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Likewine99

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Everything posted by Likewine99

  1. Glad to hear you are coming to the USA!!! Wish I could be there for the talks but most likely will be WORKING covering one of those famous IT go lives. Great news!!!
  2. Congratulations and enjoy. Glad you are staying with us!
  3. I've done the opposite, converted data from various systems into HCLL. I would think the Sunquest team would help you with this and not "charge extra". As you work through this process feel free to contact me, this is a huge undertaking as I am sure you are well aware.
  4. I have built the BB and Beaker portion for 16 sites in my organization, even though the BB system is HCLL please feel free to reach out to me if you have Beaker questions.
  5. AMcCord, If your BB is Haemonetics (or any of the other BB systems), your build team will still need to do some LIS build to get the BB tests from your LIS (we use Beaker) into Haemonetics. They will also need to decide how they are going to do billing, if that hasn't been disucssed already. With Epic 2015 the blood products do not go to the LIS, they go directly into the BB system, tests still go through the LIS. Even though BB is not Epic, if you LIS team would include you on discussions when they do this build it may save some headaches going forward. Unless you happen to have a Blood Banker on your LIS team. The BB will also be receiving the "orders to transfuse" from Epic. If this sounds foreign don't feel bad. I have been building Epic Beaker and Mediware HCLL for 5 years and it does take a bit to learn the lingo.
  6. Back in 1994 we moved from cards to a computer BB system and discontinued even touching those dang things again. I agree with Malcom, something from 1970, gee that could change dramatically and especially if you can't positively identify these patients I wouldn't worry about these pts or their associated antibodies. When you say "The antibody cards were updated to the computer during the last software update, but I am reviewing them all again anyway just to double check." you have done your validation and due diligence. Maybe create a document that shows you have done this validation and it's all in the computer now. Away with the cards!! Get some marshmallows, graham crackers and chocolate bars, grab a fire extinguisher and head for the parking lot. Smores for everyone. Just kidding :-)
  7. The nice part about changing from Echo is that the Vision uses the same technology on the manual bench as on the analyzer. The Griffols Erytrya and Griffols bench procedures use the same technology too. I am a proponent of the bench and analyzer to use the same technology. I am a fan of automation in the BB, regardless of the vendor or the size of your BB. Fewer chances for errors and it frees up your techs to do "other things". The nice part about staying with an Echo is that you are "staying the same". I am sure $$ will factor into this decision at some point. I currently do lab IT and we have interfaced Biorad Tangos, soon to interface an Infinity. Our organization was required to purchase a third party piece of software to get this analyzer to interface to Mediware HCLL. This added an extra layer of "work" and most likely cost. Good luck, this is a big decision, hope all goes well for you.
  8. We did away with those well over 15 years ago. I agree with David and your LIS is doing the work for you. List out the cost of those labels, even if they are a penny apiece, 2000/month, times 12 months, woo hoo $$$ These labels just add to the cost of getting the blood out the door, not to mention the time it takes to put them on and take them off of units. The time for change is now! Go for it, 2 weeks after you make the change they will all be saying, "what retype labels"
  9. I had a trauma surgeon tell me one time that in a true MTP situation that they want us to give them whatever ABO compatible products we can give them as fast as we possibly can. He mentioned that in a traumatic situation the body's immune response system shuts down because the body is sending all of its defenses to help it make itself through the trauma situation. If the patient survives the MTP episode then it might be time to worry about antibodies, irradiation, etc. And he also mentioned that the blood is passing through so quickly that he doubted very seriously if the patient would even have time to respond to foreign antigens.
  10. Congratulations!!! I hear Santa Barbara is beautiful and they have excellent weather. Good Luck!!
  11. Good luck AMcCord, it will be quite the adventure. I've been there done that and at this point am somewhat "sane". Define "sane"
  12. My organization uses Beaker and Mediware HCLL, 15 Blood Banks are up on both systems. Regardless of what BB system you pick there is build that is required to get specimens from Beaker over to your BB system. Several of our sites were long time Meditech users so this was a big change for them. And with having a "downstream" BB system you will have an interface. Feel free to PM me, you have some very good questions here. Or my home email is Likewine99@gmail.com.
  13. I think with your upgrade coming you have the opportunity to educate, have the techs show competency and then make it part of SOP. First time you have a non-conformance you start the "verbal warning" process. If it continues ti goes to a written counseling. Bet ya once someone gets counseled for this things will start to turn around. No one wants a counseling on their record, I guarantee it.
  14. Likewine99

    Cleanbath

    Tap water changed every week, no additives
  15. All common clinically significant antibodies ruled out. This reports back to the EHR
  16. We are identical to tbostock. Make sure your ABO confirmation is "no charge". We also have the BBIS capture the "workload statistic" since we do not charge for it.
  17. AMcCord, where do I sign up for the paperwork chaser job? I am highly qualified, I've been around since paper blood banking days and have chased many an "uncrossmatched release form" and many missing transfusion slip. I don't envy any of you having to manage tissue and bone. Good luck to all.
  18. To add to what John said about battles.... If you can find a tech in the BB that is interested in changing things and can get them on your "side", it might help solidify changes if one of the rank and file is your ally. I bet ya, half of the staff want things to change and the other half don't. If you can find the half that is willing to change, get them to help you drive the change, it might make things easier. Good luck
  19. I too have worked with MLTs that were top notch Blood Bankers and MTs that weren't worth what they paid for their education. And...... there were a couple of SBBs who absolutely couldn't make a decision re: what antibodies a pt had or fell apart in a trauma situation. In this time of staffing shortages it is vitally important to hire the best fit for the job. We absolutely have to provide the best blood products for our patients as timely as possible. It's the "person" not the credentials that make a good BBer. And I'll bet it's the same in the other areas of the lab.
  20. Likewine99

    SBB

    Congrats Terri, great work!
  21. Agree with tbostock. Until you get official confirmation from a BMT physician the pt does not have total engraftment.
  22. Welcome to the site, it rocks
  23. Welcome to the site, you will love it
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