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Everything posted by jshepherd
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Thanks David! It does fall under the QSA regs for BB in the JC standards, so the policy is "owned" by me, and I "oversee" it. Though you are correct, the procedures are not being performed by lab staff, but by nursing staff only. This is done in many places in the hospital, including outpatient clinics, again by nursing staff only. I'm pretty sure this falls under nursing competency, but venipuncture is venipuncture is it not? I have never had anyone complain about nursing comps for t-phleb specifically, its so crazy to me!
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Hey everyone! We have just a visit from JC, who cited us because our nursing staff who perform therapeutic phlebotomy are not competencied in this procedure. Per the state's guidelines, nurses must be competencied in venipuncture, and they are, but there is not specific call-out for T-phleb. Does anyone else have a competency program for therapeutic phlebotomy?? I have never heard of such a thing in my 6 years at this facility where the nurses do this. Also, just venting here- this is totally a nursing issue, not a laboratory one! Thanks!
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We have the ArkBio microwave. I thought it came from Florida....but I could be wrong.
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We have a patient with a known anti-C, with extra reactions in solid phase testing, but very clearly just the C in tube with LISS. Now the patient is showing a positive DAT, both IgG (2+) and C3 (1+). My question is: is there an indication for performing an eluate? The patient should be delivering today, and the C titer is 4, and has been throughout the pregnancy. She has not been transfused, but I'm wondering if somehow there was a fetal maternal transfusion that could have caused the positive DAT, and if that has been reported as being significant in the past?