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AMcCord

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AMcCord last won the day on August 14

AMcCord had the most liked content!

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About AMcCord

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    Seasoned poster
  • Birthday May 8

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  • Location
    Nebraska
  • Occupation
    Blood Bank Section Supervisor

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  1. Hand held ID devices are great. We use them. But...they are only as good as the patient ID process when that individual is admitted and banded in the first place. Or rebanded because they have removed an ID bracelet. Lab has detected some of those cases. That uncertainty leads us to use a blood bank band with a physical barrier for blood product transfusions.
  2. I do as David does - a note to indicate that the patient is a Jehovah's Witness. If the patient has accepted plasma but not red cells, I will also note that. Saves them a bill for an unwanted crossmatch sometimes if I can notify the provider that he/she should discuss transfusion with the patient before we perform testing to set up red cells for them. (And yes, I think that providers should discuss transfusion with their patients, ideally before ordering the products, but we know that the real world doesn't always work that way.)
  3. True, but I suppose we can also say that there has been years and years worth of testing performed that way with no evidence of harm reported from the practice.
  4. Congratulations!!! Tops off a long and very productive career nicely.
  5. Although they are notoriously slow in making decisions sometimes. How long did they ponder on the platelet testing scenario that will become law next year?
  6. Or is the question the quality of the disposable pipette that is used for the patient plasma? We do use a disposable intended for Blood Bank use with a statement on the box 'consistent drop size'. I would say that you could present documentation that you've verified volume delivered (on average - since its a disposable) by the pipette vs the dropper in the vial.
  7. I would hope that someone has convinced them that this is a crazy thought.
  8. And don't forget TJC if your facility is inspected by them.
  9. It certainly merits an occurrence report as it was a Deviation from SOP. The only possible BPDR code that I could see using would be QC-97-13, but I defer to superior knowledge.
  10. If the Rh control is negative, we report it. It the control is positive - Rh type is undetermined.
  11. When we made the switch to Rhophylac, I made sure that there was a clear understanding that we would not be doing the workups STAT. They've been good about it. Once in a while they call and ask for a time estimate because a patient is getting anxious about the IV, but it's just for info, not pushing.
  12. Ditto for us. It was actually nurse driven for patient satisfaction. The providers didn't care one way or the other except they weren't going to sign off on it if it cost more than RhoGAM. The only kicker is that the IVs are not discontinued as soon as they were when IM RhoGAM was administered. If the patient wants the IV out NOW, then they get the Rhophylac IM - their choice. We've had no issues.
  13. Get a current version of Harmening and the Lomas and Reid Antigen Fact Book. The Technical Manual and Standards are a must. The AABB review notes will be a big help. Don't forget to study Coag. I did my SBB as a self study 20+ years out of school by studying over a year. Go for it!
  14. OK, I'll admit it - have never used or seen NISS. Maybe I'm too young?
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