amym1586 Posted November 28, 2015 Share Posted November 28, 2015 Do you have a policy in place for a pre transfusion H&H that has to be done before transfusing blood. I've always been taught we have to have an in house H&H done prior to transfusion but there is currently no wording of that in our Blood Bank. I just had a tech do a type and screen and issue out 2 units of blood on an outpatient with no history of any hematology done at our facility. How do we know the patient needed blood? I've also had a doctor ask how old an H&H can be prior to transfusion if someone can also tell me what their policy for that is. I had a dr write up the blood bank because she wanted us to use an H&H that was from 3 days ago but in the meantime the patient had left and come back and they wanted to transfuse but I said no Because I have no idea if that patient got transfused somewhere in the meantime. Thanks for any help! Link to comment Share on other sites More sharing options...
pbaker Posted November 29, 2015 Share Posted November 29, 2015 We require related lab testing for any product to be done in house. If it is an outpatient that will be coming back the next day, we use the testing performed the day the type and screen is done. We have found that the testing done in the doctor's office if often significantly different than what we find. We then have pathology speak to the ordering physician and we have had transfusions cancelled based on our in house test results. amym1586 1 Link to comment Share on other sites More sharing options...
tbostock Posted November 29, 2015 Share Posted November 29, 2015 Same as pbaker. The CBC has to be in-house and within 2 days. We only give out any blood products without pre-tx lab tests if an extreme emergency. We also require a post-tx test, but not for outpatients. amym1586 1 Link to comment Share on other sites More sharing options...
amym1586 Posted November 29, 2015 Author Share Posted November 29, 2015 Thank you ! I'm new to this job, where would be a good place to include this in a manual? Link to comment Share on other sites More sharing options...
galvania Posted November 30, 2015 Share Posted November 30, 2015 H&H?? Link to comment Share on other sites More sharing options...
amym1586 Posted November 30, 2015 Author Share Posted November 30, 2015 H&H?? Hemoglobin and Hematocrit Link to comment Share on other sites More sharing options...
tbostock Posted November 30, 2015 Share Posted November 30, 2015 We have a transfusion guidelines policy with covers most of our Patient Blood Management stuff. We also have an outpatient transfusion policy which also mentions the requirement for pre-transfusion tests and that they have to be performed at our hospital. amym1586 1 Link to comment Share on other sites More sharing options...
David Saikin Posted November 30, 2015 Share Posted November 30, 2015 We have a pretransfusion form which must be completed before we release any blood product. It provides us with the documentation of "why". amym1586 1 Link to comment Share on other sites More sharing options...
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