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BloodBanker80

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  1. BloodBanker80

    Emergency Release Labeling

    Interesting! I really like these systems. How do you prepare your units for Massive Transfusion/Emergency Release Sets prior to patient arrival? We are looking for a way to pre label (without handwriting) as much as possible before the call comes in. We are AABB/CAP/FDA........ Oh my!
  2. BloodBanker80

    Blood Product Transfusion Form/Labels

    Do they have a website? I've tried google and didn't have any luck? Thank you!!
  3. BloodBanker80

    Blood Product Transfusion Form/Labels

    Thank you for the suggestions! I wasn't able to find anything yet... I'm looking for the transfusion record printed paper that gets issued with product (and has a peel off sticker to apply to the unit of blood/plasma/platelet). I'll keep digging on those sites to be sure I didn't overlook something
  4. BloodBanker80

    Volume (Plasma) Reduced Platelet

    Excellent information! We do try to use the product as soon as possible, but outdate at 24 hours. You bring up an interesting point, when we combine a 'double bag' into one... the expiration has to be changed to 24 hours. Although we don't routinely do that ahead of time, we wait until the nurse is here to pick it up.
  5. BloodBanker80

    Emergency Release Labeling

    Thank you for the feedback! We also use Cerner, so I'm very appreciative of any further assistance you can provide. We switched to Cerner one year ago, so we are trying to find the best way to incorporate it into our process. Going off assumption from your post: You have units allotted for emergency with segments pulled but do not actually label them until emergency room/OR would call and say they need them or show up with the name/MRN. You will Dispense using your emergency process then attach the printed labels? Once you have dispensed, and the dust settles (patient identity is known and specimen received), you go into Correct Inventory/ Emergency-Dispense function and merge it with that patient? Question: Do you keep the emergency consent form with you, pre labeled with unit numbers - or does the courier picking up the units bring it already signed?
  6. We are looking for a new vendor to provide our transfusion product forms/labels that are FDA approved to adhere to the component. Any suggestions are greatly appreciated! Thank you!
  7. BloodBanker80

    Emergency Release Labeling

    Kate - This is a similar idea we looked at after observing the process performed at another trauma center. It seems the major difference is you handwrite the number, whereas they go ahead and dispense in their system to this fictitious name/number at the time of pickup. Nursing personnel attach patient labels to the tags at time of transfusion. Do you all keep a list of already registered special ER-#### to use from? Or do you have like 5 that you use over and over? Which LIS do you have? We use Cerner, trying to figure out the best way to preprint those product tags.... Also, do you use your Emergency Release form with the units so it's already pre-labeled with the units - then have it returned with physician signature? Thanks! Christy
  8. BloodBanker80

    Volume (Plasma) Reduced Platelet

    No luck They conveniently left that product out haha ! thank you though!!
  9. BloodBanker80

    Volume (Plasma) Reduced Platelet

    Good point... I should blame FDA then haha. Thank you!
  10. BloodBanker80

    Volume (Plasma) Reduced Platelet

    Thank you! That makes total sense and correlates with what I found in The Bethesda Handbook of Clinical Hematology online... I will check with my supplier and see if they can provide some feedback as well. Good idea!
  11. BloodBanker80

    Volume (Plasma) Reduced Platelet

    Thank you for the info! Yeah, the data doesn't seem to be there - but I still wish they would just give us a definite outdate requirement haha. I did find some information in The Bethesda Handbook of Clinical Hematology that says Platelets must be used within 4 hr of volume reduction because of decrease in amount of plasma/volume remaining for optimal platelet metabolism. I just happened to run across that online... When we volume reduce, the platelet do stay in the same container. The excess plasma is expressed into a transfer bag and heat sealed/removed. When we prep syringes for babies we do decrease the outdate to 4 hours no matter what product it is. It definitely makes sense, I'm just trying to milk all the time I can out of these. So finding something that will give us a definite more than 4 would be ideal
  12. BloodBanker80

    Emergency Release Labeling

    Awesome - ADT labels... interesting! We don't have anything like this. I'm going to check with phlebotomy to see what they use!
  13. BloodBanker80

    Volume (Plasma) Reduced Platelet

    Thanks Scott! In the newest AABB Tech manual: Method 6-13 Removing Plasma from Platelets: Notes #2: If a sterile connection device is used for removing plasma from a hemapheresis component or individual platelet concentrate, the unit is considered functionally closed and it is not necessary to impose a 4-hour expiration interval required for entered platelets. However, no data exist to support storage of reduced-volume platelet concentrates: therefore, it is preferable to transfuse them as soon as possible. Wouldn't it be easier if they could just tell me an exact acceptable expiration? haha
  14. BloodBanker80

    Emergency Release Labeling

    Interesting, thank you for the info! OK - So let me see if I have a good picture of the process: You can scan the units you want to set up as emergency release to print a label that you apply to the product requisitions (which at least saves you time/errors from writing that portion). You have the emergency release form with the set (of lets say 4 units) with the numbers filled in. When they call, you grab the pack out, write the name/MRN on the Emergency release form, all 4 product requisitions including label that gets applied to the actual unit. The person who picks up the product signs the form, you make a copy? and they take it for physician signature as well and returns the form with the cooler (making an assumption). We had HCLL until about 2 years ago and are trying to update this process to make it faster. We are also a level 1 trauma.. and our issue is remaking the MTP sets once the first one is out. We want to make that faster, and in order to do that the whole process has to change.
  15. We hold to a pretty strict ABO compatible platelet transfusion policy (anyone else still out there ) ... Most of our platelets are volume reduced for this reason. Most literature states a 4 hour expiration date, but we use a closed system to process and there doesn't seem to be a determination of the maximum allowable storage for this? Does anyone have any advice for me on this? Thank you!!!
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