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PBM RN

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About PBM RN

  • Rank
    Clinical Blood Management/TSO

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  • Gender
    Female
  • Occupation
    Clinical Blood Management Coordinator. PBM works closely with the blood banks, pathologists and labs in our Hospital System.

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  1. We are also trying, again, to move our Medical Staff to CMV Safe. How do you educate your Physician/ providers to CMV safe. We have providers ordering CMV Safe when it is no longer needed. Partly because we have to have a acknowledgement by the Provider to switch, but they are worried to switch if they don't know the entire patient history. We are now considering educating the Providers and Physicians and then allowing the Blood Bank to reflex to CMV Safe unless a specific order for CMV negative is placed. How did you make the conversion? Any Provider education resource you are willing to share? Less than 4 mos of age and the amternal indications are the only we have clearly demarcated.I have found several education pieces in the UK and Canada but not the US? Thank you in advance.
  2. WellSky is the Mediware product, right? That is the other BB software we looked at too.
  3. Great we have a good group! I have two recent questions if you don't mind more emails. I know this question has been asked in the larger forum, but specific to Epic/Soft how are you all dealing with John Doe's and the conversion of the record once the patient has a known identity if the T&S was drawn on John Doe? Are you redrawing, running parallel charts until DC, or are you converting at a specific time like 72 hours? Second question - how are you handling gender in the Transgender population? We are considering having birth identity go to SoftBank from Epic instead of legal gender? We are still working out how to express the need for the birth gender at registration for patient safety in a sensitive manner. Thank you, Anne
  4. This is great! There are more of us than i thought! I am a TSO/Blood Management Coordinator for a 9 facility System. We went live on Epic with SoftBank in October 2016. We are still experiencing many of the same issue with functionality that other are and we have added issues due to Softbank.
  5. We actually have not added the field to Epic but do have it in Soft. In epic the BBID is entered in the free text field in BPAM in the blood unit verification screen. For the majority of care scenarios we have moved away form the BBID in favor of the Epic patient band. I would be interested to know where and how the BBID bands are being used in other Epic Centers?
  6. Great, I think I have identified at least six of us who are working in the Epic/SCC environments.
  7. Also, if you use a log is that completed by Blood Bank only or do staff use it to sign out units?
  8. Thank you! So you don't require someone to check out the units in each round of products? DOes the staff taking the units have to sign the log or is that the BB only that is completing it?
  9. Looking for other Epic and SCC/SoftLab/SoftBank users to share fixes, concerns, and conundrums with!
  10. We are currently trying to redesign a process to track when blood is released to clinical staff or transporters during emergent events. We are an Epic EHR and SoftBank LIS.H ow are you currently tracking the releasing of blood to the clinical staff or transport in emergent or Massive Transfusion situations? Do you use an electronic release by the nurse like routine blood? A log? A paper slip? Employee badge swipe? Also, what are your current EHR and Blood Bank LIS vendors? TIA! Blu
  11. The Provider ordering the blood should sign for them.
  12. We are currently trying to redesign a CAP/AABB compliant process to track when blood is released to clinical staff or transporters during emergent events. We are an Epic EHR and SoftBank LIS. How are you currently tracking the releasing of blood to the clinical staff or transport in emergent or Massive Transfusion situations? Do you use an electronic release by the nurse like routine blood? A log? A paper slip? Employee badge swipe? Also, what are your current EHR and Blood Bank LIS vendors? TIA for any information you can share. Blu
  13. We most recently worked with Mediware, formerly know as SHG. Their product changed and did not meet our needs anymore, they have rebranded now and I don't remember their name. We moved to in-house reporting with Epic data feeds to Crystal reports. If you cannot do internal reporting, a company I recommend is Accumen. They are a growing company with longtime, well respected SME experts from several other former companies, including SHG. They also have great resources for standing up a PBM program and SME support and knowledge libraries. Blu
  14. Alesia, We are an Epic/SoftBank facility and we went live 2 years ago. After repeated attempts, we do not scan MTP blood into Epic. There are too many products moving too fast for the nurses to keep up documentation. Softbank has a downtime form that prints after the order is placed and we send that forms out with every unit to allow the nurses to check the blood and document the verification, stop and start time and VS. If the patient is monitored VS can be imported into Epic from our SpaceLab monitors. We built an MTP I&O field into the MTP order that populates instead of a nursing documentation row. From there the total volume of each product type can be entered. Those paper records go into the patient's "thin chart". After a few hours SoftBank will have connected with Epic and the Transfusion Report wills how what was ordered and released during the MTP. The paper records also get scanned into 'Media' tab in Epic after the patient discharge. What is your LIS? Please let me know if I can help further. A
  15. I can see from any earlier thread that there are several facilities out there on Epic and SoftBank. We are a 6 hospital System with 1 larger Medical Center 2 smaller community hospitals and 3 CAH's. We are looking for you to see if we can partner and ask questions. We went live on Epic and Softbank October 1st and still have some processes that are not flowing as smoothly as we would like. We are happy to share and collaborate too if we can help! Please PM me or reach out to me by replying here if you are willing to help, collaborate. Thank you, Annie
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