Cliff
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Posts posted by Cliff
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When labeling a blood product, I am aware that the product name and additive solution (if used) must be listed.
My question is, does the mEq of sodium need to be listed? I see it on some labels, but not others.
See the attachment for examples.
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That's very easy to add. Please post the possible poll selections and I'll add a poll to this post.
Or: If there could be many different questions related to this topic, I can create a new survey. That allows members to answer many questions on one topic. Again, just post the different questions to ask here, or send them to me in e-mail, and I'll create the survey.
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What about check cells. I am not sure what they are coated with though. We've used them in the past for a competency, but only to see if staff were detected a positive DAT, we did not ask them to elute it.
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Hi bloodbankbrother, and welcome to BloodBankTalk.
This is a great suggestion, I developed a web site for the hospital I work for that partly does what you are speaking of.
I'd be happy to develop it for all to use at BloodBankTalk, but...
I see several problems with developing something like this. First there is a liability issue, but I suspect I can get around that with a disclaimer the user agrees to with each visit.
Second, malaria risk areas are updated by CDC on a regular basis, I do not want the responsibility of keeping the list updated. Also, it might be a little harder to search than it initially appears. For instance, take a look at Mexico, that is a tough country to determine suitability.
As for medications, aside from the ones listed in Standards, and FDA (I believe there are 4), all other medications are cause for deferral based on the medical condition, not the medication. That would be a Medical Director decision. Again on our site we have thousands of medications listed; however, they have been reviewed by several of our Medical Directors and nurses over the years that we have used the list and is highly customized for our environment.
If other users have suggestions on how to make these projects feasible and will post them here, I will be happy to develop either / both of these modules for use at BloodBankTalk.
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I just returned from AABB in Seattle. What a great conference. I hope some of you were able to attend.
While I was there our Platinum Sponsor generously allowed me to leave pens at their booth. The pens had the BloodBankTalk web address on them. This was an effort to help attract new members. Did anyone get one of these pens?
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I agree in principle; however, what about other circumstances? Let's say the program was generally a macro tool that first copies my keys strokes then iterated them as many times as I wanted, let's say 100. I did the first one and that reflects the way I would use my software. Also, it could be helpful in stress testing, especially in smaller facilities that might not have many staff available to attempt simultaneous data entry.
I agree that a third party tool can't do the entire project, but I think it can add a lot of value.
Validation guidelines issued by the regulatory agencies state that the software must be validated as it is intended to be used. Unless you plan on using software to enter your day to day results into the software you are not validating the intended use.
Who validated the software that is doing the validation?
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This has been solved and all of the forum should be functioning as expected now.
Cliff - I tried to email a copy of a thread, using thread tools, to a my Pathologist but the program says that I can't used this function. Thanks
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It's determined by the total number of posts. Currently there are three levels, they are the default levels from when the board was installed. I'd be happy to change the titles and post requirements if someone had some catchy suggestions.
Here is what we have now:
Junior Member 0
Member 10
Senior Member 50
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Sorry about that Gail. You should be able to open them now.
Hello John,
I tried to open your documents for validating the pneumatic tube for sending blood products, but was unable to.
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I recently ran across this in the JCAHO Q&A.
I found it troubling that they require a specimen to be 3 days old or less when used for an antibody screen or crossmatch. I looked through their Standards and could not find the same requirement.
How long you you use a specimen for ABS / crossmatch?
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Hi Lu,
It's timely I re-read this today. I just finished photocopying for the last five hours. We need to send in four months worth of QC data as part of our follow-up to JCAHO.
We aren't a 20 rack facility, but we do have 6 routine racks, and it hurt a little. We also have a Rosys that we need to do QC on. Plus we were not following the manufacturers directions and testing with dilute anti-A and dilute anti-B. So in the past 6 months our QC has changed quite dramatically. My opinion, we didn't do a single thing to improve patient care. We are spending time and money needlessly to meet a foolish requirement.
Phew, I fell better now.
Is CAP changing its requirements, too. I hate to disagree with JCAHO but isn't this overkill? At the present time, we have two racks and QC 1 of them each day, alternating days. The same lot number is on each rack. We QC new lot numbers before they're put into use. With the type and screen reagents I've never seen a QC failure in my 20 + years as a blood banker except a contaminated A and B cell when someone had switched the tops and those were still useable. This rule is going to be time and reagent consuming for those places which use 10 - 20 racks. I didn't know JCAHO went so in depth in the Blood Bank, I thought they left that up to CAP, CLIA and AABB. Lu
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We have a very active delivery service.
We defined this in our policies:
"Rh positive platelets must not be given to Rh negative females <50 years of age unless approved by the Medical Director."
We also have a fairly significant inventory, so this is not an issue.
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We do the same, but we don't make staff sign. They know it's there responsibility to read it each shift. It has worked well for us. We also have a white board in our coordinating (central) area.
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Hi Gloria,
Not saying I agree or disagree with the policy, but we give leukopoor (CMV safe) to women known to be pregnant. Possibly that is the origin of this policy.
The transfusion service where I work sets up leucopoor units on females under 50 to prevent CMV. Is anyone else doing this?
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We have a great pole made by Haemonetics just for this use. You can hang several units at once, there are hooks at the top and bottom of the pole, and there is a wire tray to site the final bags in, not on the floor.
It's called a RBC Filtration Pole.
It has a List Number 8170 on it.
I looked around on their site but could not find it, I'm sure you could call and get more info.
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Our institution has a bone / heart valve bank, and had a separate tissue bank on a burn floor. Both of those areas had repeated concerns with JCAHO surveys. It's more than just tracking, it's also a storage issue. Both places had fridges, freezers and room temp storage.
The easiest solution for the institution was to move the tissue from the burn floor into the blood bank, the volume is rather small. The bone bank in the OR is not staffed all of the time and there is a log book that nursing is "supposed" to use to track products. It's a lot of work for the bone staff to try and reconcile the products each month. The institution approved a significant amount of money to install a medication cabinet (http://www.omnicell.com/solutions/medication_use_process/medication_dispensing_systems/medication_cabinets/unit_dose_center.asp) to assist in tracking the products. We are waiting for an upgrade to our pharmacy server to install it. It will attach directly to the hospital IS system.
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Nancy,
Looks like you got lot's of terrific suggestions, now you'll need to work this out with your director. I was involved once in a situation where a 12+ year phlebotomist collected a sample from the wrong patient. The patient was transfused with 12 A units and they were actually an O. The patient did well, settled for an undisclosed amount. The directors were all in favor of letting this person go. I adamantly voted against, and fortunately policies were changed that included disciplinary action, not immediate dismissal.
You might also want to remember that these forums are public, and this 3rd shift employee might hear about their imminent demise from here.
Should a tech be dismissed immediately for missing an anti-Kell on patient's record (titer is low and ab screen is negative, units not Kell typed and coombs crossmatches not performed. Both units were transfused. Tech works 3rd shift and director believes that should he go, scheduling becomes a nightmare)?
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We are in the process of installing it now.
We are going from a home grown system to HCLL, so as you can imagine it is presenting some challenges. We are a large organization and our home grown system is very integrated.
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Good point conwaysbb.
Not only is this an AABB standard but it is also a JCAHO standard.
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There have been several recent reports of donor drives laptops being lost / stolen from drives and other potential compromises of donor information.
Are you using a donors social security number (USA respondents) as an identifier?
If not, what are you using for positive donor identification?
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Are you still asking questions proposed by AABB related to SARS?
- In the past 28 days, have you been ill with SARS or suspected SARS?
- In the past 14 days, have you cared for, lived with, or had direct contact with body fluids of a person with SARS or suspected SARS?
- In the past 14 days, have you traveled to, traveled through, or resided in areas affected by SARS?
FDA has not had any updates sine 2003 (http://www.fda.gov/cber/gdlns/sarsbldgd.htm)
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Our nursing SOPs require the nurse administering the products to notify both the patients physician and the blood bank.
We too recently reviewed this AABB standard and feel it is very clear that the reactions must be reported to the blood bank.
AABB BBTS 7.4.1
When an adverse event is suspected to be transfusion related, personnel attending the patient shall immediately notify the blood bank or transfusion service and the responsible physician...
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Hmm, it just happened to me too. Sorry about that, I am looking into what may have gone wrong, it has to do with code that was added, it may take a while to solve. In the meantime, you can go to the topic you wanted to send, and copy the link and send that in an e-mail. I know this is not as clean, but it will work for now.
Cliff - I tried to email a copy of a thread, using thread tools, to a my Pathologist but the program says that I can't used this function. Thanks
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You could respond directly danders@stillwater-medical.org
Thank you for the contribution, we prefer members to share information with the entire community as compared to direct responses. We would appreciate you to post replies to the forum.
Proper Blood Product Labels
in Computer Systems / Software / ISBT128
Posted
Thanks for the reply. I looked through the CFR's and did a few searches and could not find anything either.