Cliff
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Posts posted by Cliff
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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.
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Here is there site: http://www.deltatrak.com/
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Thanks John,
I was looking at the HemoTemp, I see there is also the HemoTemp II that has the irreversible indicator, maybe we'll try some of these.
What is Delta Trak? I found a site that looks like it, but it seems more like a data logging device. If so, we are using TempTale devices and have had great success with them.
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We transport blood products to our OR's in Igloo coolers. The coolers themselves have been validated by us.
We would like to perform audits of the blood products.
Is anyone currently using a temperature device that is adhered to the unit, and what has your experience with them been?
I am aware of Safe-T-Vue and HemoTemp indicators. The HemoTemp indicators are reversible, so they are not suitable for what we want to audit.
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Did the article have references? That might be a good source.
In the state of Massachusetts the minimum age is 17.
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We have two small centers, collecting less than 20,000 total a year. We don't track this either.
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I agree that a color comparator can be subjective.
That being said, here is a very old one that we use.
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Good point, but what about the dilemma Dawn mentioned above? What do you do when they start hemolyzing?
What about the literature that supports giving phenotypically matched.....does anyone else agree with this philosophy?
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Rosanne,
We too are implementing a new system. It will have the ability to input many unit number formats, including ISBT. Ask your vendor, it should not be one or the other. ISBT will be a long implementation process.
We will go live next Spring with a new computer system (SoftBank), but how can you implement ISBT if the vendor for your Blood does not have it implemented? We get our Blood from ARC but no word yet.
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We have gone with Mediware (LifeTrak and HCLL).
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I'll reply to the first part of your question.
We are currently implementing a new computer system, we'll be moving from our home grown system. Our home grown can't handle ISBT, and our new system is not quite ready for it either. By the time we go live, around April 2006, it should be available. The trouble is that we have two donor centers and a transfusion service. We do not perform our own viral testing and we need to ensure our vendor will be able to use ISBT 128 numbers. At this point ARC is doing our testing and they will not accept ISBT.
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We are in the process of implementing a commercial blood bank system. We will be importing data from a home grown system and a different commercial system.
The concern I have is the new system will only import unit numbers in a code-a-bar numeric or code-a-bar alphanumeric format. They propose we alter our unit numbers.
Over the past 20+ years we have used a variety of unit number schemes. Most not strict code-a-bar. For some unit numbers we'd need to truncate the number, for others we would have to alter it completely. We will be able to store the original unadulterated number in an alias field; however, this field is for reference only and will not be searchable.
I am not too fond of this idea and we are soliciting comments from others and may contact FDA for their opinion.
I'd like to hear if anyone else has implemented a new system and if they had a similar problem.
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This is funny, you need your sound turned on, it's part audio, part visual.
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I think the question that needs to be asked is "Why are you doing QC?" depending on how you answer that will determine whether or not you QC by the rack or by the lot.
I used to think that too until we were cited by JCAHO for following the FDA rules for each lot each day of use. As a reminder here is the standard publshed in the 2005-2006 Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB) by JCAHO.
Standard QC.5.220
The laboratory tests for reactivity the potency and reliability of reagents used for ABO grouping, Rh typing, antibody detection, and compatibility determinations.
Elements of Performance for QC.5.220
- The laboratory defines its procedures for reactivity testing in writing.
- Each opened vial of antisera, reactive cells, and reagents is tested for reactivity on each day of use and when a new lot of reagents is first used.
- The laboratory confirms that each reagent reacts as expected.
- Results are documented.
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We have an IRL and we also run controls with every batch run.
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Sorry, there really is no way I could share mine. It no longer exists in an access database. We have moved it to a SQL server that interacts with our website.
The website is what gives us the functionality. The site is fully integrated with employee tables as well as the Occurrence data tables.
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I completely disagree with the assessor you had. I think the transfusion service medical director should work closely with the person who administers the tissue programs, and possibly have them present regular reports to the transfusion committee, but I think it is unreasonable for aaBB assessors to dictate how a facility decides to manage itself.
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Our transfusion service is not (currently) responsible for tissue, we do this process for blood products. We do not have our tissue programs assessed by aaBB. JCAHO expects you to have this in control at an organizational level. We had the directors of our different tissue areas present their own info at our recent JCAHO survey.
We have thousands of credentialed physicians. Instead we chose to send an e-mail twice a year too all of the physicians. We keep it very simple.
"The [Your Institution] Transfusion Service would like to encourage all [Your facilities] clinicians to please notify us of any suspected cases of transfusion-transmitted infectious disease. To report a case, please contact [blood Bank Medical Director contact info]."
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Jane,
Here the reply from Websense, I guess it just depends now on how often your IS team updates the database. I presume it's automatic.
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Mr. Reeves,
Thank you for writing to Websense.
The site you submitted has been reviewed and classified under the
category Health. This update should be available in the next
publication of the database.
Thank you for your assistance,
The Websense Database Services Staff
PW
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Jane, as an update I noticed that the prior site, donorlimits.com was categorized by Websence, and this site has not yet been categorized. I just contacted them and requested they categorize them the same. Hopefully they'll respond soon.
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Ellis,
I haven't read John's SOPs, but the process you describe is what we do. One staff person always reviews / issues all of our products. It is not different for the tube system, issuing to a cooler or issuing to transport staff.
John
Thank you for sharing your process. Please clarify one point for me. Upon request from the patient care area, only one staff member selects the appropriate blood unit that was crossmatched previously and checks the label, tags and sends to the patient care area. Is this correct?
Thanks, ellis
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Websense is a filter your IS admins are using to ensure you are viewing appropriate sites. Maybe once this site has been evaluated by Websense it will get through, not sure.
Are you allowed to ask your IS people to unblock, or allow sites? I'm sure they'll find this site acceptable, we do not have any inappropriate material here and never will, and I read every post to ensure it stays clean.
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Thanks for the great responses. We actually use a database and a web site to track our (I work with Dawn) Occurrences too. This gives us a few additional benefits, such as we can track who each Occurrence is with and the site sends automatic e-mails reminding them to finish processing them and turn them in. The problem we face is more a timeliness issue. The staff seem to take a long time processing the Occurrences and returning them to me.
Do you have success with getting them completed?
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Just sent it, enjoy.
Cliff is this still available? Just found it today and it looks very interesting.
Thanks
John
Problem with viewing website at work
in Transfusion Services
Posted
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.