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Ensis01

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Everything posted by Ensis01

  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)!!
  11. How are the phone numbers checked to ensure correct information goes to right patient?
  12. While I understand the convenience of making MTPs and emergency release a paperless process. I regard the physical signature a good reminder that issuing uncrossmatched blood must not be taken lightly.
  13. To my understanding the process of having to sign a document made the patient think and take the questions seriously. Obtaining and documenting accurate information is the objective.
  14. Fill out and sign form during sample collection. Phlebotomist is responsible the form is filled out. Patient label goes in box, patient ticks boxes to transfusion and pregnant questions with yes / no option, signs at bottom. Form goes to BB and is then scanned into record.
  15. Ensis01

    Antigen Charges

    My understanding is the antigen charge(s) are applied for the ordered number of units crossmatched. If keep ahead: then charge subsequent units that are issued. This keeps a consistent process. Especially if the units have to come from the reference lab. Usually in-house screening for units have no additional charge. I do not know the documentation reference though I am sure others will.
  16. Part time / guest lecturer at your nearest Med Tech school?
  17. How often do you check / restock the fridge? As that could be your documented inspection.
  18. The policy at all places I have worked; to find antigen negative units in our inventory requires testing two different segments sequentially (not parallel). First segment is a screen and second is confirmation.
  19. To quote my first BB manager “first rule of BB; get the ABO right, last rule of BB; get the ABO right. “
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