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KKidd last won the day on December 26 2014

KKidd had the most liked content!

About KKidd

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    Seasoned poster
  • Birthday 08/10/1953

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    Transfuson Service Supervisor

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  1. Our Rhig workup includes a question "Fetal Bleed Required". If the patient meets the requirements for the test (by gestation or post-delivery), we answer "Y" (yes) to the question and a Fetal Screen test is ordered on the same requisition. It is also an indication that the tech performing the workup evaluated the need for the testing.
  2. We require a blood type with each account for plasma just incase there has been a registration error. Usually a CBC tube is available for use or type and screen has been performed. Historical type is sufficient for platelets.
  3. This is included on our Emergency Release form. We have a category for testing problems. It includes unidentified antibody of unknown significance, probable cold agglutinin is present and may mask alloantibodies, a nonspecific autoantibody is present and may mask alloantibodies, the crossmatches are incompatible. Finally there is the "other" with an explanation. The physician signs the the statement "I understand the risk involved, but in my opinion, an emergency exists that requires the transfusion of potentially unsafe blood. I release the facility from any and all liabilities attendant to the administration of this blood. The medical director is consulted prior to release of blood in these circumstances. Hope this helps.
  4. We centrifuge the plasma again and repeat testing with a 30 minute incubation time. For most samples, this seems to clarify things one way or another.
  5. We make a 1:20 dilution of Anti-Fya and test the panel cells prior to first use.
  6. We require that 2 licensed individuals(RN, LPN) perform the bedside check. A CNA can come to the transfusion to pick up the blood. The transfusionist finds another nurse to perform the bedside check with him/her and sign the form.
  7. There is no CPT code and we only charge for actual procedures performed. Most of the "extra" samples that we get come from the oncology department. I know that if I were having treatment, I would want to minimize blood draws.
  8. Make sure you check your state regulations for compliance. They may require a longer retention.
  9. This was our procedure before FMH kits were available, like 30 years ago. Glad to have the FMH screen now.
  10. We just had an in-service with nursing and they prime the tubing with saline and then use it to rinse the tubing after completion to make sure it's good to the last drop.
  11. The lookback form from our supplier has a code for records no longer available. I would get input from my medical director for how to proceed.
  12. Repeat testing to make sure that plasma was added to the panel.
  13. Congratulations Malcolm! I can always hear your voice in my head as I read your posts. Looking forward to joining the club in a few years.!
  14. I ran into this about 5-6 years ago with an AABB assessor. Previous assessors had accepted "current edition" but he required specific edition and wanted page# of the tech manual. With every change, I add a statement to the end of unchanged procedures - references updated (date) no changes indicated and initial. It is very time consuming.
  15. I currently have 2 patients on the therapy and am trying to get a handle on frequency of ref lab workups after transfusion. Our first patient has been transfused. at that time we sent a sample to our ref lab for a workup to confirm that no allo-antibodies were present. We transfused Rh, K, FY, and JK matched blood. We do not have DTT in-house. Suggestions on frequency of workups - after each transfusion? Thanks!