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nmartin

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Everything posted by nmartin

  1. Our facility uses a preprinted pickup slip. It is about a 4' x 5" slip that is on a pad, so the RN's can just rip off one at a time as needed. It has a place to print or stamp the patient's name and medical record number and to write the unique BB armband number. There are boxes to check off the floor location, the product requested and any special attributes. There is a place for the RN to date and sign that the pickup slip is correct. We use the pneumatic tube system to issue blood and require a secure code a on the pickup slip. The BB tech records the unit number issued on the pick up slip, so we can reconcile the units issued with the computer the following day.
  2. Prior to this checklist item, we only did a blood type on the patient specimen and reconfirmed the auto unit, then with no further testing other than clerical, allocated the auto unit to the patient. Because of this new checklist item, we also changed our SOP to include a crossmatch and antibody screen. The consensus here in San Diego, among the majority of hospitals queried is to treat an autologous unit like an allogeneic unit, with both the Antibody screen and crossmatch performed.
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