We can thaw up to 12 units in the waterbath, but we only thaw 2 units/patient unless we have a plasmapheresis patient, then we thaw the required volume of plasma.
If you are not using a computer system it is a breeze. However, if you are using a BB computer system; you need to build the ISBT products that you receive from your supplier in your system. Which means testing and validating of all products received, modified and issued.
Our website has daily updates, linkes to CDC and NYSDOH. Also, the website has bulletins regarding proper hygiene and hand washing. We do not collect blood products, so we have to watch for AABB and FDA guidelines with regards to future blood screening measures (if any) to be implemented.
Our computer system generates barcode labels with accession numbers at the time the order is placed, these labels print at the nursing unit and they are used to label the tubes at the time the specimen is drawn.
I recall that ER episode with the rare type. After that episode was aired, we had relatives of a patient at our hospital that wanted to donate the same way. We tried to explain that it takes at least 5 working days to make the Directed blood available, they said but on ER it only took few miutes. It just kills me that people believe what they see on these shows and would not take no for an answer.
Just an additional note, you have to be an AABB member in order to be an assessor. I have been doing assessment for more than 10 years now. I agree with david that you have to be open minded when doing assessments. I try not to do more than 2 assessments a year.I live in Buffalo, NY and I travelled as far as Maddison Wisconsin and Duluth Minnesota. I did some inspections as a team member, as team lead and the only one on a team of 1.
We get blood products from different suppliers. We receive ISBT products from all our suppliers except the ARC. The ARC in our region will not be ready untill fall 2009 (they requested an extension of the variance.)
We are on Cerner ME, we have an orderable " Transfusion Reaction". It has 2 dta's, TX Reaction and MD Comments (medical Director) We have created templates with all th einformation needed for each dta, e. for Tx Reaction we enter blood type, unit #, temp, etc...The tech will perform the test. The MD will enter his/her own comments and recommendations (also, a template may be inserted here. The MD will verify the test when he/she are done.
Have you contacted Cerner reagrding this issue? You can check the Cerner BB community on Cerner.com We are on Cerner Millennium and we are looking into the Provue and the Galileo, we have not decided which one to with yet. If I have any Cerner questions, i usually poost them on the BB online community at Cerner.com, you will get lots of responses from Cerner users.
Welcome to Bloodbanktalk I worked as a BB tech for 8years, BB Supervisor for 6 and I am now working with IT (5 years). I am still heavily invol;ved with the Blood bank as the IT BB Database coordinator.
We order CMV- units from our supplier when we have patients that require them. We place an additional CMV- charge when those units are transfused to the specific patients, an MD order is required for the CMV- units for the specific patients.
We have been on Cerner Millennium since March 2003 and have encountered this isuue all along. The supervisor reviews the BB Review Que report, investigates and if no blood group is available a no charge ABORH is ordered and resulted.
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