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Everything posted by AMcCord

  1. We require a signature on an Emergency Release document, but we don't require that signature prior to the release of product, just a verbal. If the ED provider requested the release he/she is usually available to sign once the patient has been turned over to the surgeon/transferred/admitted. In some cases the form may get mailed to the surgeon's office the next day for signature or wait a few days until the ED provider is on duty again.
  2. When we issue platelets for transfusion, they go out the door in a FinalCheck ziplock bag. The infusion must start within 15 minutes so we don't use a cooler. When we issue them to our cancer center, which is a short walk across campus, we issue them in a FinalCheck ziplock bag in a Credo cooler at 22 C.
  3. I have an SOP for Convalescent Plasma. It closely follows the Mayo study protocol and guidelines as that is how we are administering the product.
  4. We have not transfused a patient under an eIND - patient got better thankfully. When we started that process there wasn't a specific HCPCS code yet. I think there is one now, but I can't tell you what it is. We are now enrolled with May Clinic for the EAD so won't need the code for now. Maybe someone else in the group has it.
  5. My facility strictly limits who comes through the door. Our weekly restock driver makes it through - he has a letter stating that he is an essential service provider and that his temp is taken every day at work by someone qualified to take his temp and before he heads out on his route to us. The driver who transfers products between us and other facilities and rotates our platelet stock doesn't make it through the door - not sure why - so we go to them. There hasn't been anything said about paying for boxes. That would get expensive in a hurry!
  6. Epic Guidelines - Prepare and Transfuse Convalescent Plasma for COVID.docx
  7. What I know for our facility is that if you are part of the EAP with Mayo, and we are, then there is no charge for the plasma. It's covered by BARDA. If we used an eIND and orderd from the ARC, there would be a charge.
  8. I'm working on a build for convalescent plasma right now. I've put some codes in Test as FFP and that's working fine. The more I think about it, the more I wonder whether we can lump the product into the FFP category with it's literal (such as FFP Covid-19) printing on the product label or if we should also build a new product type. I'm leaning toward building a new product type so that the Epic result in the patient's EMR shows it as Covid-19 plasma and not simply FFP. I would welcome anyone's thoughts or experience on the idea of building a new product type. We've asked for an Epic order specifically for that product - that build is in process. I will also request a specific transfuse order for the product as was recommended by Epic. I found the recommendations for the Epic build, published by Epic, on our BB LIS user group site. I will share if anyone needs it.
  9. I'm betting we will need to build something into our system, but we haven't received product code information. They probably haven't come up with the codes yet or decided on an existing code that will work.
  10. I just got a memo from the ARC. They are working on convalescent plasma supplies. No details yet.
  11. In our region demand has decreased enough that supply is stable right now. Bless the donors who still show up to donate and the ARC staff working the drives and at the blood centers.
  12. Blood shortages are a big problem in parts of the US. Donors are not presenting, drives are being cancelled. Those patients who normally need blood products will be affected by that. I can't speak to Covid19 patients specifically...yet. We have been asked to reduce our stock by 25% and cut usage by 25% so that blood products will be available for those who need it most.
  13. We store dry ice in a box that we get frozen tissues in - heavy duty, dense solid foam box with a dense, soft foam plug for a lid. The box is sitting out in the main lab at room temperature. Dry ice lasts for days in there, even with the foam plug off. These boxes are actually much better than the fancy cooler that we had previously purchased that was made specifically for that purpose. When the foam plug gets ripped up from being pulled in and out of the box, we just toss the whole thing and start with a different box.
  14. The Log Tag Trix 8 is also what I have. Easy to use.
  15. We require a signature from the ordering provider if emergency release is requested whether the product was actually transfused or not. We keep the signed form as part of our documentation for the event.
  16. I've been using Log Tag data loggers with a probe for cooler validations. Maybe using a data logger with a probe would be more responsive.
  17. We get specimens for titers monthly for all OB patients with clinically significant alloantibodies. As Malcolm says, if the antibody screen is negative for a patient with an historic alloantibody it is pointless to order a titer. Once the titer rises to the point that it is considered 'critical', the patient is followed by other means and we no longer receive specimens/orders for titers. These patients are almost always being seen by specialists at that point and those providers determine what is ordered or not ordered.
  18. The manufacturer's instructions for use on the infusion set packaging says: "Consult facility protocols and current standards for guidance on changing sets. It is recommended to change sets within 4 hours after initiating infusion of blood or blood products." So that's what our SOPs state - 4 hours. Nursing service agrees.
  19. Generally a new infusion set is required after 4 hours. If infusion of a second unit will pass the 4 hour mark on the initial infusion set, a new set should be used when the 2nd unit is started.
  20. I have a Helmer DH4 that is quite elderly. It's been very reliable. Thaws quickly.
  21. I used to be able to access the Commendable Practices as an individual AABB member, but not anymore. I did find some very helpful information when I could access them.
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