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kmh76

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Everything posted by kmh76

  1. kmh76
    Yes it is acceptable as I just had AABB inspection and had no deficiencies. Also it was the AABB inspector that found on the chart that the informed consent was not signed by the physician. She said this was a Nursing issue
  2. kmh76
    we have nothing to do with informed consent. It is up to Nursing and the physician to sign the form and then have the patient sign it. We do check the chart to see if it is filled out when we do audits.
  3. kmh76
    we use computer labels and they must have pt. name. MR#, date and phlebotomist initials on them. we coordinate this with Hollister Blood bank bands.
  4. kmh76
    OUR HOSPITAL -AABB, JCAHO Rhophylac is kept in the Blood Bank
  5. kmh76
    Why were you told to do this by joint commission? How do you handle the Rhogam ? How are you monitoring the patient is getting a work up and not just the drug?
  6. kmh76
    We only do babies as we do not collect donors.
  7. kmh76
    We had our Rhophylac stored in Pharmacy as we thought this was a JCAHO requirement. We had nothing but problems. The OB floor would bypass us and call the pharmacy for Rhophylac along with the ED department. It was causing havoc for us. After 3 years when a new pharmacy director came along we finally got our Rhophylac back in the blood bank. We just had AABB and JCAHO inspections and nothing was said about us stocking Rhophylac in our department.
  8. kmh76
    We only do weak D testing on Newborns up to 4 months old. We had an issue where a Du positive mother did not get RHIG and produced Anti D. She was a partial D. (She lost the baby) Ever since that happened 3 years ago we decided to call all Rh negative ( on immediate spin) prenatals Negative. Better to be safe then sorry.
  9. kmh76
    we just had AABB inspection and that qustion came up. If you are only changing the expiration date and not the product code you do not need a second check.That according to our inspector.
  10. kmh76
    "?" is an equivocal result so we re rerun the screen. If it still comes up "?'" then we will visually look at the plate. Normally it is a weak reaction and will do a panel but most times repeating it it comes up negative. Can't figure that one out!
  11. kmh76
    when was the last time she was transfused? Are you planning on doing an eluate to rule out alloantibodies? Do you normally have such discrepancy with gel and tube? I don't think I would transfuse her until I did some kind of workup.
  12. kmh76
    we do not use select plates anymore. We have had our Echo for 3 1/2 years. The select plates were always a pain for us. We always had to repeat crossmatches so I decided we would no longer use them and do an extended crossmatch in tube on bench if need be.Takes less time and we have no problems doing it this way.
  13. kmh76
    We do a DAt in tube. We used to do it on Echo but found it easier to go back and do it in tube.
  14. kmh76
    The Echo most certainly picks up Cold Antibodies as we have seen alot of this in the past. Our screens will be all 3-4+ and same with the panels. We then take it to the bench and do a full panel IS, 37 AHG, 4C. Most of the time it is a cold. We were told by Immucor that the Echo did not pick up Cold Antibodies. Don't believe them!
  15. kmh76
    We have had the Echo since january 2008. Our waste sensor quit on us this week for the first time. Immucor sent us a new one for free. Ohter than that we have not had to replace any parts. The syringes we change yearly just as a PM. Maybe you got a lemon!
  16. kmh76
    We do weak D testing only on neonates 4 months old or less. All our D negative prenatals are given RHIG @ 28 weeks and if applicable after delivery. We have had 3 cases of weak D positive patients not getting RHIG and developing Anti D. We currently have a prenatal that another hospital typed as A Negative Weak D positive. She now has an Anti D. We sent her out for molecular testing and she is a partial D category 6 capable of producing Anti D which can cause fetal fatalities. This is the 3rd patient in 6 years we have had like this. That is why we do not do weak D testing on prenatal patients. The results of not getting Rhig can be devistating!
  17. kmh76
    Could I please have a copy of the cooler validation to compare with my procedure? Thank you khosey@wvhcs.org
  18. kmh76
    We recently ran into this problem. We had an AB positive male patient with Anti D. It turned out the patient had received WinRho which can cause an Anti D in an Rh positive patient. We gave him Rh negative blood.
  19. kmh76
    I e mailed AABB accreditation and was told "Reagents" are not included in with alarms for storage. A reagent refrigerator should have a chart on it but does not need an alarm according to AABB accreditation department.
  20. kmh76
    If you modify a unit that is in Codabar you relabel in Codabar. If you modify or pool products labeled in ISBT you relabel in ISBT.
  21. kmh76
    If you receive units labeled in Codabar and they need to be modified according to AABB you can relabel them in Codabar if they are ISBT 128 and are modified they need to be relabeled in ISBT when modified.
  22. kmh76
    In our Blood bank our phlebotomy team uses computer generated labels for each test. For Blood bank The phlebotomist labels each tube (we collect 2 for Blood bank) with the label for Type/Screen or Type/Crossmatch so when the specimen comes into blood bank we do not need to relabel anything. We have an automated instrument and the instrument reads the barcode with patient name and accession number. We also use the hollister blood bracelet system so the phlebotomist will put an R band number on the tube. This R band number must match the set of R band numbers they return to us. There are times when phlebotomy will stick the wrong patient and if we have a previous type on file we will catch it. If not then it becomes a big issue. I think it would be very confusing for us to have to relabel the tube when it arrives in Blood bank.Also if we do not have a previous type on the patient we do a second type check on another tube. Hopefully we will be able to avoid errors made by phlebotomy.
  23. kmh76
    We are Joint Commission accrediated and use patient name and Medical Record number for inpatients and Name and date of birth for outpatients and it has been fine with joint Commission. If the computer system is dwn and we can't get a Medical Record number on an inpatient we use Social Security Number.
  24. kmh76
    L106 I understand and agree with everything you have said. Since we don't have CAP inspections anymore we now have to deal with a week long Joint Commission inspection. I don't know what's worse 1 day or 1 week!!!!!!!
  25. kmh76
    No we are a hospital lab and I also have 35 + years Blood bank Experience. No One is saying you are not a good inspector. In my opinion CAP inspectors that I have dealt with for 20 years just don't seem to do as thorough a job as AABB or Joint Commission. Like I said our last CAP inspector sat in Blood bank and watched. Never got off her **** to see a transfusion and never asked to look at any procedures or manuals. Just plain Lazy if you ask me. I can't judge all inspectors on the performance of 1 but in MY opinion AABB and JCAHO inspectors are much better. Our whole lab felt that way and we dropped CAP inspections.
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