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Thanks for your responses!

Ok- I have to share this second hand story from a fellow tech.... Many years ago her hospital had just started allowing preop testing for blood bank. She drew a patient's specimen, then several days later the patient returned for her surgery/possible transfusion. The same tech went to draw a specimen from the patient on the day of surgery, and she said, "You're not the person I drew the other day!" The patient replied, "Shhh. Don't tell anyone. I had a hair appointment so I sent my friend in my place. My beautician's real hard to get into." Unbelievable!!!!

Good news... there is a new "Reverse Combine" process availableon 2007.19 and beyond that when enabled will support comvine of a new person record into an old erson record and still maintain the latest demographic data. Have your IT folks check it out.

Hi all, JCAHO posted the following letter dated July 1, 2011... http://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFAQId=353&ProgramId=4 I'm concerned by the statement "For extension of the FDA requirement to infuse plasma within six hours of thawing to 24 hours, a variance must be requested from the Food and Drug Administration. A sample variance request form can be found at www.aabb.org/resources/governmentregulatory/bloodcomponents/Pages/resources.aspx. This is a common request and is not related to FDA licensing or registration. The Joint Commission will recognize the FDA variance as evidence for extending the expiration date in compliance with FDA requirements." I was raised from a baby med tech thinking (and verifying through AABB) that Thawed FFP had an expiration date of 24 hours, not 6 hours. What are your thoughts on this? Did your transfusion service file a variance to extend the expiration date to 24 hours? Thanks in advance!

I agree with "Lateonenite" .... With Patient Product Inquiry, the nurses/physicians can easily see what products are available and what products have been given. The hardest part remains in the training and actually getting them to use it. For some reason, they think it is easier to call the blood bank then to look it up in the computer

Our site went live with HCLL in March. The implementation process took almost 2 years, and that was with Best Practices. We had many issues with interfacing to our homegrown LIS. We also decided not to track our reagents in the system because this was too labor intensive. We kept our specimen labels from the LIS. Julie- have you noticed an extremely large number of quality exceptions (i.e. unlocking screen, reassigning work, etc.?) Also, is this how you are notified of ADT updates?

We have a combo of both situations: We're in a Level I trauma, so we keep 20 O Pos units and 2 O Neg units in the ER for emergent uncrossed use. An alarm sounds in the blood bank when this fridge is opened. We have also recently started a Massive Transfusion protocol, where we set up "packs" of 6 red cells, 4 FFP, and 1 SD platelet repeatedly until the trauma is controlled.