Angie Redd

Is it necessary to re-type a unit if you are re-entering it back into your sytem. Example: We received a unit and re-typed it. Then transferred the same unit out for irradiation, then it was sent back to us, so we re-entered into computer system. On re-enter, our system did not reflex a re-type as it recognizes it as already here. Comments....

What time frame do you check the PT/INR after the 2 units of FFP are given? Is there a appropriate time that effectivness could be monitored similar to 1 hr for RBC's?

We have been using TAR for awhile now. Nursing does have to document vitals in TAR not nursing notes or other documentation or it can not be viewed in Blood Bank History. They are scanning all unit barcodes, patient wristbands, ect at the bedside. The only downfall we have is nursing actually taking vitals at the correct times. Meditech prompts on the status board when the next vitals are due, but sometimes they are not taken at the appropriate times. this creates an incomplete tranfusuion record for Blood Bank when each transfusion is being monitored. Otherwise TAR has worked great.

We are currently on v.5.62 SR 13. We don't have any automation in Blood Bank but we are using TAR. They scan everything at bedside. Hancock Regional Hospital, Greenfield, IN 317-468-4421

Our policy states that a type or identification must be verified by one of three methods. 1) patient must be verified by two different people at the time of draw and both computer sign on codes on label, patient is also banded for blood bank. 2) test a second tube that was drawn at at different time that is correctly labeled with patient name, M#, date/time of draw and person collecting initials or 3) obtain a second sample. This is done mostly on samples collected for crossmatch and T&S, but everyone is getting used to it and doing it everytime except for outpatients.

We also had the issue with FFP slits, it would scan in, and attach A or B. But when I would try to issue the product it didn't scan correctly. Meditech saw it as "a or b". We are also doing on-line nursing transfusions (TAR) and when we tried to scan the product on the nursing side it didn't recognize the spits. On the autologous units, we separated them out so we could charge for them even if not used. They are charged with $0.00, and we attach the autologous fee and unit charge at the T&S. If we go back to just using markers, then we won't be able to charge for the unit if they don't get it, or they could get charged double.

We are having issues with the apheresis products. I do not have a separate product for each product code. We usually add an A or B to the end of the unit number, but now that won't be able to scan. Does anyone know of a way to make unit numbers with the suffix A or B on the end and reprint a barcode? We don't plan on purchasing any other equipment. I have the same issue with autologous - we do have a separate product for this but when I try to put in the product codes, it alerts me that it is being used by another product. Any ideas???

We don't store alot of frozen products so an under the counter freezer would be perfect for us. Where did you purchase your Harris freezer and what specifics if any could you tell me. thanks