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Patty last won the day on April 4

Patty had the most liked content!

About Patty

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    Junior Member
  • Birthday 07/30/1954

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    Section Leader Transfusion Medicine

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  1. We are looking to streamline our documentation for patients who are receiving Massive Transfusions. Currently Nursing documents each unit given individually on its own Blood Administration Form in Cerner. The form is 3 parts that includes pre-vitals, Unit info and patient verification, start-stop times, volume infused, post reactions or lack of. Does anyone document differently when using MTPs? What is the minimum Nursing documentation required for transfusion? We were thinking of making a form that includes multiple donor numbers. Do the start and stop times need documented per unit or could we do it as a group? We are level 3 trauma center and rarely get patient's that require MTPs. Looking for a good method in case we need to stabilize in OR/ER before transporting.
  2. Patty


    Thawing FFP is not considered preparing components so I would mark it NA. FYI.. You need an FDA license/inspection if you prepare components.
  3. We check for a 3 month RHIG history (probably could be longer but we chose 3 months). If the ABSC is + we do a mini panel (Ortho panel has cells marked with * - Immucor has cells with brackets; if negative rule out significant antibodies other than D. We then call it Anti-D RHIG. This Anti-D only requires a full AHG crossmatch while it is demonstrating. If patient returns ABSC Neg we can go back to electronic XM.
  4. Patty

    Blood Bank staff

    I too am the only dedicated Blood Banker . I have found it more and more challenging as staff is quickly retiring and being replaced with young grad generalists. I try to reinforce the theory behind all of the blood bank tests in order for them to grasp the whole picture for trouble shooting those patient's that are the exceptions to the rules but there is only so much new grads can absorb during training. They are learning our processes, a new computer system, and often have not been in Blood Bank for over a year and that was only for a rotation during school. It takes years to become a seasoned tech. Between training new techs, 6 month competencies, annual competencies, meeting changing standards, and dealing with shortages I find it a little overwhelming. Unfortunately I believe this is the new Norm and agree we are in a staffing crisis which needs addressed now.
  5. Patty

    Document Control

    We now use MediaLab. We loaded all of our current procedures into it. To edit you download and make the change. Once the new version is uploaded and approved by manager/Med Director major changes are sent to all personnel that use the procedure for review. Each step is documented electronically along with a note that you can add to describe the update. The person making the change is notified to remove old paper copies from whatever manuals you have it living in. You can make links available to the Intranet for nursing, etc. Every 2 years if no changes are made each procedure is sent to manager/Med director for review. It is a great system and user friendly. The old procedures are archived.
  6. Patty

    ARC Packing Slips? Keep? Trash? HELP!

    I have struggled with this too. I keep mine because of the ARC statement: All products in the shipment have been inspected and found suitable for distribution. We document inspection on receipt in the computer when entering into our system. I keep mine for 5 years?? Maybe this should be changed to 10 if it is needed at all. ARC was suppose to go to an electronic Packing slip but for some reason never perfected. I figure at that point I will be able to stop keeping. Hoping someone finds a definitive answer to this and posts it.
  7. Patty

    monitoring units in coolers

    We validated our blood cooler to store blood at 1-6C, train the staff to not remove blood unless it is to be transfused, and take a return temp of the units when they are returned. No indicators are used since we had trouble validating them and we rarely transport/store blood outside of the Blood Bank.
  8. Patty


    Same here!
  9. I am trying to find a current reference for completing a red cell transfusion within 4 hours of the time of issue. I could not find it in the current CAP Standards and was wondering if this is still a requirement. Does anyone monitor Blood Administration for this?
  10. Patty

    Blood Transportation to Floors

    Biohazard Bags
  11. Patty


    Here is the MAXQ Contact. He is very helpful with any questions you might have. Will Mitchell MaxQ Research LLC (c) 918.798.9606 | (e) willm@packmaxq.com (w) www.packmaxq.com
  12. Patty


    If I validate the MAXQ cooler for 12 hours am I required to take/record a temp every 4 hours since it is considered Blood Storage? I doubt the cooler would ever be used for more than 4 hours but I suppose I should have something in place in case. How much validation would you suggest since it comes with a validation report?
  13. Patty

    CAP TRM.30450

    It is my understanding that CAP requires Lot to Lot on Fetal screen Kits only, not commercial reagents since it is not a kit. You must compare the old QC with the new lot of reagents and the New QC with the old lot of reagents before use. Kit tests in the rest of the lab are handled the same way per CAP.
  14. Patty

    CAP uniform antibody titer procedure

    Ortho On Demand has a three part series on Titrations that you might like. Ortho Clinical Diagnostics is pleased to present a Spotlight Series focusing on Standardization and Validation of Titrations in Perinatal Clinical Situations. https://presentations.akamaized.net/Shows/OrthoONDEMAND/Microsite/LoginPage.html
  15. Patty

    Elution Studies

    We used to do eluates but with the infrequency of need and competency challenges we decided to send to our reference lab. We request eluates on patients who need a transfusion (or investigating a TRRX) and are DAT + and who have been transfused within the past 14 days to rule out newly forming antibodies that could be completely absorbed onto the donor RBCs and may not be found in the plasma. Our reference lab has recently changed from 14 to 21 days post transfusion for eluate testing but we have not yet changed our rule. I believe the thought process behind this is that after 14 (or 21) days the newly formed antibody has had sufficient time to spill over into the plasma and can be identified in the ABSC/ABID. On patients that are transfused frequently we sometimes opt to give phenotypically similar blood for transfusion instead of sending out for an eluate with each transfusion event as this is time consuming and expensive.

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