Jump to content

Avid123

Members - Bounced Email
  • Posts

    20
  • Joined

  • Last visited

  • Country

    United States

About Avid123

  • Birthday 08/02/1961

Avid123's Achievements

  1. We use HCLL and made the decision to not use "Emergency Issue (EI)" during the actual emergency. We use paper to issue the units and then after the emergency is over we use EI to perform the documentation in HCLL. We felt that it was too easy to make a mistake in EI during the emergency that would lock up the units in the nether void. We are a Level 2 trauma center, but our actual bleeding trauma numbers are low.
  2. For all patients, we require a full ABORh on 2 different specimens-can be a specimen in the lab or a specifically drawn one. For Electronic XM (EC)-2 types and screens on different specimens performed by different techs-our Tango counts as a secondtech.
  3. I have seen this with anti-M. The reverse typing cells are probably M+. M can be a cold reacting as well as a warm reacting antibody.
  4. We stopped doing a type and screen on every OB patient on every admit years ago. We were not getting reimbursed for it. Now we just perfom T&S on an as ordered basis.
  5. Big No-no. OSHA would certainly frown on any food or beverage in the lab. I do assume that your desk is in an area that testing is performed. You cannot even put lip balm on while in the lab according to OSHA. Do you really want to take the risk that some one would not accidently splash something dangerous into your water?
  6. Why don't you get units from the supplier with pedibags attached, fill them, label them, and issue them in a bunch to the OR. you could do the sizes based on that the OR intends to use or by patient size or by max size of the syringe (Which we found out was 60 ccs). That way it is sterile. and expiration is life of unit. The OR could choose a pedibag and spike it with the syringe attachment. Include a second label for them to use.
  7. It does not matter what you bill for on inpatients as reimbursement is based on the DRG code. Outpatients are a different story. Here is where you need to be concerned. You cannot bill for the second blood type nor antibody screen performed on the second specimen for electronic XM eligibility. You cannot charge for the second blood type performed on a second specimen for patient safety either. You cannot bill for CMV neg or Irradiated blood if the patients diagnosis code is not included on the approved list. j
  8. The FDA has approved the medical devices for the purpose of concentrating the platelets. What you use those platelets for is still experimental and not approved therapies. Hence, insurance will not pay for it. I would suggest that the sports medicine clinic purchase the machine and learn to operate it since the procedure should be performed as close to the patient as possible. Janice
  9. PS: insurance does not pay for this since it is "Experimental".
  10. Why do they want you to prepare the PRP? This PRP injection is different than the stuff the BB prepares from donor platelets for infusion. You essentially would be preparing a drug. You would not need a FDA license? What would the FDA inspector do if he saw you prepare this product in your non-clean room blood bank? How would you label and store it? How would you assure that it gets back to the patient it came from? A really big deal when you think about it-patient A getting patient B's product. Would you perform the same tests as a we would for blood donors? How would you bill for it? You would want to get the $$ back that you invested in the machine you bought to make it. Think about tech training! This is best left in the doctors office as a point of care procedure. Our outside contractor perfusionists got involved in this and brought in the machine their group owns. The sports medicine program needs to invest their money andtake ownership of this non approved procedure and product. j
  11. It is an autologous product. Would not use donor platelets. That is why point of care is preferred. Machines are manufactured that way. J PS: the product made from platelets years ago for wound healing was called "procuren".
  12. Don't get involved with this! How are you going to label it? How are you going to manufacture it with out contaminating it? How do you assure it goes back to the correct patient? We used to store a product for our wound care center made out of platlets. Eventually the FDA closed down the lab that made it for precisely these reasons. There are machines that makes PRP. It is a closed system. Performed at the bedside. I was just talking to a perfusionist on monday about this. They are a contractor. They were asked to make PRP for a surgical case. They brought in a machine. There are several out there. http://www.perfusion.com/perfusion/prpdevicesummary.asp Point of care is the way to go! J
  13. "Gel-o-bodies" or "Anti-Orthos" are a problem as are colds and warms. BUT not every method will detect every antibody when it is present. Each method has it's own selectivity and sensitivity. We found this out when we were doing our side-by-side for gel and Solid phase (Tango). Gel is really good at detecting Rh antibodies. We have kept Gel and still use tube and PEG when necessary. Gel is nice, our techs took to it when we first got it. The Provue is a very primitive instrument-I refer to it as an automated workstation. Echo and Tango are better-true instruments.
  14. And you have to account for the Donor center "cherry picking" their antigen negative needs.
  15. Again depends on your state. In Michigan we have ARC and MCBC. Is this facility affiliated with a group of hospitals or a stand alone? If affiliated, you might be able to get your supply from the main hospital and use their "buying power". J
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.