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ShowDogDad

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Everything posted by ShowDogDad

  1. Wow! That's interesting. I can honestly say that we have NEVER seen that here. However, we do not have a pediatric population here.
  2. I'm curious too. I have never heard of doing plasmapheresis on big black and white bears! >;-)
  3. Not exactly an excuse, but the funniest one I had was a woman in her late 60's. She didn't answer any of the sexual behavior questions, so I had to follow up. She said "Honey, I've been a widow for over 10 years and probably didn't have sex for 10 years before that. So just put NO for everything!". POOR GAL! >;-)
  4. What code are you using that requires a 200ml minimum? The code that I was going to use just had "XX" for the volume. E5191FRESH FROZEN PLASMA|CPD/XX/<=-18C|ResLeu:<5log6
  5. Just under 1/2 of our donors are autologous. We let our auto donors donate with a history of cancer. However, we do put in deferrals just in case they should ever try to donate as an allo. Leukemia, Lymphoma and Hodgkins disease are indefinite. Any type of malignant melanoma is 5 yrs from last chemo or radiation.
  6. We are located in the hospital also. We give our employees 3 hrs off for each donation. So, if someone donates SDP, they get 3 hrs off. Then they can come back in one week later and get another 3 hrs off for donating whole blood. Plus a SDP donation counts as a "pint" towards their "Multi-gallon" donor status. All multi-gallon donors are invited to a luncheon every year where we raffle off multipe prizes.
  7. I agree with PSanai. Every time someone comes in to donate any type of product, they must get a full screening. I don't have the regs in front of me right now to quote you anything, but every unit must have it's own testing. Many of our donors donate SDP one week, then come back the following week to donate whole blood. They fill out a new questionnaire and we go over it completely with them. Then we send every test out no matter when they were tested last. The only exception to this is Stem Cells. They only get tested once for their course of stem cell donations.
  8. Hey there, I don't think that there is a "perfect" system. Thomas Jefferson University Hospital was the first institution to go live with HCLL Donor. It's not a bad system. Has a lot of nice features. There is still quite a bit of tweaking that needs to be done though.
  9. ShowDogDad

    Hi!

    Hey Keri, I work in the Blood Donor Center at Thomas Jefferson University Hospital in Philadelphia. I am also the point person for our LIS. Welcome to BB Talk!
  10. We do quite a few directed donors for our ortho population. We do not charge. The recipient just gets charged for the blood during surgery if they recieve it. We do not charge not only because we may give out the RBC's to the general inventory, but also because every directed donation's FFP and PLT's go into the general inventory. We do require a doctor's order for directed donation. HOWEVER... If the Dr. orders 1 unit of blood, we will take as many directed donors as the patient sends in. This is rationalized because many donors don't know their blood types. So, if the blood is incompatible, it is automatically put into the general population.
  11. Wait... do you collect donors? Or are you a transfusion service only?
  12. Boston, LCS and John... How big are your centers and what system are you on that allows you to be totally paperless??? I have been wanting that technology here, but I doubt that we are big enough to make the cost worthwhile. In 2007, our allos, autos and therapeutics combined were almost 5,000.
  13. Can't help you out on the gel system, as I'm on the Donor side. We are the first site in the country to go live with HCLL Donor. It's not that bad of a system.
  14. Can't answer that for sure. We just collect at this end of the hall. Issue is done from the other end of the hall. Last time I asked, I think they said the discard rate was around 15%. The biggest change for our collections is that they are only ordering one unit most of the time now instead of the 2 or 3 units they used to order.
  15. Hey there, Autos comprise about 1/2 of our donors here. (Approx 10-15/day.) We have a big ortho institute across the street, and auto donation is a routine part of thier pre-op procedure. There is no way that we could ever consider dropping autos.
  16. Hey Jersey, I live in Jersey too, but work in Philly. You'll find lots of stuff on here for when you're having your insomnia attacks. Bob
  17. We have RN's and techs here in our Donor Center. The RN is responsible for screening the TP patient. Either a tech or a nurse may do the actual phlebotomy, but if replacement fluids are required, the RN must do that. After the phlebotomy, our bags of blood are double bagged and placed in infectious waste.
  18. Hey there. Our hospital blood bank draws quite a few TP's. It is pretty rare that we do an inpatient, most of ours are outpatients. As far as timing, our OP's schedule an appt and come in with a prescription from their MD. We have done IP's stat. We just have to make sure that all the paperwork is done.
  19. OH NO! Just the Donor side. There is someone designated down in Transfusion unit to configure all of their codes. However, I'm thinking that he shouldn't have to do that much right now either. We get most of our products from the Red Cross. And since they aren't close to ready for ISBT, the only ISBT stuff that TU will be seeing right now, is our stuff. That should give them a little time to get up to speed on what all codes they need.
  20. The first table that I mentioned was apparently like a "shortcut" from Mediware with just the things on it that they think that we would need. They sent us the full table the other day. (Well the first one you mentioned - it goes up to E4026.) Now it's just a matter of inputting the codes into our tables for the products that we make. From what I can tell, we are only going to need like 20 codes for right now. There are a lot more that we may need in the next 6 months, but I guess we can cross that bridge when we come to it. NOW - you are up on both HCLL and ISBT already??? If so, what does your donor center do for labeling? Just the DIN or product codes as well?
  21. I don't know where Mediware got this table from, but it's not very comprehensive. I don't know if maybe they sorted through and found the things that they thought we may need?!? Yes, we have a hospital interface. All of our orders are placed in a different system. The TU has the capability of putting some results in this other system. Here in the BDC, we have to chart all of our donor activity in hemocare, and pheresis activity in JeffChart.
  22. We did get the spreadsheet from our consultant last week. I'm in the middle of looking at it now to see what is there and what we need to add. It seems to be set up for the blood bank more than for us. For instance, there are several codes for irradiated products, but no codes for WB which we will need here. We are a part of the hospital. The main lab is not going to have access to HCLL as far as I know. Just the donor center and the blood bank.
  23. We are currently using Hemocare in both the Donor Center and the Blood Bank. We are both going live on HCLL at the same time at the beginning of May. (Yeah, right!!!) We collect 5 - 10% of the blood we use. We get the rest from ARC. Apparently they aren't going to be using ISBT for a while yet. The build actually started on HCLL before I left, about 2 1/2 yrs ago. And yes, it is configured for codabar right now. Doesn't HCLL have the ability to port standard ISBT codes to each institution that purchases their product? Think HIS (not really sure about that one). Manager is taking care of the billing end. I haven't had anything to do with that one. And I DON'T mind the questions at all. As long as you don't mind me sounding so stupid about this new system! >:-)
  24. Hey Suzanne, Implementation Consultant huh??? Novel concept. I have just came back to the Donor Center and apparently we have gone through SEVERAL consultants while I've been gone. And nobody here seems to have a clue about ISBT. That's why I'm trying to get all the info that I can get through other avenues. Here's what we have going on... HCLL AND ISBT by 5/1/08. Leuko reduced blood collections by 4/1/08. And throw in some machine to collect double red cells by 6/1/08. Nothing like hitting the ground running!!!
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