amblanki

We issue < 14 day RBC units (any additive), irradiated and HgbS negative. Our products are leukoreduced, so are CMV safe. Do you irradiate on site? I was with a smaller facility that would only potentially transfuse if a transfer out was delayed and gave the freshest O neg possible as an emergency issued unit. It sounds like maybe that is the situation you are in.

We are trying to increase the number of our students and struggling with logistics. Looking for people with larger programs (12+) to see how they handle rotations, lectures, etc. and what staffing handles what tasks.

Nashville is growing and so are we! Our Blood Bank supports both the adult and children's hospitals. We are a level I trauma center, have very active stem cell and solid organ transplant programs and a sickle cell clinic. Come join our team! We have several positions open (nights and evenings). Please visit https://vanderbilt.taleo.net/careersection/.vu_cs/jobsearch.ftl?lang=en&portal=2140492874 Click here to learn more about the city. https://www.nashvillechamber.com/explore/live/relocate Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

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.

This might be a silly question but I'm going to ask it anyway. I have looked at different things (AABB, FDA) and haven't found anything specific. Obviously vitals need to be recorded, but nothing specifically says which ones. Can you just do Temp, BP, and pulse? Do you have to have respiration? Anybody have a reference?

Okay, I need some help/guidance/advice. We are currently a paper Transfusion Service going to Cerner Millennium. I apparently need to do my own validation. I have printed the FDA guidance and started looking at it, but I have questions. I understand the general layout of making a plan, but how detailed does the plan have to be and how much do you test it? I know that you have to try to "break it" with things like interpretations not matching testing results, etc, but how much is enough. Do the SOP's for procedures need to be written before validation? We dont' have a migration from an old software program specific to blood bank (because we were paper), but our eMR will be used to import patient data across the system to which I will be manually entering blood bank information( antibodies, blood types, etc). What sort of layout would you use for verifying information is all entered correctly? I'm really in a small panic mode as I have this on top of benchwork (gen lab too) and all of the other supervisory stuff that goes on a day to day basis. Oh, and, no overtime allowed. Thanks in advance. Hope it makes sense.

Who do you order other office supplies through? We are a Tenet facility also, so I feel your pain about vendors. We use the Avery Secur-A-Tach fasteners and I order them through Corporate Express.

Well, here is the thing. I took over the supervisor position about a year ago. We have no formal transfusion committee, I would put the outliers together for the month, they would go to a nurse auditor and then back to our Pathologist who would determine if the transfusions need to be sent to Peer Review, I would then forward them on to someone in PI. Well after seeing that the same doctors were still transfusing, I inquired about what was being done with them once PI got them. Turns out they were filed away and nobody did anything with them. Some process huh? So I am in the final stages of revamping that whole process and I will send letters to those that fall out (signed by Path) and trend for 3 or more per quarter, then PI will do something (supposedly) with them. So will have to wait to see if that will do anything. But anyway, someone had mentioned the hemocepts group to our lab director and thought I'd check here to see if anyone had any experience with them and if it was worth pursuing.

I was wondering if anybody has had any experience with the company Hemoconcepts. It appears that they come in and assess ways to reduce blood use by evaluating your programs, speaking with physicians and so forth. Though it appears that you would actually need a physician to be on board with the whole project as there is a week long seminar to attend and since I'm having trouble with them sticking to our transfusion criteria....I don't think I'd have much luck. Thanks.