Scott Hampton

We built ISBT in Cerner Millennium and did go the one to one route. We found it the easiest for the staff. This eliminates the need for the staff to decide which ISBT code is correct when multiple codes are associated together.

I am the manger of the BB at Parkland Memorial Hospital in Dallas, TX. Parkland is a level I trauma center and burn unit. I believe that we have a very sucessful plan. Our plan consists of predetermined shipments of blood product and NovoSeven. The plan is the plan. Once the MTP order placed, the BB takes over. We do not deviate unless additional written orders are received. We monitor wastage very closely and review each MTP with our medical directors. We do about 10-15 /month. Contact me if you would like to discuss.

We are a level I trauma center that also converts FFP to Thawed Plasma immediately. You must use the code that best represents the product, the anticoagulant, and the volume.

Our facility (level I trauma) has an MTP that is acitivated and blood products are supplied in shipments based upon predetermined quantities. This protocol went through various physician and nursing groups. We have had very good success.

Our facility recently installed the Cerner Millennium computer system which does allow us to afford this option. We have found it very helpful in a very busy Level I trauma center.