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Regina Castor

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About Regina Castor

  • Birthday 08/22/1974

Regina Castor's Achievements

  1. I am curious if anyone allows Nurse Practicioner's to order transfusions at their facility. Is this privilege left up to individual facilities to define in policies or is there a regulatory agency that has something specific to say on the subject?
  2. Is there anyone out there using the Solucient Database as a measure of Blood Bank Department Productivity? The Solucient Database says that you should be at 0.171 Productive Hrs/Stat to be in the 25th percentile. I am looking for a Blood Bank that performs well in the Solucient Database as a benchmark of what we can do different at our facility.
  3. Our procedure on screening for cold agglutinins in the Open Heart pateint has recently come under some scrutiny. Is there anyone who would be willing to share their policy? We screen at 5 degrees and then do a thermal amplitude study if the screen at 5 degrees is positive. However, we do not take into consideration the strength of the reactions.
  4. I am looking for some best practices as far as Therapeutic Phlebotomies. Who is performing them in your hospital? If Blood Bank performs them, do you draw donors routinely? Are physicians required to give advanced notice? Do you do these stat?
  5. I was curious if anyone would be willing to share how they handle unit recall notices from their blood supplier. We had some discussion regarding our process with our AABB inspector. I fear that we may be doing a bit of over-kill as a result.
  6. How others are handling transfusion needs for patients with anti-A1. Do you type the units for A1 or just give O units? Do you then do an immediate spin or coomb's crossmatch? Our facility is curious what the majority of others are doing.
  7. we are calling it FP24 (just our computer code) but we are informing the physician of the change but we are reassuring them that it has enough coag factors in the product.
  8. We have a 16-point checklist that the Med Techs use - it has been a good thing to involve the bench techs as it 1) helps develop them as future leaders and 2) helps build a bridge between the blood bank staff and the nursing staff. We transfuse roughly 10,000 products per year in a 400-bed hospital. We audit about 30 transfusions a month; we do so many per floor/unit based on the average number of transfusions each unit does per year. In fact, one of our AABB inspectors was so pleased with the tool they didn't even wish to see a transfuion while they were here. I would be happy to share our checklist.
  9. We use a generic plastic bag at our facility (no biohazzard label) just in case the unit is dropped it doesn't splatter everwhere. I am not aware of doing this for any particular standard - it just made good sense to us.
  10. Does anyone have any references for best practice w/respect to transfusion administration audits? Our organization performs about 30 a month. Our Quality Department wants to know how that compares to best practice. How many audits, if any, are you performing at your facilities?
  11. I have heard that Puget sound has a really good program that set their threshold at <7g/dL
  12. We have an old policy saying that the thermometers in the same storage device must agree within 1 degree C. Does anyone have a reference for this? Also, We had to pitch all of our mercury thermometers and buy new ones. We even bought a new NIST standardized thermometer against which to compare all the others. Problem is, our brand new thermometers don't correlate at all to the new standard. We have as much difference as 2.5 C from the reference. Has anyone had this issue before and could you offer some suggestions where I go from here?
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