Computer Systems / Software / ISBT128

Our tried and true Hematrax printer has finally just about bit the dirt and will need to be replaced. We will probably go with the updated Hematrax printer as a replacement. My question is: Once the printer is installed, what validation processes do we need to complete prior to being put into use? The labels should not change, so what is required?

We are importing all of our historical blood bank data from Cerner into SCC SoftBSA/SoftBank, most importantly our patient blood types, antibodies, antigens, comments and special requirements. We are trying to figure out what number or percentage of patient histories to validate. Any input? I can't find a CAP reg related to this.

We are in the process of narrowing our new Blood Bank software down to Softbank or SafeTrace Tx frm Haemonetics. Our new LIS system will be Beaker (our current EHR is Epic). We have heard pros and cons about both systems and are interested in users giving us feedback on their thoughts, especially if they have Softbank as a standalone (i.e., not part of the entire LIS system). All information is welcome. Thanks

Hello All, Now that Cerner has migrated from major release upgrades to incremental upgrades, how are you managing the Blood Bank validation effort? We have not yet received any guidance from Cerner and at this point we feel that we will need to make the determination to validate on our own. How are you some of you handling this? Thank you! Respectfully yours, Maureen Slackway, MS, MT(ASCP), CPHIMS, CQA, CAPM Senior Application Analyst – Laboratory Systems, Universal Health Services, Inc.

We are trying to improve our corrected report workflow and are interested in workflow other facilities are using that have Beaker. What process are you following in HCLL to perform correction? What interface messages are you sending from HCLL to Beaker?

Hi everyone, new to the group. Our Blood Bank is upgrading from ProVue to a Vision. We are also upgrading from Meditech Magic 5.67 to Expanse. I'm wondering if anyone has that set up? I'm interested in how the interface is working, are you able to run everything you want and have the results cross over? Any problems? Information and advice appreciated! Thanks! Karen

Currently we are using 4 x 4 labels for our aliquots as per ISBT standard. These are too big for our neonate bag and attaching them is messy. I have seen some examples of 4 x 2 labels been used that would be perfect size however I'm concerned about compliance with ISBT standard. Can anyone tell me if such labels are acceptable under ISBT128. I have checked the standards and it always referances the 4 x 4 label and there is not mention of 4 x 2. Also all examples of these labels I have seen are missing unit number. This seems like the most important number to me, how can it be dropped from the label? How can the checking process be completed without unit number been shown?…

Does anyone use the handheld phlebotomy feature with Meditech? We are interested in looking into that feature and I wanted to ask some "Real life" users before I talked with Meditech. Looking for something that we can use at the bedside for scanning orders and patient wristbands to ensure the phlebs are sticking the right patient everytime. We have had a couple of wrong patients collected in the past month because of not verify patient with the required 2 identifiers. Thanks! Natalie

Hello , would anyone be able to share a "recipe" for QCing diluent 2 and diluent 2 plus using confidence rgt. (using donor segs isn't an option.) or attach procedure? thanks:)

We recently had emergency release situations on two newborns, first one I can remember in my 7 years here. The day after the O neg PRBCs were issued, I was trying to figure out what testing was required and how to order it. We do NB types and DAT on all babies. My thought was to create a new order for PRBC. If I do that, it will order a type and screen. Since we have already done a type on the cord blood, we would TNP the results? We would still just give O units, Rh compatible. Or would you put in the results from the cord blood with the comment that it was performed on cord blood and TNP the back type and credit the type. Then we perform the screen on the mom…

I am trying to write a Validation Procedure and need some help on what I should be looking for and how to define Pre/Post Implementation Analysis when performing a computer upgrade. Does anyone have a Computer Validation Procedure or a Pre/Post Implementation Analysis Form they are willing to share?

We are working on a derivative tag for RhIG from our new blood bank information system (SafeTrace Tx). So my question for everyone...Does your label for RhIG include the patient specimen expiration date/time?

We are currently trying to redesign a process to track when blood is released to clinical staff or transporters during emergent events. We are an Epic EHR and SoftBank LIS.H ow are you currently tracking the releasing of blood to the clinical staff or transport in emergent or Massive Transfusion situations? Do you use an electronic release by the nurse like routine blood? A log? A paper slip? Employee badge swipe? Also, what are your current EHR and Blood Bank LIS vendors? TIA! Blu

I am working on implementing a new blood bank system which has a very poor Crossmatch/Blood issue process, I'm looking for some examples to give to our IT department as to how other systems manage this process because I think they think I'm wanting something that is top level functionality when I see it as a basic requirement. Please can you give a brief outline of your LIS Crossmatch/Issue processes for me. Thanks

We're a children's hospital in the process of building Epic/Beaker/WellSky (Mediware HCLL) with Go-Live set for April 2020. We've bumped into a huge problem with Epic stating that our outpatient drawing area must use their Epic/Beaker outpatient product which does not allow for electronic (scanned) patient/sample ID and there will also be no patient ID bands. We've been using electronic ID of patients and samples with our current system (MediTech), so losing this functionality would be taking a major step backwards for us - especially with our Pre-Op patients and their blood bank specimens. We don't want to have to go back to requiring 2 specimens collected at different…

We do not use Meditech, but our ordering facilities use Meditech-without a Blood Bank module, My IT department is struggling with an issue. When an order for 2 units of RBC's is placed it creates 2 separate orders/specimens. We need to be able to have multiple products "added onto" the same specimen. Does any one have any advice I can share with my IT department on how to manage this problem? Thanks in advance Teresa

When building psoralen-treated platelets into your computer product code database, what special feature will you be creating to capture the fact that these "illuminated" platelets are equivalent to "irradiated" platelets?

Does anyone use the transfusion service software - eTrace Line from MAK? If so, what do you think and how large is your facility?

Hi, Epic recently published support for the ISBT Compound Barcode in their Blood Administration Module. Is anyone hearing of any plans of blood suppliers moving to this anytime soon? I found the attachment on the ICCBBA website, published in 2015. Outside of that, I've not been able to find much info on it. Thanks! P-004_Standardized-2D-Label-Design-for-Blood-Products-handout.pdf

Hello all! My facility has just now gone to 5 day thawed plasma. I am just starting as the BB supervisor here as well and I am unsure of what is supposed to be on the ISBT label for the 5 day. It is my understanding after researching that 5 day plasma is not a FDA licensed product. Should the FDA registration number and US license number print on the label for the plasma after it is thawed or should we remove that information? Also, what kind of validations did you do in your IS systems when changing from 24 hr to 5 day? I appreciate any help I can get with this, Thank you!

Hello BB community, We are trying to figure out how to scan emergency released units into EPIC. Does anyone have any experience with that?

We are currently moving from Meditech to HCLL. We are a unique situation, because we are 1 facility, however we do provide services for other facilities. this means our HCLL is set up as one location doing testing....only likes 1 medical record number. Sometimes we provide service for Hospital A and they transfer that patient to Hospital B. 2 different medical record numbers. Is there anyone else in this type of situation? If yes how do you manage patient histories. I was told we cannot merge them because it would archive one of the MR#'s and it would no longer be usable. Thanks

My facility is 6 upgrades behind for our bb software. Does anyone know of any regulatory body that requires that you are on the most current software version?

I'm seeking help with setting up Meditech and HemaTrax. We have been having issues printing on the 2x2 labels (product and expiration) - it has never worked correctly. HemaTrax told us it's a known problem with Meditech and Meditech doesn't seem to know the ins and outs of the printer setup. If anyone has any suggestions or contacts from either company I would greatly appreciate the help!

Anybody using QC module in Cerner millennium? Can you share your experience and SOP how to set it up. Thanks