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Likewine99

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Everything posted by Likewine99

  1. Likewine99
    I agree with your assessment Brenda. And the fact that it is a cord blood makes me think maternal contamination. Having done ped blood banking using heel stick we would get a "true type" on the baby. Then either give O pos or neg pedi units and if nay doubt at all on Rh type it would be O neg.
  2. Likewine99
    Same as David and mollyredone.
  3. Likewine99
    Maybe the sub section heading should be Dumb Questions - Post Here. With the understanding that it's OK to ask any question. I've never seen anyone on this site be condescending and we do have some great info shared here.
  4. Likewine99
    Same as pbaker, and we do weak D testing on the baby, not the mom
  5. Likewine99
    yes. never had any problems with it
  6. Likewine99
    We used to see it "occasionally", maybe once a month when we did ISXM. We use gel for absc so if I see something "hazy" I suspect rouleaux right away. Rule it in using saline replacement. We now do electronic XM so it's dropping off of our radar screens.
  7. Likewine99
    We do the same as soozmlt. We have a setting in our system, HCLL that is set to make all thawed FFP expire to 5 days.
  8. Likewine99
    I am an ex-Blood Banker turned "application coordinator" and work with Epic/Beaker/HCLL. If anyone would like to contact me for feedback or pros and cons please email me at Mary.Mendel@Mercy.Net
  9. Likewine99
    We don't have a paper transfusion tags, just a sticky label that we affix to a "toe tag" and tag to the unit. We only use paper forms for emergency release functions since often times that blood is not given. Our EHR is Epic and the nurses use the "transfusion documentation flowsheet" and the "transfusion navigator".
  10. Likewine99
    Welcome to the site. I am sure you have lots of knowledge to share with all of us. Like Malcom I always learn lots from this site
  11. Likewine99
    We have a Provue and do not do weak D testing on prenatal specimens or active labor patients. If we have a 1+ or 2+ result on a D reagent well it is reviewed but is reported as Rh positive. You could follow these up with weak D testing in tube but remember, it's 2 different anti-D reagents and I bet you would get a weak D positive result anyway. I have found that the D reagent in the ABD/Reverse card is more 'sensitive' than the Ortho tube reagents. We only do weak D testing in on patients as David stated above.
  12. Likewine99
    I agree with R1R2 about getting your risk management department involved. And you should pull in the legal eagles and the billing people too. And how are they documenting vitals, IV solutions etc? I set up an offsite transfusion policy a while back and it was a lot of work. Think about what you would do if a patient suffered an adverse outcome, you have a look back etc. Good luck and keep posting.
  13. Likewine99
    We don't use Meditech but we do use the Digitrax printers at all of our BBs. I personally prefer the 4 x 4 with cutout but have used the 4 x 4 without and both work just fine. Have no experience with the 4 x 2. Do make sure you are in compliance with labeling as I've known sites to go live with a BB computer system and TJC or CAP or CLIA inspectors have asked to see these validations. Good luck!
  14. Likewine99
    Here are my experiences with having refrigs in the OR: 1. Nursing staff in the OR don't/won't take the temps daily. You will need to be vigilant with this as it will fall back on you at inspection time. 2. More than one patient's blood in a single refrigerator. O pos units and B pos units on different shelves of the same refrig. A recipe for disaster. 3. Blood left in the monitored refrig over a 3 day w/e. Made inventory reconciliation a little difficult since units were to be returned to BB at the end of the case. 4. Platelets placed in the refrigerator since they decided not to give them. Again, if this is a done deal then so be it but hopefully these "deviations" I've experienced won't happen at your place. Good luck!
  15. Likewine99
    I agree with the other posters, no need to have someone double check an entry into a BB computer system. I have worked several places within the same organization and we discontinued any form of manual entry about 15 years ago. The truth tables that run behind the scenes act as a checking mechanism which is part of the patient safety features of the system. Eliminating the paper step will greatly increase your efficiency and once you get past the first few time I bet very few if any techs ask for the paper to return.
  16. Likewine99
    Welcome to all the newbies. It is a great site and I always learn something interesting.
  17. Likewine99
    same as Auntie-D
  18. Likewine99
    Done and glad to do it
  19. Likewine99
    #2.
  20. Likewine99
    Drop the paper records and welcome to the 21st century! Think of the time savings, less chance of a clerical error, less paper to store and discard confidentially. And at inspection time it is great to have things in the computer. I had a CLIA inspection and was able to pull everything I needed related to pt testing directly from the computer system. Makes for a quicker inspection and really is a more accurate way to document almost anything done in the BB.
  21. Likewine99
    We were asked by nursing to NOT call these results because it "takes the nurse away from the patient and they can view the results in the EHR". Saved a ton of time for the BB and the nsg staff.
  22. Likewine99
    Our Blood Bank discontinued this practice approximately 10 years ago. We were also advised by our billing team that if we retested in house it was "double billing" and the charges may drop on a bill but we would never be reimbursed for the testing. kirkaw has outlined the AABB guidelines and I bet if you did a cost analysis on this, include the tech time, reagents etc, you would see a huge savings to your BB with no compromise to the quality of pt care.
  23. Likewine99
    So maybe your policy falls under the "that's the way we've always done it" reasoning. One of my least favorite reasons for doing things and one of the hardest to change.
  24. Likewine99
    tricore I have see the same things as you and I'm a fan of actually recording the temp. The monitored system sounds wonderful and I agree with other posters, as long as you can produce the info at inspection time and your SOP reflects the process you should be good to go.
  25. Likewine99

    Hello

    Likewine99 replied to KAPMT's topic in Introductions

    Welcome to the site it is THE BEST!!! Good luck with your position as tech specialist and don't hesitate to post, we are all here to learn
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