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Very good points, John. It is not uncommon to get crossmatches on "irradiated-warranted" patients with ER or admitting diagnoses such as "weakness" or "anemia" or "bleeding." I'm all for calling the doc if something raises your suspicion, but I don't think it is appropriate to make it the laboratorian's responsibility to check diagnoses. Donna

Just doing my job as devil's advocate. Suppose the patient comes in for a diagnosis unrelated to the reason they may need irradiated blood products. You would never know. I've mentioned in the past that I can play the "what if" game with the best of them. I think Terri's approach is the best you can hope for but realize that you can never cover every possiblity. With out a policy such as she describes I have never felt that laboratory staff should be modifying orders on their own.

Sure, but usually it's for the opposite reason...irradiated and/or CMV- products are ordered for patients for whom thay aren't indicated. Usually a phone call to the doc and maybe an email to him outlining the indications resolves the issue.

In many cases we don't know if the patient is male/female or the age so we'll start with O neg. Then we'll make informed decisions after information is available.

For rare reagent validation, when changing manufacturers, we do a couple of patients and/or segments with controls in tandem. For changing lots only from the same manufacturer, we do controls in tandem.

I am on the Magic version5.6.6, but the Nomenclature Map was used to enter an IMO (Intelligent Medical Objects) mapping. This will be used for EHR (Electronic Health Record). In the Magic Version, this is on page 1 of the Product Dictionary

galvania sorry I am not commenting on the ABO aspect of your post. I just wanted to share that we have recently implemented a blender in the micro dept for prep of transplant specimens. Poor girl doing this task will never look at a blender the same way. If I am not mistaken I heard they are comming out with a pill for establishing normal flora. For the miro aid the sooner the better.