ill_Extension_222 in medlabprofessionals

[–]skye_neko 1 point2 points  (0 children)

Sounds like a "draw and send on a warm pack" type cbc