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BBK710

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Everything posted by BBK710

  1. BBK710
    We require nursing to send a copy of the completed form to the transfusion service. We get between 85 and 92% returned. We then review them and any with missing or incomplete documentation are returned to the nursing unit for completion. Unfortunately this is where we have problems if the patient's have been transfused and medical records gets involved. It is an ongoing project. I do a written audit one month per quarter and it is reported to nursing management and transfusion committe. We are finally seeing some improvement after years of stressing the importance of completing the records appropriately. Unfortuanately it does fall to the blood bank and it is very time consuming.
  2. BBK710
    I actually got a "new" slide thing from my Ortho Rep a few years back. I like my 70's one better though Mabel even though it's pretty shabby looking after all of these years.
  3. BBK710
    Because it is necessary to register with the FDA to prepare recombined whole blood for exchange transfusion I know that many hospitals have stopped providing the service to their nicu. The babies are transferred to a facility that can provide the service. I am interested in knowing what hospitals that are not FDA registered and only do the procedure once every few years have done or are planning to do about exchange transfusions. I am more concerned about the competency of staff performing the preparation of the product and the procedure itself than the FDA registration (although I would like to avoid that if possible since we have only done 2 exchanges in the last 8 years.)
  4. BBK710
    So you are sending a prelabeled empty syringe along with the aliquot of packed cells to the nicu and then they fill the syringe from the aliquot?
  5. BBK710
    If they put it into the syringe on the unit how is the syringe labeled?
  6. BBK710
    I didn't vote because we use a combination of the above options. If we have a sample in the lab (usually a cbc) labeled to meet blood bank requirements we will use that specimen for confirmation. If there is no specimen we have a sample drawn to confirm the blood type. If none of these are possible we will transfuse with type O until a second sample can be obtained. That doesn't happen often, and usually we have a sample in the lab so redraws are limited.
  7. BBK710
    I was just told the Immucor has also back ordered Anti D. And they only sent me 25% of the traditional reagents that I ordered. I was told that they are on "allocation" and what they sent was based on historical ordering. I usually order for three months, this time I ordered for 6 to avoid the price increase. They sent me enough for one month. At which time I can order more at the 50% price increase. So much for customer service. When it comes time to look at automation will I be looking at Immucor???
  8. BBK710
    We have had the Helmer DH 8 for several years and like it very much. They do make a smaller version (4 units). Although we rarely thaw more than 2 units at a time the DH 8 has been great on the occassions when we had patients for plasmapheresis that required 25 units daily for several months. It actually thawed 8 units at a time in about 20 minutes. It is easy to clean and requires little maintenance.
  9. BBK710
    We have Sunquest 6.1 and the divided units and pooled units still require workarounds. Pooled unit numbers must start with P and that does not work with ISBT. Has anyone come up with a good workaround for that problem.I have considered entering the ISBT number in the unit tag comment but I really don't like having to cross reference two numbers for the purpose of tracking. It seems to me that until Sunquest allows the pooled unit number to be an ISBT number we have opened ourselves up to possiblity of more errors.
  10. BBK710
    Does anyone know anything about Biotest for traditional reagents?
  11. BBK710
    We have a similar policy that has been in use for about 2 years. We transfuse O neg if we do not have a second specimen. I think we have only had to do that once. Our policy states that the second sample should be drawn by a different tech at a different time if possible. In some cases it isn't possible to have a different person draw the sample. The only problem we have had is that the ER staff has figured out how to get around it by drawing 2 specimens at the same time and labeling them with different times. So I agree that the special tube for second types is the way to go. Now if I can just find the time to write up that new protocol......
  12. BBK710
    I was told by my Ortho rep in January that Ortho's pricing for traditional reagents was going to increase by 100%. Fortunately I only purchase my gel products from Ortho. So I called my Immucor rep to ask her what kind of a price increase Immucor would be making for 2008. She sent me a 2008 price list with NO INCREASE. I actually met with her the end of Feb and we discussed the fact that there was no increase. So when I received the letter from Immucor with the new pricing for July, I immediately called her and told her that I expected her to find a way to honor the pricing that she had given me in Feb. She set up an appointment to meet with me next week. I don't expect that they willl honor the pricing but I figured it was worth a try.
  13. BBK710
    Linda I am sure many of us in the same position (using CLIA number) would be interested in what you found out. We are also going to use the Digitrax printer and only pool, split and thaw. This seems to be an awful lot of work for the little bit of product modification that we do.
  14. BBK710
    I like the idea of a "marked" tube. How exactly do you mark them? I can see our nurses trying to remove a sticker and put it on a previously drawn tube. I am concerned that if we used a marker on the tube they would cover it up with the label.
  15. BBK710
    I have to agree with John. While we have a second tech retype the same speicmen for patient testing that does not require transfusion we require a second specimen be tested for transfusion of any blood product when there is no historical record of type. We began doing this about a year and a half ago and it really has not been that difficult. We will use a specimen from another department in the laboratory as long as it is labeled correctly. The only problem that we have encountered is that the Emergency Deptartment tries to get around the requirement by drawing two tubes at one time and putting different times on the tubes when a second specimen is needed. Unfortunately no matter what you try to do to guarantee patient safety it seems that someone will try to find away around it. After the recent article about the incident in Florida I am glad that we have this policy in place. It allows me to sleep at night.
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