President’s Message

Transcription

President’s MessageIn a Different VeinLooking ForwarForwarorwardd to 2002A NEWSLETTER OF THEMICHIGANMICHIGANASSOCIATIONSOCIATIONOFBLOOD BANKSVol. XVIVXVIV,, NoNo. 1Winterinter,, 2002Winter, 2002It’s a new year, 2002. I like the way thenumber looks and sounds. It is orderlyand well balanced with a solid stable ringto it. It appeals to the blood banker in me.(You know how much we like things neatand orderly.) I hope it will be a good year.Last year seemed somehow out of kilter,lacking stability. On New Year’s Day insteadof making my standard resolutions to loseweight, start exercising and to make timefor myself, I found myself counting myblessings. My family, my friends, and myjob were right up there on the top of the list.My job? Why should I be thankful for myjob? It consists of long hours, hard workand nobody has a clue as to what I do(some days not even me). If I try to explainmy job to others, they usually uttersomething like “Oh, you work in the bloodbank. Do you draw blood? Aren’t you afraidof getting some awful disease?” Not exactlythe pat on the back that I was hoping toget. I want them to remind me that what Ido is important life saving work. I needreminding. I fret about all the little thingslike FDA regulations and fail to see the goodthings that are a result of our hard work.Blood bankers save lives.That’s why I am so proud to belong to theMABB. It is a professional organization ofwonderful people all dedicated to improvingthe lives of others. It provides me with aforum to share my problems and to findsolutions. I enjoy the educationalopportunities. Best of all, it has helped meto find friends who share my passion forantibodies. No small accomplishment!A few weeks ago, each of you should havereceived your membership renewal in themail. I hope that you have already filled itin and mailed it back. If not, would youplease make a note to yourself to renewsoon? Every member is valued andneeded. It would be great if you couldencourage a coworker to join as well.Page 1Linda CardineMABB PresidentThe education committee is planning a fewsurprises. They are trying some newformats for lectures. One is to start in themiddle of the day, provide lunch and thenpresent a topic for discussion. The firsttopic is going to be on blood utilization. Ifyou have suggestions for other topics orother time frames, please contact Dr. Drewand she can present it to the committee.Speaking of committees, it is time to formcommittees for 2002. Have youconsidered joining a committee? Newfaces and new ideas are as welcome asthe familiar ones. Please contact JanetSilvestri at the administrative office and lether know what committee you would liketo join.Mark your calendar for May 9th for theSpring Workshop. It will only be one daythis year, but the committee promises thatit will be day that you won’t want to miss.The Annual Meeting is scheduled forSeptember 11th and 12th. We hope it willbe as memorable as last year, but for betterreasons. Michelle Tuson is planningcontests to jump-start your enthusiasmand involvement.Involvement is what our organizationneeds. The involvement of every memberis essential to its strength and growth.Please renew your membership in theMABB. 2002 is shaping up to be a banneryear and it won’t be the same without you.Looking forward to seeing you.In a Different Vein

“STRESS” ANTIBODIES:HOW TO COPE WHENEVERYTHING IS POSITIVEMICHIGAN ASSOCIATIONOF BLOOD BANKSAdministrative OfficeP.O. Box 3605Center Line, MI 48015-0605MABB SPRING WORKSHOPTHURSDAY MAY 9, 2002THURSDAMAY(586) 573-2500 (586) 573-7058 FaxWeb Site: mabb.orgIn a Different Vein is a quarterly publication of theMichigan Association of Blood Banks.LECTURE AND WORKSHOPNEW ONE-DAY FORMATPlease feel free to submit any articles, announcements,advertisements, or case studies to In a Different Vein.Items of a personal note regarding colleagues are alsowelcome.Send articles to editors:Mary DePouwCrittenton Hospital Blood Bank1101 W. University Drive Rochester, MI 48307(248) 652-5275-orAnn SteinerOrtho-Clinical Diagnostics1 (800) 523-6911 Ext. 41032001 - 2002 MABB OFFICERSPRESIDENTLinda Cardine, MT(ASCP)SBBPRESIDENT-ELECTMichelle Tuson, BS, MT(ASCP)SBBPAST PRESIDENTSharon Cisco, MT(ASCP)SBBStay tuned formore details in“In a Different Vein”and on theMABB website: mabb.orgSECRETARY/TREASURERPatricia Fedoronko, MT(ASCP)SBBMEMBERS-AT-LARGEMaryJo Drew, MD, MHSABruce Newman, MDPeggy Stoe, MT(ASCP)SBB, CQA, ASQMargaret Wilde, MT(ASCP)SBBIn a Different VeinMABB members will receivebrochures in March withregistration forms for theSpring WorkshopPage 2Winter, 2002

MABB 2002RAP Session —Blood Utilization Review:Can You Manage It?Wednesday, March 20, 200212:30pm – 4:30pmKresge Eye InstituteHutzel Hospital Classroom BLunch12:30 - 1:30Speakers 1:30 - 4:30The Kresge Eye Institute is on the immediate right when youpull in the drive from St. Antoine. They have valet parkingand the parking structure is directly across from Kresge. Theclassroom is in the same area as the auditorium, which isnear the main entrance.Featured SpeakersJane Ulmann-VesterTransfusion SpecialistAmerican Red Cross - North Central Blood ServicesJane will present various aspects of blood utilization.autologous usage, MSBOS, etc.Map to Kresge Eye Institute:Dr. Rob DavenportMedical Director Blood Bank and Transfusion ServiceUniversity of Michigan Hospitals“Setting Transfusion Criteria”Dr. Martha HigginsMedical Director Transfusion ServiceSt. John Hospital“Utilization review without the benefitof a transfusion committee”Jane Ulmann-Vester’sexpenses and RAP luncheon sponsored bythe American Red Cross/SE Michigan RegionTo register contact:Janet Silvestri at theMABB Administrative Office586/573-2500 or via e-mail at janet@hfcc.netby Friday, March 15, 2002 at 4:00 p.m.For additional information contact:Margaret Wilde 313/745-2536- or viae-mail:mwilde@dmc.orgWinter, 2002Page 3In a Different Vein

Meet the BoardMembership UpdateMary Jo Drew, MD, MHSAIam a Colorado native, born andraised in Greeley, Colorado. Iattended the University of NorthernColorado there, graduating with a BAin Biological Sciences, then moved toDenver to attend the University ofColorado School of Medicine. CertainI was going to specialize in internalmedicine, I was surprised in my secondyear when the director of the pathology course suggested Iconsider pathology! I matched at Colorado, and spent fouryears there in a pathology residency.Certain I would become a surgical pathologist, I happilychugged along in my residency until late in my second year(is there a trend here, or what?), when, while reviewingsurgical pathology cases, I realized I could not do this for 30years!! I remembered the fun I’d had in the blood bank andhemepath during my first year, and decided to pursue thoseareas. This was not encouraged by my residency director,who told me I would never get a job with only CP boards! Idid have a champion in Dr. Sara Winter, a pathologist at(then) Denver General Hospital, who encouraged me to goin this direction.Have you sent in your 2002 Membership Dues yet? YOUare the reason that the organization exists. Each memberwithin the organization is valued and we strive to continually providefirst rate educational programs for our members. Some of thebenefits of membership in the MABB are: Educational opportunities Free subscription to “In a Different Vein” Discounts on all educational meetings andworkshops Free selected teleconferences Professional resource sharing Voting rights at MABB business meetings An opportunity to support your professionYou should have already received your membershiprenewal form for 2002. If you are not a current memberand would like to join, please contact Janet Silvestri atthe MABB Administrative Office at (586) 573-2500 orat: janet@hfcc.net. You may also print amembership form off of the MABB website at:mabb.org.I accepted a Transfusion Medicine fellowship at SouthwestFlorida Blood Bank (now Florida Blood Services) in Tampa,not because it was as far from Denver as possible, butbecause Dr. Paul Schmidt was the medical director. I enjoyeda busy year and was asked to join the team as assistantmedical director. I did this for a year, until I was contacted bya former CU pathologist, now in Little Rock. Would I comethere to direct the blood bank?I spent 6 enjoyable years directing the blood bank at theUniversity of Arkansas Hospital. We grew our hospital donorcenter to 11,000 whole blood and platelet donors a year bythe time I left to come to Henry Ford Hospital. HFH is mykind of practice—hospital transfusion service, donor room,therapeutic apheresis residency program. I’ve had a greattime putting my ‘stamp’ on the job of Division Head ofTransfusion Medicine. Learning the ropes of managed carewas a challenge, so I decided to expand my knowledge byobtaining a Master of Health Services Administration degreeat the University of Michigan in 2000.In my limited allotment of spare time, I enjoy reading, classicalmusic, quilting, interior design, and travel. I also enjoy learningmore about my field by chatting on the AABB and othertransfusion medicine web sites.In a Different VeinPage 4Winter, 2002

Vi Williams ScholarshipWilliamsEmanuel Hackel ScholarshipHackelOTThe Vi Williams Scholarship is in memory of ViWilliams, who died in 1983. She was the ChiefTechnologist at William Beaumont Hospital in Troy andwas a very active member of MABB, especially theEducation Committee. She is most remembered forher commitment to quality in education and medicaltechnology.Dr. Hackel is professor emeritus at Michigan StateUniversity. He has been involved in the SpringWorkshop for many years and he will once again bethe moderator for the lecture session of the SpringWorkshop in May. He has been a long time supporterof the MABB.rtho Clinical Diagnostics sponsors the Vi WilliamsScholarship to assist with the cost of attendingthe Spring Workshop. Applicants are eligible for a 125 scholarship.The scholarship is available to any non-supervisorymedical technologist working in the field ofimmunohematology. The applicant must be a memberof MABB at the time of application. The applicantmust explain in writing how they would benefit fromattending the Spring Workshop. The award will bepresented at the lecture session on May 9, 2002.Deadline April 5, 2002Send completed application to:Linda Cardine, MT(ASCP)SBBSupervisor/Blood BankHenry Ford Hospital2799 W. Grand Blvd. Detroit, MI 48202(313) 916-1572 (313) 873-7427 Faxe-mail:lcardin1@hfhs.orghe Michigan Association of Blood Bankssponsors the Emanuel Hackel Scholarship todefray the cost of attending the Spring Workshop.Applicants are eligible for a 250 scholarship.The scholarship is available to any medicaltechnologist in the field of immunohematology, bloodbanking, or histocompatibility. An MABB membermust nominate the recipient or an MABB member maynominate him/her self. To apply, the nominee mustexplain how they would benefit from attending theSpring Workshop. The MABB Board of Directors willselect the recipient and the award will be presentedat the lecture session on May 9, 2002.Deadline April 5, 2002Send completed application to:Linda Cardine, MT(ASCP)SBBSupervisor/Blood BankHenry Ford Hospital2799 W. Grand Blvd. Detroit, MI 48202(313) 916-1572 (313) 873-7427 Faxe-mail:lcardin1@hfhs.orgName:Address:Blood Bank Affiliation:Telephone Number:How will I benefit from attending the SpringWorkshop: (Use additional pages if necessary):Nominee InformationName:Address:Blood Bank Affiliation:Telephone Number:How will the nominee benefit from attending the SpringWorkshop? (Use additional pages if necessary)Nominated by:Address:Telephone Number:Winter, 2002Page 5In a Different Vein

UNIVERSALUNIVERSALLEUKOREDUCTION:LEUKOREDUCTION:A HOSPITAL’SHOSPITALPERSPECTIVEMary Jo DrewDrewew,, M.D., M.H.S.AM.H.S.A.Henry ForForordd Hospital Blood BankThe prospect of universal leukoreduction of bloodcomponents (ULR) ushers in a new set ofdilemmas for the hospital transfusion service,transfusion service physicians, physicians whoprescribe blood components, and hospitals strugglingto stay in business in the face of increasing costs.One of these costs is the cost of blood safetymeasures, which, at least for hospital inpatients, iscurrently not adequately considered when insurer andfederal payor reimbursement levels are calculatedunder DRGs. For this and other reasons,implementation of ULR may not be an entirely positiveevent for hospitals. This essay will present some ofthe medical practice, business and scientific issuesthat may face the hospital transfusion service directorwhen deciding to implement ULR at his/her facility.The established indications for leukoreduction (LR)are by now familiar. Currently, these indicationsinclude 1) prevention of recurrent, febrile nonhemolytictransfusion reactions, 2) prevention of primaryalloimmunization to HLA antigens, and 3) preventionof primary CMV infection in susceptible patients. Anindication for LR, not established by well-designedclinical studies, is the prevention of theimmunomodulatory effect of allogeneic transfusion,which might prevent both the metastatic spread ofcancer and the occurrence of post-operative infection.Whether or not ULR will serve to prevent transmissionof new variant Creutzfeldt-Jakob disease (nvCJD) iscompletely unknown, as it is not yet clear whether thethis infectious agent is transmissible via bloodtransfusion.The case for ULR. First, some positives. ULR wouldeliminate dealing with a “dual” blood inventory, bothfor blood centers and hospitals. No decisions wouldhave to be made as to which patient receives whichtype of product, and no patients who need LR productsfor established indications will be missed. PrestorageIn a Different VeinLR products should provide consistent quality in termsof residual WBCs. If a conversion from bedside LRto prestorage LR is made, prestorage LR productswill ensure that patients receive a truly LR product.Iss

586/573-2500 or via e-mail at janet@hfcc.net by Friday, March 15, 2002 at 4:00 p.m. For additional information contact: Margaret Wilde 313/745-2536 - or - via e-mail: mwilde@dmc.org Map to Kresge Eye Institute: The Kresge Eye Institute is on the immediate right when you pull in the drive from St. Antoine. They have valet parking and the parking structure is directly across from Kresge. The .