[ISBT and Cerner Millennium]

We are in the process of developing our ISBT build for Cerner Millennium 2007.18. Our LIS person is curious if a one to one relationship for product build is the most appropriate way to go. If there are any Millennium users who have completed a successful ISBT build that would like to share information with us, please let me know.

Thanks

Chris

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.

[massive transfusion]

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.

[ISBT codes for "Thawed Plasma"]

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.

As we are a level 2 trauma center, we are looking at going to the 5 day "thawed plasma" as part of our massive transfusion protocol. As I understand it, if you do convert your FFP or 24 H plasma to "thawed plasma" you must then print out a new "thawed plasma" label.

As there are several "thawed plasma" codes and I do get FFP and 24Hr plasma from multiple blood centers is anyone using all the thawed plasma codes or just using one code.

i.e.

code E2702 is for thawed plasma, CPDA-1

code E2710 is for thawed plasma, CP2D

code E2684 is for thawed plasma, CPD

Also, is anyone converting FFP collected from Pheresis to thawed plasma? I do not see any ISBT128 codes to convert these pheresis units to.

[Massive transfusion protocol]

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.

[Electronic Crossmatch]

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.