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AMcCord

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AMcCord last won the day on May 3

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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. 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 dela
  2. 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.
  3. I liked their competency assessment tool. Definitely labor intensive, but very good documentation. Will be working to replicate it in MediaLab.
  4. Makes you wonder how often they clean up their fridges, doesn't it?
  5. Sounds like a couple of the FDA inspectors I've experienced.
  6. In the U.S. we are required to confirm donor types at the hospital.
  7. We also use BPAM and collect all specimens with electronic ID. I don't believe either of these two methods is regarded as a barrier method, though they are certainly an improvement for patient safety.
  8. Ours are EBA 21s. That is an older model but I was told by a rep that they had a new model that was equivalent. Sorry, I don't know what model #.
  9. We've been using 2 Hettich centrifuges for quite a few years now. They have been very reliable and run quiet. The down side is that I find them a little tricky to program, which fortunately I don't need to do that after the initial set up. (The upside to that is that my mystery tech who feels urges to tinker with stuff can't figure them out, so they leave them alone.)
  10. We've been happily using an Echo for about 9 years. The instrument has been very dependable and is a workhorse. The turn around time for antibody screens is quick. Its footprint is not that large and it fits under our overhead cabinets easily. The test strips store at room temp, so that is an advantage for us. The mechanical part of the instrument is pretty basic with quite a few user replaceable parts. We've had good luck problem solving with a call to support and those times we actually need service, we haven't had to wait long to get an engineer on site even though we are in a rural area a
  11. For patients with no previous history we add a test called ABO/Rh confirm to the patient's order. There is no charge code associated with the test. The test is a tube front and back type. We require either 2 methods (Echo + tube confirm) or 2 techs if the Echo is down. We also use only one specimen. Patient ID is electronic and we issue blood products using a barrier method.
  12. Check the product insert for the RgIG that is issued at your facility. Rhophylac and RhoGAM both say to collect the Fetal Bleed Screen/Kleihauer Betke one hour after delivery. You don't want to make your policy too rigid to comply with however, so ours says that we draw specimens as close to 1 hour of delivery as possible. As Carolyn said, the most important thing is to make sure that the specimen gets drawn.
  13. Our document control system assigns SOPs to the appropriate staff members. They sign off in the system indicating that they've read it and that they understand it. That signoff is maintained as long as the SOP is held in the system, so pretty much forever. If there is a competency requirement along with a new or changed policy, then that is documented and stored as long as any other competency and would be included w/ the documentation for that year.
  14. I just got a bid for setting up Haemobank and staff education is included in that pricing.
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