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Showing content with the highest reputation on 10/14/2020 in all areas

  1. Manufacturers calibrate the electronics and provide the certificate on the assumption of power to the electronics (which are simple and robust). As you did not change the electronics when changing batteries (the power input) you do not need to conduct a performance check (calibration). Or to put it another way: You do not recalibrate equipment after a power cut or if you remove and replace a mains plug.
    2 points
  2. Just a thought but why must the acute pain be associated with the transfusion? Why was the patient being transfused, trauma, chronic anemia, etc.? It makes a difference. Where was the pain, at the site the blood was going in, along the same vein, some other part of the body? I know that it is a natural reaction for us to associate anything unexpected which occurs during or shortly after a transfusion to associate it with the transfusion but that is not always the case. It is worth the effort to also look elsewhere for the cause. As I've mentioned in other threads, I've seen a temp rise post transfusion that was caused by the window blinds being open and the sun shining directly on the patient. Bottom line is that it is not always the transfusion causing what you are seeing. Keep an open mind.
    1 point
  3. I would not be performing one hour post-transfusion vital signs unless the patient has signs or symptoms that require assessment. I would not be reacting to one hour post-transfusion data unless they were consonant with a transfusion reaction. If fever was the only sign or symptom, it's probably not transfusion related in the vast majority of cases. Routine vital signs in the absence of a clinical rationale are a problem, not a solution.
    1 point
  4. Actually, I'm not suggesting that replacement of the batteries is cause to re-qualify a timer. Accuracy of most timers is not affected by battery replacement because there is no actual CALIBRATION, i.e., no adjustment process. Typically, today's timers are CERTIFIED - their accuracy is verified against a standard. That accuracy is independent of the batteries. But, I do agree that a broken/unreadable timer is the ultimate expression of "inaccurate".
    1 point
  5. Kathyang

    Patient re-type

    This is a CAP and AABB requirement. We get a new tube on any inpatient, OR patient, or ED patient whether they are getting blood or not. That way if they do need blood, we already have the second type. The tube should be drawn by a second person at a different time.
    1 point
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