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Showing content with the highest reputation on 07/20/2019 in all areas

  1. We set our blood product orders to reflex off of the transfuse order. This accomplishes two things for us: the physician only has to enter one order, and we don't have staff calling us and asking if they need to order irradiated, cmvn, leuko-reduced, etc. We perform electronic crossmatch (sorry Malcolm, that's the term) so we do not set units up unless they have a transfuse order unless they have a clinically significant antibody (or history of one) or the patient is in OR and the physician requests units be packed in a cooler for quick access.
    1 point
  2. pbaker

    Nursing Order

    We have the same set up for basically the same reason - a patient was transfused with no transfusion orders. However, blood bank only gets notification of the product order. Also, no specimen collection label will generate if only a transfuse order is placed. We had a case where a transfuse order was placed on one patient and a product order was placed for a patient with a VERY similar name on the same floor. RN came to pick up blood for the patient with the transfuse order and couldn't understand why we did not have it ready. "Patient was bleeding!!!!!" Our transfuse and product orders are going back to being linked together so you can't order one without the other.
    1 point
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