32387
-
Posts
5 -
Joined
-
Last visited
32387's Achievements
-
Can an IV line used for blood infusion be used for infusion of meds if it is rinsed with saline after the meds and before more blood is given? Our policy has been to start a new IV for blood infusion. I need to know if this is necessary. Standards state:"drugs or medications shall not be added to blood or components..."
-
If we don't have type specific, we assign a "plasma compatible" platelet pheresis to a baby. Our donor center attaches satellite bags. If we can't get plasma compatible we have the donor center volume-reduce the platelets and then have a special formula to adjust the volume given to the baby. The main problem with this is that volume-reduced platelets are only good for 4 hours so we have to move fast.
-
Does anyone use infusion pumps for delivery of blood components? If so, do you perform quality control on the pumps? What tests do you run and how often? AABB Technical Manual states, "...appropriate policies for maintenance and quality control should reduce the chances of damage to transfused components".
-
We recently changed to Hemonate from CharterMed. The CharterMed syringes were recalled due to a failure to perform proper QC. We like the Hemonate because it is DEHP-free and our neonatal pediatician feels that DEHP is potentially harmful. We have the donor center attach pedi-satellite bags to a unit, then draw off an aliquot into the bag, seal it and fill the syringe from there. I don't know much about the pumps, but our intensive care unit just attaches the Hemonate syringe to the pump. We get up to 8 aliquots from one unit. Hemonate is sold by Utah Medical Products, Inc.
-
We use the Provue. Right now we are using in for batch runs; prenatal T&Ss, pre-op T&Ss, outpatient DATs, etc. It is very cumbersome for doing our inpatient work as most of it is Stat. The Provue works best if you set up all of the same type of test at once. When you combine different types of tests it slows down to a crawl. The software is not very user friendly, but once you learn your way around the fields it works well.