amblanki

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Yes.

Agreed, most isn't terrible. I guess he biggest question I have is the emergency release records. Did you scan 2 years worth of forms? We have.... a lot. For 2.5 (recipient adverse reactions)- did you just list your number of transfusion reactions by category by month? Yes, scanning and security is going to be hurdle. Do you use the sensitivity labels in outlook? Did they request a lot/any follow up documentation? Good luck with the CAP, I heard they are not fun but it sound like some of that is just working out the process since it is new. Ours was an on-site inspection so I don't have any advice/words of wisdome.

Has anyone out there done this records request inspection from the FDA? Curious how you provided the information and what your experience was if you are willing to share.

Yes, we do the same as far as daily inventory work goes. We also have an investigation process with about 15 steps or so before something is "unaccounted" for. I was just hoping someone figured out a way to use a computer program that you could scan the unit and reconcile the list electronically as there are far more tech savvy people than I.

Sounds good in theory, but it just isn't practical with our inventory levels and staffing and also given the fact that we don't run into that many issues. If we started to see a trend I would absolutely do something different. We do reconcile our remote refrigerators on a daily basis.

Not often at all with reds. It's usually with FFP (and not often) when someone forgets to discard a broken unit, etc.

I was wondering if anyone has a wonderfully easy way of reconciling inventory. Currently, we print our available inventory sheets from Soft and then pull racks out out and check off the units. We have 800 plus units of red cells and we reconcile weekly.

Malcolm- are you handwriting that on every tube?

I'm curious how people out there are labeling their reaction tubes. What patient information and reagent information do you put on your tubes?

I'm curious if anyone out there has any experience with the Chronolog platelet aggregometers?

It is on the Cap all common checklist COM.01500

Unless I am reading incorrectly, NOTE 1 under COM.01500 states that ungraded PT programs are acceptable: "NOTE 1: Appropriate alternative performance assessment procedures include participation in an external PT program not required by CAP; participation in an ungraded/educational PT program; split sample analysis with referral or other laboratories, split sample analysis with an established in-house method, use of assayed materials, clinical validation by chart review, or other suitable and documented means. It is the responsibility of the laboratory director to define such alternative assessment procedures and the criteria for successful performance in accordance with good clinical and scientific laboratory practice." Based on this, I would think that the J survey meets these requirements.

After some recent research it would appear that most of the drug test kits out there will not pick up fentanyl in the opiate portion of the test kit. I'm trying to find out what other people are using/have found that will pick up fentanyl other than LC and Mass Spec.

We are a small hospital with no NICU or pediatric floors, so obviously transfusing neonates and pediatric patients is not a frequent occurrence. In the 11 years I have been here, we have gotten 3 panicked calls about potentially needing to transfuse neonates that ended up not needing anything before transfer. Does anyone have a policy where nursing is the one to draw the unit into the syringe? Specifically I am looking for how you handle labeling and LIS entry.