Leaderboard

I understand now, had to read the thread over again and the reasoning with my simple mind. Well if the patient's antibody screen was negative prior to Darzalex treatment, then given K neg units once the antibody screen was affected by the DTT technique, then I can understand how giving 'regular' units once the antibody screen is negative would be acceptable because none of the units given would have caused that immune response (Aha moment). duh. Thanks everyone.

Malcolm, I agree this was truly insensitive and arrogant behavior, not atypical of physicians in many periods of history, granted. I do believe this is very different from our use of about to be discarded cord blood specimens used for laboratory testing, but I'm sure some would disagree. Our human subjects review boards generally consider laboratory testing blood specimens from patients that would otherwise be discarded may be used for research purposes or quality control purposes without informed consent.

My two penneth for what it's worth; when the patient is in the OR the anesthesiologist determines blood product requirements (often by verbal order) so all an OR runner needs is name and MR#. It seems your, very valid, concern is avoiding WBIT from the outset due to the issues you outlined above. I suggest the solution is that the OR processes need to be cleaned up (literally). Therefore get QA involved. I am not a manager so others here will be way better at giving suggestions on how to proceed down that path and ensure changes are made, and just as importantly maintained.

There is a pick up slip that can be printed out of Epic. It is a blood requisition form. We also have a downtime form that nurses use when Epic is down. I am attaching the downtime form Blood Product Pickup Form - revised 10.29.20.docx

We do the same. Ours is setup to print the transfuse order both to the blood bank and to the nursing printers.

The nurse's "transfuse" order can be turned on to print when released. That is what our nurses bring to us out of Epic for blood pickup. The patient label is the downtime procedure for when the printer isn't working or for surgery patients because that workflow does not use transfuse orders.