KKidd
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Everything posted by KKidd
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I agree Molly with your assessment, but we have just had an inspection and..............................
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When blood is issued on a patient, do you place it in an opaque bag or other container during transport to the floor? My manager was saying that some visitors might not like seeing the blood . THanks for the input!!!
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Blue is my favorite color. WHen I was young, I adored ther large blue glass globe that hung on our tree. When I graduated from school and moved in my own home, my parents gave that ornament to me for my first Christmas tree. It reminds me of the greatest gift of all.
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I noticed the weak positive control this morning on a FMH screen. It was the first time that we had used the current lot number.
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We have been using Meditech since 2006 and I am not a fan of the patient history lookup. I am with Marvy1 about it not being logical. All of this being said, I do like the interface with the rest of the lab and hospital IS. We had difficulties with the build - the Meditech people had little experience and it was like the blind leading the blind. Good features - you can build tests to automatically reflex ( a KB stain from a positive featl bleed screen) and automatic comments or prompts. Sorry that I can't comment about Softbank. Good Luck!
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Engineering controls/barriers to prevent errors
KKidd replied to kirkaw's topic in Transfusion Services
And I thought I was the only one who called herself Mom ( her techs children at times) . When we perform antigen typing, the lot number and exp. date must be recorded on a worksheet. Also, once a month rounds are performed in each department. One item on the checklist is to make sure that no outdated reagents are available for use. As for the emergency release of blood, I have had several situations recently when the patient was transported before a blood sample was obtained. I docimented this information in the computer. -
For those of you who are reviewing 100% of your completed transfusion forms, I have a question. Are your forms 2-ply and the second copy returned to the transfusion service for review? If not, how do you obtain a copy for review? Currently our transfusion forms are preprinted and the patient information is printed on a Lexmark 2500 serires form printer (continuous feed). The second copy of the form is returned to us after completion of the transfusion. Thanks!
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Our cord samples are labelled with the mother's information and a label with the infant's - this includes Doe, Infant MR#, acct#, DOB. If we have an order after the name change (which could include different last name), we have 2 baby identifiers (MR#, DOB) and the mother's identifiers to cross reference. Works well especially with common last names.
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Has anyone noticed that the RPM on the new workstation is 1032 rpm +/- 10rpm? The MTS centrifuge that I currently have is set at 895rpm +/- 25. When I checked the IFU - the statement was centrifuge at the setting provided by the manufacturer. As usual, I am confused!!!!!
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Does your nursing policy for transfusions need to be ammeded to cover interruption in the transfusion process? People do drift into habits of "doing their own thing". If the physician becomes involved, can you refer them to your medical director? We invoke the name of The Joint Commission and that helps. The AABB doesn't mean anything to non-lab staff.
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PERFORMING FMH WITH POSITIVE DAT ON BABY
KKidd replied to mollyredone's topic in Transfusion Services
I reviewed the limitations and only found that if the mother has a positive DAT there may be a false positive result. I didn't see anything about the infant. I have never seen this limitation before. -
We stopped this practice at least 10 years ago. The concern was patient identification and mixing up of samples. It makes life much simpler.
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We perform alarm checks 1/yr with the ice and the other times perform an electronic alarm check. This was satisfactory for my inspector. (I can't remember if it was TJC or AABB)
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Use of Plasma to Treat Angioedema RXN from Ace Inhibitor
KKidd replied to KKidd's topic in Transfusion Services
I finally found an article with some information on uptodate.com - ACE inhibitor-induced angioedema. Our patient was treated with 2 units of FP24, Epinephrine, Solu-medrol, Benadryl aand Zantac. He was admitted and is doing better. -
We just had a patient that was treated with plasma due to a a reaction to ace inhibitors. Does anyone know of a reference to support this use of the product? Thanks!!
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Is the E7331 for a 5 day thawed plasma? We only have a 24 hr exp date on thawed plasma and I did not think that the E code had to be changed.
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We have the same problem with patients that are admitted from the ED. We notify the nursing unit that the order that they entered is a duplicate and they will take it out of the system. I don't like for us to take it out of the computer. It could lead to the lab being accused of taking out patient orders without nofocation and it also provides a nice audit trail.
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Our biggest problem is with L&D. A patient will come in who has pre-registered under her maiden name. As soon as we have completed the type and screen, she informs her nurse that her last name has changed. We require a new draw. The patient now has a new hospital armband and future orders will contain the new name. I would hate to set anyone up for an ID error.
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One of my techs asked me this question yesterday - if there is nowhere in the lab for adequate storage of platelets due to a power outage (room temp > 24C), how long do you have to transfuse them? I only know that the storage temp is 20-24C . Any takers?
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During my AABB assessment in June, we were told that we had to enter the volume on plasma and platelets since it is on the label. We use a default volume on the RBC. The only time the volume transfused is recorded is when only part of the unit is transfused.
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We have a tag that is attached to the cooler. When blood is placed in the cooler we insert a paper into tha tag with patient name/MR and return time. During transsport to the OR, the tag can be flipped over with the blank side showing. That way no one can see the patient information. Our coolers are numbered and also have the information for the max storage time and a biohazard sticker. For our ED cooler we also have information that the cooler is not to leave the facility: the blood bank will package blood in a box for transfer to another facility.
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My staff is composed of generalists and techs who work hemtology and blood bank. There is only 1 tech scheduled on day shift and at least 2 days/wk that is me. I have a great team, but when these details catch someone, I e-mail the staff as a reminder in addition to speaking to the tech involved. The item may also appear on the annual competency. Since we are a small facility, it is easy to catch up with everyone.
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In a few weeks I will begin training a new MLT with no experience. Does anyone have a method of preparing samples to yeild ABO discrepancies? I am saving samples on patients with known antibodies. Thanks!
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For a positive control - check cells and for a negative control - A2 cells
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I am currently trying to build a calculation for a DAT in Meditech and would appreciate any help you can give me. Unfortunately I don't have enough brain to wrap around this today. Thanks!
