Eoin
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Everything posted by Eoin
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That is a very valid point. We have on one occasion had our haemovigilance nurse liaise with the massive trauma coordinator and things went smoothly. Perhaps training of the episode coordinators as to the importance of getting collections and documentation right first time, every time could be another avenue, but we will put it on our agenda for the next Hospital Transfusion Committee meeting. Thanks for food for thought. Cheers Eoin
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Ah yes, it is indeed the O.R. We don't have the time to sit down and watch a play at the theatre (which is also theatre - same as OR, but with actors instead) - Mind you some of our surgeons are actors!!!!! What an interesting language English is. Cheers Eoin
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This side of the pond O Negs (Typed as CDE Neg, possibly plus Kell Neg) which are held as emergency blood have traditionally been described as "Flying Squad" blood (maybe because people fly around madly with it in an emergency hemorrhage situation). Theater person would apply to anyone coming from theatre (or theater as you spell it) to collect units (could be a nurse, theatre assistant or theatre porter in our case). Hope this helps with the "Lost in Translation" DCeDCe. Cheers Eoin
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Anyone going to the NE Lab Fall Conference in Portland in Oct?
Eoin replied to Dr. Pepper's topic in Education / Quality
The Chemistry of Beer Phil!!!! Is that before or after it is in the BBer On-Call?? Like Malcolm, we can but wish from our side of the pond - but hey I'm not complaining - retire in three weeks time - so I'll just follow the advice from Lyndon Baines Johnston - I’m not in the speech making business nowadays. I’m following the advice of an old mountain woman who said: ‘When I walks, I walk slowly. When I sits, I sits loosely. And when I feel a worry coming on, I just go to sleep. Cheers Eoin -
I like that Terri, Maybe we could include necessity of getting Consultant Haematologist, BB approval before recommencing any unit. Mind you, if we find anything in the workup, the unit is taken down immediately. We educate them to be very cautious. Apart from minor allergic reaction where they are given meds and recommenced slowly, I would rather a unit come down even if unnecessarily wasted than a patient go on to develop a major reaction.
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What happened to checking Ab history??? I know that lots can go wayward outside the lab - but inside a BB lab - should be as in SOPs! Mind you - if something goes wrong with specs or results Sod's Law applies and it is often one of the hosp staff specs or results - maybe the case of being TOOOOO careful!
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Don't know if you can get this across the pond - but it is here in Europe (see link). Note Mason Tech is only the distributor company here in Ireland http://www.masontechnology.ie/files/documents/dom7.pdf
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Ah yes - Having had to put up with all sorts of ??? over the years, now we have the real stuff. Just keep it away from the fan!!!!!
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We have an SOP available electronically on wards / theatres etc. - They are expected to know it and follow it - but we still get calls for assistance on procedure.
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Like David, we cover all disciplines - so up to scientist investigating possible reaction (or TTI).
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Giving RH pos RBCs units to RH neg patients
Eoin replied to MERRYPATH's topic in Transfusion Services
I think these decisions must be made on a case by case basis - in consultation with the attending consultant / anesthetist / trauma specialist or the MHP coordinator. This gives you some tools to assess how severe the expected loss is likely to be - plus apply all the reasons Galvania gave. If MHP is called - I would expect the scientists to assess the above first before just giving O Negs (except to females who are potential child bearers). -
Me too - definitely challenge - Where do your inspectors come from - Mars? Haven't they worked in the real BB world with all its lovely quirks n jerks. Surely the ID is done to be able to get antigen negative red cells (Sometimes says you) - and these are then crossmatched against the recipient to ensure compatibility by whatever test/s they are reacting in. If that ain't safe - it's time to take my teddy bear and depart.
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Same Time????? Where did that come from?? We have ISO15189:2012 and Joint Commission Int to adhere to and I have never been challenged on that. I would ask to see the regulation! We generally do it first up in the shift - repeated if new reagent opened - but not if in the middle of urgent XMs. Crazy stuff! Cheers, Wayne
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We use Labcold (UK Company) Blood Transport Boxes , which have a light polystyrene lining. to transport from Issue Fridges to wards / departments (relatively inexpensive). We don't want to offend / alarm anyone - and someone passing out would only detract from the task at hand, possibly delaying that transport. Eoin
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Yes, Probably will - maybe I an start a new post - "Letters from Saudi". Cheers to all Eoin
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Couldn't agree more John. OCD makes for terriers - don't let tricky situations beat you. Keep gnawing at the bone till the marrow is revealed! Cheers Wayne
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That's a big OOOOPPPPS! Have no idea how it came up - probably a bad hair day! Red Faced! Cheers Eoin
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Welcome. I am sure you wil enjoy this site as much as we all do. Cheers Eoin
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We calculate C/T for all our users three monthly and review for adherence to MSBOS. Medical is always close to 1.0. Surgical in range 1.2 to 1.5. Sometimes this is pushed up to 1.5 mark by returns to theatre with abdo surgeries - they tend to order more as they don't know what they will find on opening. The consultants all know we review it. Any outliers for no good reason are chatted to by the consultant Haematologist. Cheers Eoin
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AHHHH! I was hoping that John or Malcolm were longer at BB than I have been. - Started 1969 (In multi-disciplinary lab0 - gravitated to BB - Have always loved it but re-invented myself as Quality & Risk Manager over the last few years. Being put out to pasture by my Hosp on my birthday in Sept this year (we all know that we go senile on that birthday, and are only good for sitting in an armchair by the fire, with the knee rug pulled up, dribbling down the shirt) - But I have a cunning plan - I have been offered a contract in Saudi commissioning new hospitals (Laboratory, Risk & JCI responsibilities) so will be leaving you all when the political situation has settled after the death of the King - and the new King settles in and appointees to positions get to grips with what's happening. I will miss the posts. Cheers Eoin
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Where is my lovely crammed Roladesk file? No we have these on PIMS (Patient Information Management Systems) now under clinical alerts, with details of last known status for antibodies and/or special requirements. In addition, we have a hard copy Alert Notice, which sits first page in the Patient Notes (No EHR here), so blind Freddy couldn't miss it (except they occasionally do). In the Lab, we have a Database for these which will be kept in perpetuity [requirement is 30 years (Regulatory Requirement)]. - Might make a historical (or is that hysterical) paper one day - probably when antigen stripped blood is in vogue and antibodies are a vague thing of the past. Cheers Eoin
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Great News! All the best Connie. i will look forward to your posts. Cheers Eoin
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We do - but we have a huge number of pre-op clinics, and this allows us to freeze the plasma for use when they present for op. All work (including aliquots etc) is checked by a second scientist and signed off on the worksheet as being correct -- and we allow only one specimen to be separated at a time - cumbersome I know, but it works. WBIT doesn't bear thinking about. Cheers Eoin
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I agree with the others. This takes some courage to stand by your principles. Spell it out to them if you gat an exit interview. I can only say how much I admire you for your stance. I am sure that you will not regret it. I hope that there is a close by employer who values your stand. All the very best. Cheers Eoin
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Agree absolutely. Well done Heather. Cheers Eoin