Laurie Underwood

We just finished with our JCAHO inspection Oct 2018 and nothing was said about how we handled Rhogam. Our pharmacy orders the Rhogam inventory since Rhogam is given in the MAR (has a NDC #) and pharmacy gets the revenue when administered. Blood Bank stores the Rhogam and determines who is a candidate. Blood Bank calls the pharmacy when we need them to order more inventory.

Congratulations, Malcolm! Very well deserved of this recognition.

One Homozygous or, if necessary, Two Heterozygous. We follow Karen Olsen's approach above also.

We save segments and only get bags back with transfusion reactions.

We run the old controls (before they expire) and the new controls with the new lot kit.

I would like to find out what others are doing for doctor's orders and patient consents before transfusing blood products. Does your policy have the nurse verify the orders and consent prior to picking up the product? Is there a second nurse verification of the order and consent before transfusing the product to the patient?

One Homozygous or Two Heterzygous If it does not fit a pattern only use Homozygous to rule out and look for dosage.

If the patient has a history of Anti-Le(a) and the current antibody screen is negative we perform an IS/AHG crossmatch and do not antigen type the units. If the Anti-Le(a) is active then we will give antigen negative units.

Currently it is not a problem and they have 4 hours from the time of issue to infuse the unit. However we will be going to SafeTrace and EPIC next fall so any information passed on will be greatly appreciated.

Same as Eagle Eye and we just had a patient with Anti-Vel last month. Would not have been able to retest the units sent by our blood supplier.

We will do an acid elution when the DAT is positive and the mother has a clinically significant alloantibody or the reason for positive DAT is not known. We do not perform an elution when it is due to ABO incompatibility.

We do not notify our Medical Director. We alert the nurse in charge of the patient that the FMH screen is positive, KB stain performed with results in the chart and that the patient needs more than 1 vial of Rhogam. Phone call is entered as a comment under the positive screen for documentation.

I just answered this question. My Score PASS  

Thank you DPruden for the information. Nice to know ahead of time.

Our hospital is going live with EPIC and SafeTrace in 2018. Any suggestions or recommendations would be much appreciated.