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Ensis01

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Ensis01 last won the day on June 9 2023

Ensis01 had the most liked content!

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  1. Main practical issue from a transfusion perspective is a positive IAT XM. If RBC given via electronic issue you would be unlikely to ever know the unit was DAT positive.
  2. I once got a pre-surgery form where the patient initialed “never been transfused”. Our facility had given 5 RBC (over a two week period) three months previously.
  3. Agreed. I would however like to add the caveat that some physicians do not understand the risks associated with antibody history and uncrossmatched blood, so getting a pathologist involved to ensure the situation is truly life/death.
  4. Had a lot of hospitals saying patient has a Vel when they should have said V
  5. I have never encountered a patient that says they have antibodies unless they have a card.
  6. For an antibody screen “Neg” or “Negative” has been historically used. This may have been heavily influenced by DOS based computer systems that had very limited memory so “Neg” made sense. Reporting a SCREEN as negative seems logical to me, however a work-up requires more detail as Malcom’s described above.
  7. I do think that one sentence makes for a good philosophical discussion
  8. It is. They get two write-ups for their efforts.
  9. We vertically audit ten transfusions a month, reflecting different departments and floors. We ticked each criteria box as it was done correctly. If missed or done incorrectly another box was ticked and we educated the RN. The form was signed by us and RN. The BB kept a copy and original went to the RN supervisor. Not sure what they did with it. Not ideal system but showed us willing.
  10. I suggest discussing this with the powers to be, QA, and any committee involved in transfusions, budgets, unnecessary, wrong collections etc. Present your concerns and suggestions and if you are overruled you have evidence of your due diligence. While I see arguments for both sides; finding the most efficient and safe process that everyone can agree with is the important concern. If this means extra draws, cost and BB time so be it. Biggest risk maybe drawing two tubes at the same time (one draw) and writing different times (two separate draws)!!
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