[31/10/16.]

Hi Malcolm,

Congratulation on your retirement. I am sure they(your lab) will miss you but we will have luxury of having you around with all your expertise.

Thank you for all your help

[Epic Transfusion Administration System?]

BPAM users: If you do not have papercopy of the transfusion record what goes in chart? How much information you have in the EMR for that unit. Is the unit blood type documented in EPIC? Is expiration date documented in EPIC?

[Reconstituted whole blood alternatives]

Nope. It is consider manufacturing not pooling. When you are pooling cryo, final product is pooled cryo.

When you reconstitute final product is whole blood and it is consider manufacturing. Same thing with volume reduction of platelet. .....you need FDA registration.

 

[Reconstituted whole blood alternatives]

if you are making whole blood in other words combining RBC and FFP in your blood bank it is consider manufacturing and you need FDA registration. Same goes for volume reduction of SDP? and removing adsol from packed RBC---might want to check on that one also.

[Blood Bank Software]

we went with SafeTrace because of "lock down" feature. From the QA view, I like to have one way to do things instead of multiple ways. for same reason we went with Safetrace....

[Downtime Labeling]

cthherbal---they are discussing downtime .....how can you do BLV during downtime?

[Blood Bank Freezer]

sometime it may be the product is not used as intended....at least for us that was the case for freezer......our biomed technician has been with our hospital for >25 hrs and he used to cover the area of the fan in the back so he did not have to clean every quarter.

After so many discussion , finally bio med department head intervene and stopped practice....... because of cover/filter, the compressor was working too much and it died and had to replace it in less than five years...not anticipating any problems. we have two freezers, three double door refrigerators, platelet incubator, small ref. for ER, two plasma thawer and a cell washer....all helmer and very happy.....  

[National QA manager vacancy - UK]

Oooops Malcolm,

I just read your post did not check the date on original post.....not good!

[Blood Recall]

Good Luck David! and Congratulation....

[QC for blood bank analysers]

between A neg and B Pos you are testing positive and negative controls....there is no need for AB patient

[Lot to lot testing]

You should challenge CAP that the webinar said no need to do lot to lot for elukit....

[National QA manager vacancy - UK]

I couldn't open the site....BUT i am interested...

[Labels on reconfirmed units]

As long as you have a process of segregating unprocessed units, i do not see a reason to keep this in stock for once in a blue downtime!

Eventhough your LIS is down, if you have a way to segregate units, there should not be a reason that some one will pick unconfirmed unit. 

[Sunquest Re-Types for Patients and Units]

Anyone had pooled cryo built in sunquest? Will you share the codes for Pooled cryo and thawed pooled cryo?

Do you use THC to thaw?

[Patient identification]

1 hour ago, Mabel Adams said:

We require a redraw.  For patients with trauma names, first, we ask that they not make the name change while we are transfusing furiously. We require the redraw as soon as possible after that but keep giving the units we had until we get the new specimen.  The reason we redraw them is because otherwise, 2 days later, you have them hanging blood on a patient whose BB armband doesn't have the same ID on it as the unit.  This gives them the idea that it is okay if the names don't always match when they are hanging blood which I think sets us up for errors in some other situation where, because of an error, the names don't match.

Almost same as Mabel: the only difference, our admitting calls us first and if the patient is critical and getting transfusion we do not allow them to change the name. we require new specimen after name change and we do not issue blood with new name crossmatched to specimen with old name...

[Anyone using the Vision (new Ortho analyzer)?]

DI is required with most BB LIS system. (interface with ProVue and/or Vision)

[Just a little update.]

Wish you the best, Good Luck John.

[syringe ISBT code?]

anyone using safetrace --divide in syringe.

for me it is not working---with close system it keep same expiration for syringe. if I use open system it is changing parent code to open system code though the expiration stays same for parent and 24 hrs for syringe.

[Epic and Sunquest BB Standalone]

EPIC does not have 510K approved blood bank module so test orders and results can be processed from EPIC CARE to BEAKER to BB system and back to same route.

Product orders has to come directly from EPIC to BB system and crossmatch results from BB system to EPIC. (Product order can not come through beaker).

I totally agree that you need to be involved in EPIC beaker build...most IT department do not care for blood bank and they will do whatever they want without involving Blood Bank. They like control!!! total control!!!

 

[TEG 6S]

Hi Everyone,

do you have a billing code(s) for TEG 6S?

[TEG]

IT'S NOT OUT YET

 

[TEG]

Any one using TEG 5000?

is there a CPT code ?

Do you know the CPT code for TEG 6, point of care machine...

 

Thank you

[Pooled Cryo labeling after thawing]

Thank you Erwin. 

[Retirement]

Yes. I am sure you guys can not go for more than 7 days(?) without visiting us!!!

Please please visit this site and give us your knowledge....congrats...

[Using only mixed field anti-D (ortho gel) as qualitative indicator for RhIg eligibility]

I think we should not judge anyone without knowing exactly what is their intent?