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Everything posted by bpkelly
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We test cords all O moms and all RH negative moms. The billing first goes to the baby registration but is backed out automatically and billed to the mothers account at discharge
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IS xm 86920, 37 86921 ahg 86922
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We bill for immediate spin, the 37C incubation and AHG phases.
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Policies need to be set at system level for Patient identification and specimen labeling. Our system allows preop draws at one of our facilities for surgery/transfusion at another system facility. Registration is the biggest impediment and results in a lot of testing being done "on paper" and then entered into the correct admission once the patient is registered. If anything in the patient registration is a mis- match, Type and screen is redrawn.
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Just finished writing these- Not sure if it is enough- we rarely have a positive so External QC will have to suffice TRM 299 Parallel Testing.doc TRM 299A Lot-to-Lot Verification.doc
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WE follow all instructions in the service and operator manuals for Helmer and have not had any issues. We use a tube type and screen to validate our check cells.
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Would anyone want to share their fetal screen parallel testing procedure? And what about elutions- do these kits need to be compared lot to lot? Another issue- does anyone use Safe-t-vues and do you do validations or some sort of lot to lot comparison when a new lot is received?
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Seasoned Horizon BB Users
bpkelly replied to mia9941's topic in Computer Systems / Software / ISBT128
If anyone has and custom reports they would like to share I would love it. Specifically- daily work review in a manner that isn't as complex as the preloaded report and also utilizations- units received vs transfused. -
Epic Transfusion Administration System?
bpkelly replied to trondint's topic in Computer Systems / Software / ISBT128
We are in the process of installing SafeTraceTX with the hopes of having it send units information across the interface into the EPIC blood admin package tha just received FDA approval. -
We purchased extra reagent racks and set up a set for each shift.
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5 day plasma, the debate still rages!!
bpkelly replied to John C. Staley's topic in Transfusion Services
I just saw an article describing a study of the two products. I sent the article to one of my outlying pathologists and I don't remember where I saw it. We are a Level 1 trauma center and have been using 5 day plasma for over 10 years without any issues. Sentara Norfolk General Hospital -
We have been charging for over a year now. We only charge for the ABO. I don't have the exact documentation but there was something published saying we could begin to charge.
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We have a policy and procedure for supplier selection in our QS manual. Alot of it revolves around the policies and procedures from Materials Management. We developed a form to send to the manufacturer that includes all of their regualtory information. We went back a did this retrospectively when we implemented our Quality Plan.
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This has nothing to do with manufacturing a product. If you issue a product that does not meet the requirements it should have for the patient (ie. pt needed CMV- and you issued a non CMV_ unit) this is a BPDR. If you have a policy for a second check and a product was issued before the second check was done- this is a BPDR.
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Our system has an online continuing education module. In addition, we do transfusion monitors and discuss transfusion reactions with the nurse while performing the monitor.
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I agree- the standard applies to antibody detection on antibody identification. Whenever I get cited for an issue like this I call CAP directly and ask for clarification. In most instances you have an over zealous CAP inspector.
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WE dropped weak D testing on all patient's except babies of Rh negative mothers years ago and have not seen an increase in Rh negative patients. There just aren't that many weak D people out there to justify doing weak D just to save a few Rh neg units. That is an old tired worn out excuse not to let go of the past. Time to move on.
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The second label check does not imply that a second person check the label- only that you have a process to verify the label for accuracy a second time before the label is placed on the unit. We accomplish this by pulling the number up in the computer and checking the label against the computer screen before we place the label on the unit.
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We only perform the elution if the patient has been transfused and/or if the physician specifically orders the eluate.
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Send me you e mail and I will send you my procedure
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Please contact your AABB board member and encourage them the reinstate the funding for the spring IRL conference. For manyof us, this is the only conference we go to since by June, our travel budgets are cut and the AABB annual meeting is not an option. The IRL conference, as far as I am concerned, is the best deal out there. Please write or call you AABB board member today!!!
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EPIC is being installed as our system hospital system. It is not in the lab but it does interface with our Cerner system. I am interested in finding out how your order screen were set up for Transfusion Service orders. Our physicians are not happy with what we have done and we are looking to se what is already out there. Screen shots would be great.
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WE just got our ECHO- I will let you all know how it goes. It is soooo tiny.
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WE just use separate coolers- we are issuing 5 LPRBC, 5 plasma and a platelet. WE don't generally keep thawed plasma so yes- is goes out after the LPRBC. Our physicians usually tell us not to send the platelets right away. We also issue Factor 7 as part of out massive protocol.
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We use several methods depending on what is available. If we have historical information, that serves as a second check. If there is a properly labeled specimen in the main lab that was drawn at another time we use that. If neither of those options work, we have a second sample drawn specifically for us. We have been doing this for 3 years and it works like a charm.
