All Activity
This stream auto-updates
- Today
-
We have a log book and a white board. The log book is a daily calendar and it is for more date specific items (i.e. order a specific product on that day) The white board is for more general or urgent items - something that doesn't fit on a day or would span over a longer period of time (i.e. shortage of a product). sandra
-
- Yesterday
-
If you are in a Massive Transfusion situation and the patient is bleeding so profusely that you run out of available (aka thawed or liquid) ABO compatible plasma - the only available plasma is Group O. You have a specimen and the patient is Group A. What would you do?
-
in our lab we had to implement troubleshooting logs with any and all instrument issues, was tech support called, what did you try to do to fix instrument, so it wouldn't be repeated. and tape it right on instrument, for other things we have a shift report binder to record any call in sick issues, etc. when and if service is coming in, and have weekly huddles for other not so stat issues..
-
-
-
Will you please post a picture receiving the medal - then when I quote you I can show them my reference! Congrats Malcolm!
-
-
-
-
We have a dry erase board in an area that can be seen by all techs where we write general transient info such as 3 PLT ordered, # of available PLT, reserved PLT for heart surgery, etc. This info is erased as it is updated. Most of our issues seem to center around PLT. LOL I have a clipboard with basically a sheet with instructions on the top and basically lines and cues about date/time on the rest of the sheet. If we talk to a physician, nurse or blood center about an issue, we write the info on the clipboard. Some problems take up most of the page so they take as much of the sheet as they need to relate the issue. I'm sure some things are missed here and there but it seems to work for us. It is not perfect but nothing ever is. My techs are pretty good about writing on the clipboard.
-
Hello juandobermanz, Welcome to PathLabTalk. Please feel free to browse around and get to know the others. If you have any questions please don't hesitate to ask. juandobermanz joined on the 05/21/2019. View Member
-
Our hospital only did the minimum for years and was never sited. However, a few years ago it seems like the CAP standard changed to read that all reagents must be tested with positives and negatives. Or maybe I REALLY read the wording closely. So I redesigned my QC with pos and neg for all reagents. And we do check the A2 cells everyday. I know if I left that off, my people would forget to do QC on the rare occasion they actually needed to use the cells. I try to stay ahead of the issue. I will say, I was inspecting a hospital about 2 years ago and I asked the person in charge of the BB about the negatives he wasn't doing. He pushed back really hard so I called CAP to get a ruling. CAP said doing only positives was OK and she sounded exasperated that I would ask such a question. I got the feeling she thought I was reading it too closely. I didn't change my QC after that call and I still feel better about proving over and above what is the minimum necessary to prove the reagents work. No one can ding me for not doing enough. The reagent use is minimal and I don't feel I am wasting reagents.
-
juandobermanz joined the community
-
-
-
We have two forms I could send you if you want to message me your email address. Most of ours is now in the computer also, but the forms have more instructions, both for Nursing and the techs. Good start.
-
BloodBankTalk:Clinical Aspects of Transfusion Reactions
KLLP replied to Cliff's topic in Question of the Day
I just answered this question. My Score PASS -
I just answered this question. My Score PASS
-
We also have a communication log. It doesn't have to be anything fancy, ours is just a spiral bound notebook. We also give verbal report to the oncoming shift. This isn't fool proof, but it helps.
-
Hello KLLP, Welcome to PathLabTalk. Please feel free to browse around and get to know the others. If you have any questions please don't hesitate to ask. KLLP joined on the 05/21/2019. View Member
-
KLLP joined the community
-
Could the Daily/Day of Use QC for the ABO Plasma Grouping Cells ( A1 and B ) be considered a positive and negative control for the saline crossmatch? In both cases these tests use patient serum/plasma added to donor red cells, the only difference being that the ABO Plasma Grouping cells are stored in solution designed to maintain agglutinability while the donor cells are stored in a solution designed to maintain oxygen transport.
- Last week
-
-
We do a shift huddle 10-15 minutes after shift change. The lead or responsible tech in each area notes important info on the huddle log and reports verbally at huddle - everyone (usually 7-10 techs at huddle) is expected to pause long enough listen unless they are dealing with an emergency/stat. The PM shift then huddles with the overnight techs (usually 6-7 at huddle). Overnights huddles w/ day shift. It is mandatory, but we've been doing it for 3 or 4 years now, so its automatic. It is effective as long as everyone plays by the rules.
-
We use it during a computer downtime when the transfusion is needed before the computers come back up. Then once the computers come back up the units are retroactivity computer xm/dispensed
-
We use a electronic huddle report via the email system. The shift charge is responsible for writing it and they gather the information by going through the departments to see how the day went, inquire about any issues and asked for pertinent information to be passed on. Most everyone is good about reading this report especially since there is usually some kind of interesting bit of intel to be passed on that induces a chuckle. Also there is 1/2 hr to 1 hr overlap and Techs are good about communicating any issues. Great team work at my site..
-
Nursing is required to call Blood Bank and also to order Request to Investigate Suspected Adverse Reaction to Blood Transfusion in their computer. The computer request is sent to Meditech (Lab and BB computer) to order Transfusion Reaction Investigation. Blood sample is collected ( and blood container with Transfusion form) and routed to BB for DAT and Visual Inspection. Clerical Check is done comparing information on blood container label, transfusion form and pretransfusion blood sample for any discrepancies. This process is documented as the STAT Investigation. An EXTENDED Investigation (repeat Type and Screen, Crossmatch, chemistries, etc.) is done only if clerical discrepancies, serological discrepancies or Visual Inspection are noted.
-
I just started at a lab that does not have a clear transfusion reaction workup protocol. I would like to get a checklist together for the techs and the nursing staff so we can all be on the same page, does anyone else do that? Does anyone use an order set that automatically orders DAT, UA, Bilirubin, or Haptoglobin etc... when a transfusion reaction is expected or do you leave it up to the docs to order as they see fit?
-
We also use a communication log that others are referencing here. Each tech is required to read the communication log since the last shift they worked EVERY DAY as one of the first things they do as they enter the Transfusion Service. We have been doing it for years, and it has now become second-nature. Anything that has to be handed off must be recorded by the outgoing staff, and anything else to speak of (patient using frequent products or an OR or MTP that used a lot) is also helpful. We also instituted a huddle board (dry-erase board at the end of the room) and do a standing huddle around 3pm everyday when we have the most staff and are usually the busiest. Even the Transfusion Service MD on-call participates in the huddle and it has helped out with our team communication!
-
Another strategy, which works for ABO incompatible kidney transplants in some cases, is a combination of immunosuppressive drug therapy, IVIgG and plasma exchange. If it works for ABO, one would guess that it could work for Inb (or anything else, for that matter). One also guesses that the antibody might be wholly or largely IgM if it only causes HTR and not HDN. If that were the case, plasma exchange could be particularly effective.
-
Yes, we have a Communication Log in each department and it works.
-
Hello Chica, Welcome to PathLabTalk. Please feel free to browse around and get to know the others. If you have any questions please don't hesitate to ask. Chica joined on the 05/19/2019. View Member
-
Chica joined the community
-
No, it is not just you.
-
That seems wrong on several levels, or is it me?
-
Similar. We call it a shift report. It is reviewed at the shift change with the senior techs in charge of the outgoing and incoming shifts.
