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AMcCord

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AMcCord last won the day on August 6

AMcCord had the most liked content!

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About AMcCord

  • Birthday May 8

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  • Location
    Nebraska
  • Occupation
    Blood Bank Section Supervisor

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  1. I'm not concerned with how full the tubes are as long as I have enough specimen to work with for required tests. I would reject an expired tube unless it was some kind of emergency situation that pretty much prevented redraw. And if I did make an exception, it would be as a deviation from SOP that would require an explanation as to why the tube was used and a signature from the BB medical director.
  2. Depends on the beer . My Belhaven Black better not be ice cold.
  3. The suggestion I got was to make it a routine maintenance task. Connect your backup computer once a week to the network and load the backup file. I talked with our IT people and they said they could set that up so it was a matter of accessing a file on a server and downloading it. The hows and whys are all magic to me, but the IT analyst I talked to wasn't at all concerned about any difficulty doing it. Then, of course, the computer has to be totally disconnected from the network or you risk exposure to bugs and hackers. WiFi shut off and/or cable disconnected.
  4. We routinely stock 2 O Pos, 2 A Pos and 2 O Neg Irrad units for oncology patients, so would have Irrad units available if ordered for a neonate. I think we average 1 or 2 neonate transfusions in a years time. Our irradiated units are rotated for restock about every 2 weeks and restocked when used. We do not stock CMV neg units. All our blood supply is leukoreduced, which is considered CMV safe. If we are planning a transfusion or have an anticipated birth of a baby who might need transfused we order a fresh unit or two.
  5. You could use a barrier method like FinalCheck armbands and locks for patient safety. If the band is applied to the patient when the specimen is drawn and then the armband code opens the lock on the bag the unit is issued in, then at least you know that the specimen came from the patient who is going to be transfused. Code doesn't match = wrong patient. We use both electronic ID and the FinalCheck system and do two types on one specimen. We closely monitor phleb performance with direct observation multiple times per year to make sure their process isn't creeping from policy. We have buy in from nursing management and administration which means there is disciplinary action if the barrier system is bypassed (armband removed, armband code found written down somewhere, bags cut, etc.). The only patient specimens that aren't lab draw are from the OR and those are collected by anesthesia with banding and proper labeling required or the ED where collection has to be directly observed by a tech or phleb or we won't accept it. The big IF would be whether or not the nurses would use the lock system correctly and since you can't get them to use the electronic ID system correctly it doesn't sound like a good bet. If you can't enforce correct use - patient banded when drawn and locks opened at bedside from the band instead of cutting the bag, then it gets you nowhere. It sounds like there is a culture change needed, top down, if safety practices are routinely ignored. That's a huge lawsuit waiting to happen. Do you have a quality department that could intervene? Can you get your medical director involved?
  6. Thanks all - that's what I suspected. My patient's antibody is still reacting fairly strong in solid phase, so I'm relying on crossmatch for Cob donors. Think I"ll freeze some plasma for screening purposes in case his titer drops.
  7. Is anyone aware of a vendor who has antisera for Cob (US)?
  8. Of course its Friday afternoon! That's when all the run stuff comes in.
  9. And what are you going to do if your entire HIS/LIS/BBLIS network is down? - think hackers and ransom. You may not be able to access any of your computers/records until each and every one of them has been checked and cleared by your IT folks, individually...which is going to take time, especially if your facility is large. Unless you have something that is not connected to the network, but is backed up regularly, you are going to have to have some alternative. We are working on getting a laptop set up that is off the network but backed up periodically to supplement our 'normal' downtime records. Until that is in place we are printing a patient history from SafeTrace for every patient with antibodies, special needs, testing issues, etc. and putting them in a notebook alphabetically. Learned this the hard way.
  10. Our requirement (at Blood Bank insistence) is that the infusion has to begin within 15 minutes of checkout. We had problems with nurses checking out blood products before they made sure that the IV was good and without taking vitals, then wanting to bring the unit back 45 - 60 minutes later. Their policy says check IV and vitals before coming to Blood Bank to pick up units and the short time allowed to start the infusion kind of reinforces that. The number of wasted units dropped significantly after this policy was in place. We also use the policy shared by slsmith. If there is a delay and they bring it back after 15 minutes, we check the temp. It will probably be over, so they are asked to give in 4 hours or its wasted. An Occurrence report is filed.
  11. We are going to put a hang tag with a fluorescent green label on our pathogen reduced platelets using the language suggested by Cerus - FDA approved as a substitute for irradiated product, meets AABB requirements for CMV neg, etc. etc. I'm not optimistic about many people actually reading the education materials.
  12. I liked their competency assessment tool. Definitely labor intensive, but very good documentation. Will be working to replicate it in MediaLab.
  13. Makes you wonder how often they clean up their fridges, doesn't it?
  14. Sounds like a couple of the FDA inspectors I've experienced.
  15. In the U.S. we are required to confirm donor types at the hospital.
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