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clmergen

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Everything posted by clmergen

  1. clmergen
    I am with R1R2 and have changed my procedures to reflect that. I am validating the storage coolers to 1-6C as required. My concern is with units that are removed from the cooler. If they are removed from the cooler then they must be returned to the Transfusion Services before they warm to above 10C. The Saf-T-Vue 10's cover that.
  2. clmergen
    We did the same as John while we weren't interfaced. The testing results need to be saved and those are archived on disk from the instrument. We saw no reason to save the paper.
  3. clmergen
    yet another item for me to print and share with the staff. Thank you for the laugh.
  4. clmergen
    After a year we are still tweaking our standing order. Luckily we have enough placed in our system that extra product can be shipped around.
  5. clmergen
    Speaking of plasma...As just told to me by a tech. Patient in cardiac OR with an order for 6 units of RBC. Tech called to let them know the blood was ready and asked if they needed any other products. Voice on other end of the phone calls out to the anestesiologist "Do you need any thing else, like the yellow sh**?" It turns out they did need some "yellow sh**" as they requested the expected 2 units of plasma and 1 dose of platetets. Apparently the techs for the rest of the night just kept referring to the products for OR as the red or yellow sh**.
  6. clmergen
    We just had this with the Echo. Specimen in October was O pos and specimen in November of O neg, both run on the Echo. In October it gave a ? for the Anti-D. Tube testing had her at weak positive. Review of patient's chart by the MD office showed discrepancies in the past. We recommended Rh Immune Globuiln and change the O pos to an O neg. Btw, it was the same lot of Anti-D on the Echo for both tests. Not sure what happened.
  7. clmergen
    We contract these services out but I am pretty sure they are using the exact same equipment. I walk thru their department and only see one type and none are labeled for a specific use.
  8. clmergen
    Units come to us all pre-segmented, we just have to pull off what we need.
  9. clmergen
    Validation isn't hard. Immucor gives you a guide that has all the test cases that you will need to do. Follow the book. As a faciltiy you will need to determine how many tests to correlate. And you will need to write a plan. I will email you what I wrote up for us. You are going to love the Echo and completely ignore the Capture Workstation. Congrats.
  10. clmergen
    We wrap a unit number around a segment and throw it in a bag that is labeled with receive dates. if we need a segment, we sit down and sort through the bag. We don't often go back to the bag , maybe a couple of times per year. It works for us.
  11. clmergen
    Sure if you dropped the equipment or ran it into a wall the equipment might get damaged. But simply moving it from one place to another shouldn't damage anything. If Clinical Engineering takes a piece of equipment for repair, I only validate what was repaired. I don't re-validate the piece of equipment as if it were brand new. That just seems like a waste of time. Of course if it was mandated I would do it, but not until is was mandated. So if you pull a refrigerator out from the wall to clean behind it, you would need to re-map the temps?
  12. clmergen
    Wow that is a lot of work. If I move centrifuges around the department, I don't do anything but turn it on. Moving between buildings I would do a few more checks in case of damage. Years ago I worked in a hospital that was destroyed by a tornado. The laboratory equipment all survived. As I moved it into a temporary location the next day, I called all of the manufacturers on what checks to do. They all said, plug it in, turn it on, run QC. If it works, you are good to go.
  13. clmergen
    Could you brief at Medical Staff meetings?
  14. clmergen
    We keep screening cells in stock to use as back up for our Echo. We also tube screen Trauma patients or other patients that are "super STAT". We do QC them everyday because we will typically use them everyday.
  15. clmergen
    Immucor recommended one for us that we bought on line. It is a pocket sized "jeweler's" scale that we like to refer to as the drug scale. It is the Durascale 100. I googled it and ordered online. I think we paid about $75.
  16. clmergen
    We do the same as AMcCord.
  17. clmergen
    To clarify, we have Echos in 4 different hospitals (7 hospital system). All are interfaced to Cerner Classic with the last one going live on Thursday.
  18. clmergen
    QCing a Nageotte count would be like QCing a manual diff. It isn't necessary as far as I know.
  19. clmergen
    We did get our Echo to interface with Cerner Classic. We ended up building new tests for the Screen Cells and I don't know exactly what we did for ABORh. Feel free to contact me and I will get try to get you in touch with our LIS support that did get it working. In fact, Echo #4 for the system is coming up this week.
  20. clmergen
    I really enjoyed the Last Chance Review. It was a lot of information very quickly but it really covered all the topics.
  21. clmergen
    I would hope we are all following manufacturers guidelines and have 100% of option 2. BTW, I answered for the Echo, I assume the Gallileo uses the same cells with the same rules.
  22. clmergen
    I think it is due to that.
  23. clmergen
    All of our annual training is computer based. So we worked with nursing education and made it a mandatory annual requirement, much like blood borned pathogen training, fire training, etc. Is there any way to do it this way?
  24. clmergen
    And for a single complaint of hemolysis seemed like a waste of time/money.
  25. clmergen
    We didn't use a third party to validate our system. The IT department ran scripts for issuing every blood product on every blood type. And I used the validation information from Cerner to write a plan and spent about a month validating. It did take me about a month full time.
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