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Posts posted by Eagle Eye
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On 1/20/2018 at 8:03 AM, Malcolm Needs said:
I agree that you should NEVER hold back blood in an emergency situation, just to get the correct Rh and K type when there are no such antibodies present, however, be aware that the next time there may well be Rh and/or K antibodies present too, and the situation could be even more of an emergency. What do you do then????????!!!!!!!!!!!!!!
That time on you start honoring them...
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we do not write on unit. Our staff runs report from LIS and all our antigen negative units are on one shelf (~20 at a time) .
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Basically follow your SOP and maufacturee recommendation.
Long time back We got cited for not doing weekly every seven days...... SOmetime we were doing on Monday and then Friday which was more than 7 days so we were cited by our STAT that it is not weekly!
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We use MTS 2 plus routinely. We keep ours on board only 16 hrs (two shifts) then midnight has their own set.
We rarely use MTS 2 ---After performing daily QC we store our MTS 2 in Ref. until we need to use it for patient or until next day for QC.
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On 12/2/2017 at 2:38 PM, Eagle Eye said:
Most freezers equipped with automatic alarm test has low and high.
And yes if the manufacture instruction says to do hign and low, we must do high and low alarm check.
This is our interpretation of CAP question that you need to follow manuf. requirement.
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Most freezers equipped with automatic alarm test has low and high.
And yes if the manufacture instruction says to do hign and low, we must do high and low alarm check.
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On 11/29/2017 at 9:00 AM, EAB81 said:
WOW@ this feed
So, we've decided that we will start labeling them even if they are Jane/John Doe along with our "uncrossmatched" conspicuous sticker. Name, DOB, and MRN should suffice, correct?
Also, there has been discussion of what type to give patients.... I know what you're thinking, but hear me out.
Normally, we give O-Neg no matter what. That's never been an issue, but a tech asked me if we could give type specific if it was a patient we had a confirmed history on. Another tech says that at her previous hospital they had to either give O Neg or they could give whatever type the patient was typing at that time. The AABB Technical Manual states " issue uncrossmatched blood if the patient's ABO group is unknown. Issue blood that is ABO and Rh compatible if there has been time to test a current spec." Well, if it's a person we've had before and there's no time to test a current specimen, and we have a confirmed type--can we technically issue whatever their historic type is? The manual doesn't speak to those we would know the type just from history.
NO. Until you type current specimen, you need to give O red cells.
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On 11/25/2017 at 6:25 PM, Cliff said:
As I mentioned, we need to go to a separate system just to print the labels to stick on to generic emergency release forms. All of this adds time. We are a large level 1 trauma center with a very active labor center. We have many emergency release situations. Some with dozens of products. This adds no safety at all and adds time; therefore in my humble opinion, decreases patient safety.
If I give an o neg RBC to the wrong patient (both of whom were going to get emergency released products), did I harm anyone?
We are level 1 trauma center and we are fortunate that we get specimen ASAP. And patient gets MR# and name.
I do not recall a incident in 15 yrs where we did not have name or MR# for patient. And only two cases we did not get specimen for a while and had to issue O red cells and AB plasma...
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Our only concern: patient must be monitored against base line vitals once they start transfusion. Eg. They can start trnasfusion with temp. of 102 and if the temp. does not spike above 104, they can complete transfusion.
Clinically the vitals may be abnormal but if the patient need transfusion, we can not hold transfusion due to abnormal vitals...that is clinical judgement.
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Welcome to this wonderful site.
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On 11/14/2017 at 9:34 AM, SMILLER said:
The above is interesting, and it is found under Transfusion Services standards. Under collection facility standards, 5.8.4 says that untested units for "other" antigens may be labeled negative only if units from two previous donations were tested by the collection facility. Does anyone get this kind of information from their blood supplier? We just either get a "confirmed negative" or a "historical negative" label, with the historical label specifically stating that confirmatory testing must be done. So I guess we are stuck with that. Not really much of an issue here though!
Scott
This standard is for collection facility and based on these standard BBTS standard was updated and stated that we do not need to retype the unit...
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On 11/14/2017 at 9:17 AM, Marianne said:
AABB standard 5.13 states
5.13 Serologic Confirmation of Donor Blood Red Cell Antigen Other Than ABO/Rh
Red Blood Cells products labelled as negative for red blood cell antigens other than ABO and RhD do not require repeat testing for the labeled antigens
Based on these standard we stoped retyping the units but we have internal process to check the clerical entry by our staff.
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I just answered this question.
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My ScorePASS
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I just answered this question.
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My ScorePASS
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On 11/16/2017 at 12:32 PM, Sandy L said:
I interpret "Transfusion Requirement" to mean the PATIENT's requirement, i.e. "this PATIENT requires Irradiated products". Irradiation is a unit ATTRIBUTE. So you would need to print that patient requirement on the compatibility Tag/Label along with the other required patient information. Our tag (Cerner) would include both unit attributes and patient requirements.
That is how I ineterpreted to.
Blood Bag has unit type and unit number...why are we requiring that on compatibility sticker or TAG?
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On 11/14/2017 at 10:38 AM, SMILLER said:
Interesting standards from CAP. AABB only requires the unit to be tagged by the transfusion service with two recipient IDs, donor unit ID number, and compatibility info. At the bedside, ABO/Rh must be checked between patient and donor unit. We have the patient ABO/Rh on the tag.
Scott
That is why we went with what Softhad and did not request change.
and NOW.....CAP!
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Agree 1000% (Now Malcolm is going to say there is no 1000).
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Only screening first as we have more negative screenings.
We are hospital based transfusion services. We use gel so 10 drops of cells gives us enough eluate to run screen and panel.
By doing screen, we are saving regent and the most important labor cost.
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We went live with SafeTrace TX, Beaker and BPAM.
We are happy and totally agree with DPruden. Even your staff training if you just do it in SafeTrace Tx is not helpful and more confusing to staff.
It takes lots of time to have real patients and real orders but i made sure my staff were practicing with real workflows.
Evey one was assigned two patients and we were adding new orders and i was giving them specific excercise to do on all patients and units.
And the best part was nursing training. We had almost 600-800 received training in 2-3 weeks (two weeks before our go live). We were preparing 40 to 90 units/day. (for two sessions/day). I let my staff prepare those products including delivery, assign and issue. That was good practice for staff.
Only part i am not happy is standard reports. I do not have any coustom reports.
Is there anyone using analytics? How do you like it?
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I just answered this question.
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My ScorePASS
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Immucor has previous courses you can complete without waiting for webinar.
So, we've decided that we will start labeling them even if they are Jane/John Doe along with our "uncrossmatched" conspicuous sticker. Name, DOB, and MRN should suffice, correct?
multiple health facilities using one specimen
in Transfusion Services
Posted
i am in for cofee John.