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Likewine99

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Everything posted by Likewine99

  1. Likewine99
    Welcome and glad you joined us. Lots of great info and great people on this site.
  2. Likewine99
    Great points Dansket. I am a BBer and work in IT and you are right, it is "just another application to manage" but as a former BB sup I make sure that what I build makes sense from a BB perspective. There are so many pieces to the puzzle it is often hard to keep them all straight and organized. And many of our sites did their own validations so by the time we got to go live the BB sups were well aware of system functionality and where there were "got 'chas". crsmith, most of the vendors have BBers on staff but they don't do the hard coded programming. If you are in the market shop around, see if you can talk to an actual end user about the likes/dislikes of their system. And yes, go for the computer crossmatch, you'll be glad you did. This is a big decision and no system does it all. Good luck!
  3. Likewine99
    In the BBIS or the LIS is the best place but if you can't get the IT people to do it I agree with mollyredone, Excel spreadsheet is the way to go. Once you get the hang of the Excel spreadsheet, if you have the option to save on a "lab shared drive" you could skip printing, mark your review on the sheet and save it with a date in the file name and you'd have all you need to keep almost any inspector happy. And IT most likely backs up all of that stuff daily so you'd be safe
  4. Likewine99
    There is never a dull moment on this board is there? Almost makes me wish I was not in BB IT and back at the bench. Well, maybe not. If you have to work this bench to prepare this product, is it the s**t detail bench?
  5. Likewine99
    Same as Terri
  6. Likewine99
    E3591 across the entire organization where I work
  7. Likewine99
    Long, long ago, I signed out a unit of blood to an RN. The RN stopped in the cafeteria and got lunch before coming to the BB and left the tray with the lunch on it in our break room. After finishing the sign out process I left the BB for lunch. Ran into this RN in our break room, eating the lunch and there was the unit of blood on the tray. his was an online occurrence report to say the least. After this occurrence there was nursing education re: best practice for picking up lunch. This happened on a weekend, are you surprised? We do not sign out units of blood to nurses (yes we still make them come to the BB to pick it up) if they are on the hand held phones or on their personal cell phone. I have stopped the read back process and made them start over if they pick up the phone during this process. Of course lots of eye rolls when I make them start over
  8. Likewine99
    I agree with Terristella, antibody detection not identification. In these days of managing costs, it seems to me that QCing a panel everyday is using up expensive reagents and tech time. And Malcomb makes a good point, panel QC NEVER fails. We discontinued this practice way back in the late 90s early 2000s and our BB was CAP inspected.
  9. Likewine99
    If you have a BB computer system this can be used to control what ISBT product code goes on the thawed plasma. You BB LIS person would know this information. Some blood suppliers give you this information, check with them. If you still have problems feel free to email me at Mary.Mendel@Mercy.Net. Have fun!!!
  10. Likewine99
    This is great. Thanks!
  11. Likewine99
    Same as Sko681.
  12. Likewine99
    Same as Terri
  13. Likewine99
    I have done weak D testing on babies in gel for many years and we found it more sensitive than the Ortho tube reagents. Email me at Mary.Mendel@Mercy.Net and we can discuss in more detail.
  14. Likewine99
    My organization is Epic EHR, Beaker Lab, HCLL Blood Bank. Beaker is not as mature as Cerner, tbostock is correct though, it is getting better with each upgrade. We are satisfied with this combination and Epic is a top notch EHR.
  15. Likewine99
    Our OB dept uses regular Blood Bank pink top tubes, not sterilized or anything, specimen collected in delivery room. Sent to us labeled with the Beaker, our LIS, generated label.
  16. Likewine99
    Yes Terri we are OCD, but we are the kind of people you want crossmatching your blood, labeling your tubes, etc. If we were nurses, mislabeled specimens would be a thing of the past . No offense intended to any nurses that may be lurking in the background .
  17. Likewine99
    We only use bleach to clean the Provue monthly. We use the disinfectant wipes supplied by the organization and these are used throughout the hospital. They do not contain bleach and are excellent in cleaning up spills. I don't know the name of the mfgr. Once we moved to these we've never gone back to bleach for the cleaning the benches.
  18. Likewine99
    I too alphabetize my pts, either in a rack or on the Provue. Unless it's a stat then that goes first. If there is more than one stat I alphabetize those. I too was trained this way, back in the day, way back in the day.
  19. Likewine99
    I agree with AMcCord, you have proven that there is no clinically significant antibodies and that rouleaux is the culprit in the gel reactions.
  20. Likewine99
    Agree with Teri. And I've spent many hours chasing after RNs and MDs to get the appropriate forms signed, even if it's retrospectively. In the EHR world where I live now, I have created an "Emergency Release" electronic order that states all the appropriate stuff. Once signed electronically by the MD you can retrieve it from the chart if an inspector asks.
  21. Likewine99
    Skipocyte, as in if you don't see another one skip it.
  22. Likewine99
    Good luck with your march, Karrieb61. Change is hard but you got this! Keep us posted as you move your staff into the "modern" world of Blood Banking, that is NO microscopic readings
  23. Likewine99
    My organization always made them quantifiable, it made it easier for us at eval time. I like John's idea of them making them up on their own but I'm sure some techs will come up with some rather "lame" goals if you don't help them out and insist that they meet or exceed the stated goals.
  24. Likewine99
    I agree with Cheru26
  25. Likewine99
    Prior to changing anything get some good data on exactly why you want to change something. Make sure you get "buy in" from the techs, or as much buy in as you can get. Teri's list is excellent. If you don't get buy in from the techs, they will revert back to the way things used to be. Ask me how I know this?
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