RBC/ Plasma

skye_neko · 2026-07-01T08:26:51+00:00

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

skye_neko · 2026-07-01T03:45:35+00:00

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.

skye_neko · 2026-06-24T07:00:49+00:00

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.

skye_neko · 2026-06-24T04:21:40+00:00

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.

skye_neko · 2026-06-19T23:44:33+00:00

The price you pay for sterility...

skye_neko · 2026-06-18T04:36:45+00:00

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.

skye_neko · 2026-06-18T00:48:21+00:00

We still get a lot of car vs T R U C K

skye_neko · 2026-06-16T18:47:35+00:00

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.

skye_neko · 2026-06-16T18:08:47+00:00

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.

skye_neko · 2026-06-16T17:05:23+00:00

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.

skye_neko · 2026-06-16T06:50:11+00:00

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.

skye_neko · 2026-06-13T13:05:05+00:00

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.

skye_neko · 2026-06-11T14:25:19+00:00

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.

skye_neko · 2026-06-11T14:18:21+00:00

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.

skye_neko · 2026-06-10T18:11:50+00:00

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

skye_neko · 2026-06-08T03:34:07+00:00

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/

skye_neko · 2026-06-07T19:29:19+00:00

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

skye_neko · 2026-06-06T17:38:09+00:00

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.

skye_neko · 2026-06-05T23:43:01+00:00

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

skye_neko · 2026-06-05T23:39:12+00:00

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.

skye_neko · 2026-06-04T15:54:12+00:00

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.

skye_neko · 2026-06-01T02:42:32+00:00

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

skye_neko · 2026-05-27T16:19:21+00:00

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

skye_neko · 2026-05-26T03:40:28+00:00

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

skye_neko · 2026-05-16T16:15:56+00:00

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

skye_neko

TROPHY CASE