Preliminary Results Summary of the Survey of Blood Transfusion Practice in Indiana 2006

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Preliminary ResultsSummary of the Survey of
Blood Transfusion Practice in Indiana 2006

• Indiana State Association
• of Blood Banks
• Education Committee
• Presented by Jayanna Slayten, MS, MT(ASCP)SBB
• ISABB Education Committee

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These are the preliminary findingsof the 2006
Survey. A complete analysis of the 2006 data
and comparison to previous surveys will be
summarized by and forwarded to the participants.
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Survey Development

• A survey was developed covering
• Blood Product Usage
• Serologic Techniques and Transfusion Protocols
• Transfusion Reactions
• Lab Management
• The survey revised
• Demographics updated
• Survey has new questions
• Survey repeated some questions

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Survey

• The survey was emailed and faxed to Indiana
  Hospital Transfusion Services
• The hospitals were asked to respond
• fax the completed survey (OR)
• Email back the completed survey
• The surveys were accepted for three weeks
• August 10 September 1, 2006

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Results Survey Response

• 2001 2002 2003 2004 2005 2006
• Total surveys faxed 126 126 126 126 126 126
• Total completed surveys 60 41 55 60 37 50
• Percent response rate of 47.6 32.5 43.6 47.6 30.
  1 39.1
• Average response rate over the last 5 surveys
  40.1
• Results more difficult to assess trends with low
  response rate

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Response Group - Location

• What is the make up of the response group?

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Response Group Size of Facility

• What size facilities responded to the survey?

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Lab Type

• New Question for 2005 and Repeated 2006
• Question was added with the change of labs from
  hospital based to privatization
• The response group was asked if the lab is
  hospital based or private lab
• 2005 2006
• Hospital Based Lab 94 88
• Lab Group based in a Hospital 6 12
• It is anticipated that this demographic will
  change within the next 5-10 years.

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Red Blood Cell Usage

• Does your facility receive 100 Leukoreduced
  units?
• 2006 response
• 2006 compared to 2003 and 2004

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Platelets

• Does your facility only order pheresis platelets?
• 2006
• 2005 compared to 2003 and 2004
• Do you use Random Platelets when Pheresis are not
  available?
• Shortages of pheresis when Bacterial Detection
  was implemented?
• What percentage

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Cryo

• Question Does your facility routinely use Cryo?
• Yes 29.1
• No 71.9
• Would pre-pooled Cryo be easier?
• Yes 66
• No/NA 34

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ISBT

• The majority of respondents were aware of the
  impending ISBT change.
• Response to ISBT
• Aware, but no changes 52
• Looking at updates 26
• Completed Plan 5
• Begun Performing Plan 17

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Serologic Protocols

• What is the primary method of
• antibody screening / identification?
• Tube All methods are currently being used
• Tubeless Only Ortho Gel

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Serologic ProtocolsAHG Reagent Used

• What type of AHG reagents does our facility use?
• 2003 2004 2005 2006
• Polyspecific AHG 47 37 30 13
• IgG AHG 53 63 65 87
• This question continues to demonstrate that more
  facilities are using IgG-AHG vs. Poly-AHG for AHG
  testing.

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Serologic ProtocolsWeak D Testing

• Does your facility complete the weak D testing on
  all D- negative recipients / patients?
• 2003 2004 2005 2006
• Yes, Full Weak D 60 45 38 21
• No, No Weak D 40 55 62 79
• Fewer Indiana Facilities in 2006 are completing
  weak D testing
• 2006 survey reconfirms this trend

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Transfusion Service Protocols

• Pre-surgical T and S
• When are they drawn?
• When do you band the patient?

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Transfusion Service ProtocolsCompatibility
Testing

• What type of crossmatch does your facility
  complete for an antibody screen negative patient
  sample?
• Immediate Spin
• AHG
• Electronic

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Blood Utilization Review

• Do you feel that your facility has adequate blood
  utilization review?
• Yes 66
• No 34
• Has your facility considered a blood utilization
  management program?
• Yes 54
• No 46

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Transfusion Reactions

• Attached for review

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Lab Management

• For 2006
• This years questions focused
• Evening/Nights Coverage
• Staffing Strategies
• Average salaries for new graduate medical
  technologist
• Average salary increases in 2005

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2006 Preliminary Summary

• The final analysis will be correlated and
  returned by fax and emailed to the facilities

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Special Thanks

• Thank to all the facilities that responded!
• Thanks to the ISABB 2006 Survey Reviewers
• Special Thanks to Jane Kimble for the tally