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Sonya Martinez

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Sonya Martinez last won the day on December 21 2020

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    Female
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    Blood Bank Coordinator

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  1. I would suggest you contact both of your local blood centers and see if they are either able to accommodate an on-site or virtual/simulated educational program. If nothing else they probably have tours you can attend to get things going. I know it's a drive but experience does help on the exam. I found this on line: https://laboratories.vitalant.org/Education.aspx
  2. Weird. I put in 2 new Hematrax printers from Digi-trax last summer and we don't have the diamond on our labels. Could be the printer company or something in the set up. I would contact the printer vendor.
  3. Does anyone have online competency forms (word or excel preferably) that went through CAP inspection without deficiencies they would be willing to send me? I'm specifically looking for something easy to use that's not more than a couple of pages. Our last CAP we as a lab got hit again, not that are staff aren't competent but because our paperwork was not consistent between departments. Now we started using a packet that contains 6 different forms: Competency Summary Form (one for each patient test method), Patient Testing Direct Observation Checklist (one for each test method), Instrument
  4. Here's the remaining 'open' product codes that I was missing form before in case anyone needs them. · EA473 = Apheresis PLATELETS|ACD-A>PAS-C/XX/20-24C|Open|ResLeu:<5E6|1st container|<3E11 plts · EA474 = Apheresis PLATELETS|ACD-A>PAS-C/XX/20-24C|Open|ResLeu:<5E6|2nd container|<3E11 plts · EA475 = Apheresis PLATELETS|ACD-A>PAS-C/XX/20-24C|Open|ResLeu:<5E6|3rd container|<3E11 plts · EA476 = Apheresis PLATELETS|ACD-A>PAS-C/XX/20-24C|Open|Irradiated|ResLeu:<5E6|1st container|<3E11 plts · EA477 =
  5. I wish it were easy to change the expiration date/time, but because of the way our computer system, WellSky Transfusion, works if we change the expiration date/time it requires about 3-4 exception overrides (quality capture for doing something outside normal). I tried building the modifying to a syringe process for these codes but because they have the same formula if I change the build just for these products it changes for every product with the same attributes. ICCBBA did email me back, however, yesterday after I tried to expedite the request and: Bacterial Monitoring attribute value
  6. I ended up requesting new codes through ICCBBA yesterday. Hopefully they can expedite the request since one of our vendors is implementing their LVDS platelets Feb 1. Once I get the codes I will attach them for all to use.
  7. Our primary vendor is only adding an increase to the normal platelet charges for LVDS so I just have our revenue cycle team update the pricing and still use the P9035 code. However, our secondary vendor (for platelets only) has multiple billing codes so I will have one for PLATELETS, PHERESIS, LEUKOREDUCED, one for PAS PLATELETS, APHERESIS, LEUKOREDUCED, one for PLATELETS PHERESIS PATHOGEN REDUCED, and one for LARGE VOLUME DELAYED SAMPLING PLATELET all using P9035 except the PRT which is P9073. We irradiate in house so we have a separate procedure code using CPT 86945. We use that even
  8. I am currently building new products for the LVDS and PRT platelet units we will be receiving in early spring 2021. We are not performing PGD testing. I have a lot of codes to build because we are a children's hospital who irradiates, divides and aliquots into syringes. Therefore I need the original product code, the irradiated product code and a product code in an open mode for both the original product (in case someone spikes a unit) and the irradiated product. I can't find on the ICCBBA website where there are product codes for the open mode for my LVDS products. There are open codes
  9. We started adding 10mL of sterile saline which comes in a syringe already and we spike the first unit in the pool with a device that has a spike on one end and a syringe port on the other. The reason we started is because it's in the Circular of Information for the Use of Human Blood and Blood Components "Cryoprecipitate AHF may be transfused as individual units or pooled. For pooling, the precipitate in one or more concentrates should be mixed will with 10 to 15 mL of diluent to ensure complete removal of all material from the container. The preferred diluent is 0.9% sodium chloride." Thi
  10. We don't do IUT (we get them after they're born) but we wash red cells all the time. Our red cell override is set at 3 minutes but all other settings match ours. When's the last time the unit was primed and the RCD cleaned? Maybe there's a bubble in the line to the hydraulic fluid. You could also add a manual spin followed by super out after the program ends to ensure a majority the saline is removed. That's what we have as troubleshooting if the excess pressure light comes on or the lid will not open because the bag is overfull.
  11. I think this came from the AABB Primer for Blood Administration. We have it in our policy to check all vital signs 1 hour after transfusion and if it meets requirements of a transfusion reaction then they start the transfusion reaction workup. We put this added vital sign check after instituting the Hemovigilance Surveillance through the CDC (NHSN) after we started seeing a lot of hypotensive reactions and because being a children's hospital we see a lot of allergic reactions that aren't necessary happening during the transfusion but some times right after. It hasn't significatntly increase
  12. When we started using Epic we had to have the physicians change from ordering the nurse to transfuse over 4 hours to over 3.5 hours or 3 hours 45 minutes because of the way it's documented in the BPAM. We use the completion of the entire transfusion, blood and saline, as the end of the transfusion.
  13. David Saikin - I'm in charge of the Isensix monitoring system for the entire lab, histology, and microbiology so I review logs at least weekly plus get paged for every every 2nd level and 3rd level alarm (email for 1st level). Staff know if they don't respond, even in the middle of the night, I will call them. Plus our hospital made it a requirement for Joint Commission readiness to have a report of all alarms and accordance to responding to the alarms so I have to look at it at least monthly.
  14. DebbieL - THANK YOU!!! Now to figure out what they mean about temperature mapping during installation, after repairs or after moving the fridge in TRM.42600!!
  15. We received our CAP pre-inspection packet recently (version 06.04.2020) and I have a question. TRM.42750 states "All component storage units are equipped with an alarm system that is monitored 24 hours/day (in laboratory or remote) with alarm checks (for both low and high settings) performed according to the manufacturer's recommended intervals, or at least quarterly if not specified, with results recorded." Under notes it states "The laboratory must demonstrate that all components of the alarm setting (including chart/graph recordings) work as expected and that there is a process to ensure
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