Marianne

And since these couriers are out and about, why would you want to have them enter your hospital and add potential risk. I think for the sake of all, this is not unreasonable to help keep down exposure.

Due to elective surgeries all being cancelled, blood usage has been way down and short dated units are now the problem. Our sites are cancelling standing orders.

From the management side; involve the tech. Meet with them and have a conversation about how/why the think the error occurred.. Make them feel involved in QA and PI by asking if they have any suggestions that may prevent a recurrence. Front line staff often have great PI ideas, but won't speak up. During the conversation you will also be able to get a good feel for whether the tech knows the procedure and is committed to following processes as written, needs some re-training or whether they purposely deviated because the had "a better way".

We are looking for comments on the BioRad Tango instruments from any current users on this site. If you are currently using the instrument and can share feedback with your experience (reliability, service response and so forth), it would be greatly appreciated. Thank you-

Transfusion competency-final.xlsx I have attached again and I hope it opens for you this time. The sites often insert a copy of the documentation into the appropriate box. You could also just type in the accn number as well for easy reference.

Our integrated Transfusion Services workgroup is reviewing the requirements for serological centrifuge calibration. After reviewing both AABB (stds 3.2 and 3.5) and CAP regulations (TRM.31900, COM.30600,COM.30625,COM.30550) and manufacturer's inserts, the group still is not in accord about a standard policy. The need to perform calibration upon receipt and after repair is very straight forward. But for years many of the group have performed this task annually. That is not mandated anywhere and the "functionality" testing or "defined intervals" lines in the regs leave this open to interpretation. Therefore we wished to poll this group to see what our peers are doing. We would love to hear what other sites are doing to determine if there might be a national best practice in the US as part of our review before making a final policy determination.

I would suggest considering "issue" as the time the product is out of controlled temperature.

The final came out on Sept 20th, no longer a draft. We have 18mths to implement. Bacterial-Risk-Control-Strategies-for-Blood-Collection-Establishments_09-2019.pdf

If you meet whatever the qualifications are these days, you should do it!

This is the form developed by our system transfusion managers. It was based on a sample document shown in a CAP Focus on Compliance webinar a few years back. Transfusion competency-final.xlsx

Cerner Millenium-3rd day at MN.

Right now this is a draft guidance, but everything I have read says it will be made a Guidance by this September. I haven't seen anything yet on what the required implementation timeline they might be.

I take the opposite view as I feel that AABB still adds that higher level of quality and safety needed for Blood Banks and Transfusion Services. I agree that CAP has changed over the last couple years and is more in alignment with the AABB standards, but the emphasis on Quality and tying that all together is not the same. The other points to mention are the training requirement differences and the depth of the inspection. CAP recommends their on-line training be taken prior to inspecting, but does not mandate or have CE requirements included for inspectors. AABB does have a monitored assessor program with mandated CE hours in specific categories as well as required training sessions. The CAP team will be in your facility for just about a half day. AABB/CAP combined inspection will be mostly likely a day and a half to thoroughly go through all 4 checklists. Do you view an inspection as a necessary pita, "just something to get through....." and want the inspector in and out as quickly as possible, or do you really wish to have outside eyes perform a in depth look at your processes to ensure that you are providing the highest level of patient care and service? My whole career has been in BBTS and I never forget that what we do has the potential to be quickly fatal more so than any other section of the lab and therefore I feel needs that '"extra" review.

CAP does define the time periods. You are not required to do a full 6 element competency for the initial, but you do need to show they are competent to perform independently, so you need to have that defined. The 6 mth competency does need to be the full 6 element competency. Annual does not mean anytime during the calendar year. It is a rolling 12 month period. So if it was done Jan 2018, you need to perform in Jan 2019 (or within a few weeks). I am attaching a CAP presentation document from 2014. Might be helpful. CAP competency webinar.docx

My thanks too! I enjoy this fun stress relief each Christmas!

It is up to your site to define what you are calling this (transport or storage) in an SOP and then follow the correct temps for what you defined. As long as it is defined in a written procedure and you follow that procedure, regulatory agencies are happy.

Hi-does anyone have a Charter for their Transfusion Committee that they are willing to share? We are reworking and I would like to see what some other facilities are using. Thank you-

The other piece that is usually considered in those efforts to cut FTE's is that much of the time in the Transfusion Service isn't measured by "billables" as it is in the other sections of the laboratory. The time needed to work out a complex antibody cannot be equated to running an automated line in Core lab. Things like thawing plasma and so forth, take time, but aren't really represented by billable time.

We are interested in seeing what Grifols has to offer but have not been successful in contacting anyone or finding the info on their website. does anyone have a sales rep contact that they would be willing to share please?

We have training for the folks that courier blood initial and an annual module with some key questions. In my years, I have seen folks carry blood to the cafeteria and put it on their food tray, stick it in a pocket and go take a smoke break, leave it on a nursing station counter and not notify the proper people..... They are also required to know how to perform a read back check and why this is so important.

AABB standard 5.13 states 5.13 Serologic Confirmation of Donor Blood Red Cell Antigen Other Than ABO/Rh Red Blood Cells products labelled as negative for red blood cell antigens other than ABO and RhD do not require repeat testing for the labeled antigens

Ortho on Demand also has free courses.

Also, if you report and it is not a reportable issue, they will tell you that and it is removed. So always better to err on the side of caution and have them reject, rather than miss reporting.

CAP has a webinar on Sept 20th to review the 2017 changes. Hopefully this one will prompt much discussion and we can get some clarity, preferably in writing!

Baby Banker- do you have an on-site BioMed person that took the repair training offered by RadSource or do you have the vendor perform all repairs? Is there a particular or common source of downtime?