BUGGIE

We use MediTech 5.67, and when we have an out patient we use his Medical Record number that is the same with every visit as our Hospital number on the blood bank band, and then make sure the blood bank orders are entered on a separate requisition number under the fist H number (account number) and then just use the Move To Another Account feature in requisitions to move the blood bank test results to the H number for the day of transfusion.

My hospital is going to change from using MediTech (main hospital)/Athena (clinics)/T System (ER) computer LIS to Thriver EHR/CPSI. Have any of you experience with this? I am particularly concerned with how the Blood Bank module is presented and what it offers. Thanks

Go to www.packmasq.com, or SALES@FLYMAX.COM. They have many different sizes and applications. The cooler is reusable and can be disinfected so they are acceptable to the OR. We bought the Max+Blood Shipper--Refrigerated storage (1-6C), SKU # R12MB (5). It can hold up to 8 PRBCs at 6C for 24 hours. We use this and a smaller (4 unit) Igloo cooler with ice blocks and refrigerated gell packs for our OR needs.

Thanks! How did you pack the units inside?

Hi, I need help. For years we sent blood to our OR in our blood supplier boxes to be stored there in case it was needed. The boxes would hold temperature 1-6 for at least 4 hours and were great. But now I have learned it is an infection control problem to use cardboard from outside the hospital. The box can be nowhere near the OR. So what kind of coolers do you use. I have been on line researching possible coolers. Any recommendations would be great. Thanks

Blood Bank Lead Tech position opening September 30th, 2017, soon to be posted, old tech retiring. Send resumes to Human Resources at Rehoboth McKinley Christian Healthcare Services (small, rural, 60 bed hospital with 2 clinics, behavioral health services, dialysis and cancer center near by) 1901 Red Rock Dr. Gallup, NM 87301 Fax: 505-726-6714 Or go http://www.rmch.org/

Hi, I need help. Our pharmacy about a year and a half ago said we could no long stock RhoPhylac in the Blood Bank as it was a drug. So they now buy and stock it. We do the testing, tell the floor how much to give then Pharmacy said they should bring it down to the lab to be issued and charged to the patient. We issue it as a product with a billing code and charge. Same set up as at our OB clinic, except there it is built as a test and charged that way. Now pharmacy says we need to associate that with a NDC code as it is a drug, which I thought they were doing. We have MediTech 5.65 what do you charge and how do you set it up in blood bank for RhoPhylac. I would prefer Phamacey do this. Thanks

I am really glad this post started. We have been working on this issue since we were inspected by CAP in July. I have an extensive new employee training system, an annual computer review called "HealthStream" that includes a blood bank module for lab and RNs, CAP and United Blood Services competencie articles on line, CAP proficiency samples used as competencies, and of course the usual review of all QC and work done on bench with cards and computer enteries but we need to add more direct observations I guess. As I understand it, as far as CMs is concerned, this 6 point review is for every "test" we do every year. (i.e. ABO/Rh, DAT, FHB, ABSC, XM, ABID, etcCOMPETENC-BB YEARLY ASSESSMENT.docx I have attached a template that was sent to us from our CAP inspectors. Any ideas would help.

How would I set this up for a retype in MediTech 5.65 going to 5.66? We use a seperate BB band and have barcoded Hospital ID bands and would like to go to barcodded BB bands and use the TAR system in MediTech but that will take some time and money to set up. So in the mean time I want to test out a double draw/double type system. We do a lot of prenatal type and screens that will not have the opportunity for redraws. Also alot of Baby Types. So if I set up a "Previous History?" question and the answer "No" reflexes an "ABO/Rh Retype" I get a lot of unwanted test orders. Could I tie the refex order in to the XM order? But that would not help if the patient just got FFP. So how are other Meditech 5.65 lab handling this? Thanks

Innovance reagents are good for 4 weeks refrigerated in their original vials. Is it acceptable to run tests using the original container and put them back in the fridge after running tests, in that way we will not waste reagents when reagents are just left in the machine? We really get low volume of D-Dimer request.

We are a small rural lab and for years have sent all Poly AHG Testing out to our United Blood Services reference lab for Anti C3d confirmation as we can't afford compliment coated check cells. We report the initial results and say we have sent the C3d out for confirmation, we only request the C3d and that is all that is done. For all the non-neonatal DATs we do it is much less expensive than ordering Compliment coated check cells. It has always been an EDTA sample as well.

We have validated the new kit and all my techs have run the + and - QC as training, none have had a problem. The new CAP survey was done on the old and new kit and all went well. The new kit is inuse and I do not expect any problems. We are still using NERL saline. The positive and negative controls are well defined.

We had a visit from a QUOTIENT Biodiagnostic sales rep selling ALBA Blood Bank reagents, have any of you used these? She said they make several of Ortho's products but are developing a line of Blood Bank reagents of there own. One interesting product is a do it yourself compliment control check cell kit. Thanks

Does anyone know how to contact Clay Adams, I can't seem to find a company listing. Were they bought by someone else? Thanks SB

The Medical/Surgical department is revising their policies and procedures for using the Stryker Constavac Blood Conservation System. These will be reviewed and approved by the Transfusion Medicine Medical Director but all other responsibility for training, instalation, labeling, transfusing, monitoring, and reporting to the Transfuion Committee is with this department. They are wondering how to handle autotransfusion transfusion reactions. If there is a reaction should lab be notified to do a work up as with regular transfusions. What are your thoughts?