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mcgouc

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mcgouc last won the day on January 22 2017

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About mcgouc

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  • Birthday 02/28/1951

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  1. mcgouc

    Blood Product Transfusion Form/Labels

    Check and see if your hospital uses a printing company so you can design your own forms.
  2. mcgouc

    Platelets for CABG

    We also set up a rotation with our blood supplier. However, some suppliers will not do a platelet rotation.
  3. mcgouc

    FDA reportable events

    I have to second that my experience with the FDA employees handling BPD reporting was very positive. They do review, delete, and explain if they don’t find it to be a deviation. However, I am not sure how many facilities report them. In 2014, a new Lab Director who had been a director at several hospitals in the area told me to stop reporting BPDs because a QA tech at one of her hospitals said they are not required in transfusion services. I showed her it had been required since 2000.
  4. mcgouc

    Competency on Couriers

    I was advised by one assessor to have an information sheet like the one mentioned above for the couriers (nurses, patient care techs, anyone who pick up blood) to read and sign. We gave them a sticky dot for the name badge and if they didn't have that, they had to read and sign the form. We required the form to be read yearly and they got a different colored sticky dot each time. It would be difficult to perform true competencies without following the courier to the floor to make sure they delivered the blood properly.
  5. mcgouc

    CAP EXM J SURVEY

    Our IT department created a new blood supplier (we just called it CAP) for the unit so we could scan all the information on the CAP unit label. Just follow your policies. Pay a lot of attention when completing the CAP paperwork as that can get confusing.
  6. We didn't have the medical director sign. The patient's physician signed. The Medical Director was not always available and felt the patient's physician should be held responsible. Since the work-up takes a while, we started discussions and getting signatures on an " Incompatible Blood Release" form early so there wouldn't be an additional delay once we had appropriate blood. Just a few comments about sharing Blood Bank computers with other facilities. I am now retired, but a couple of years before leaving , I added a section to my validation policy titled "post-implementation validation". I wanted an assessor to see it and ask why I needed that section. I wasted so much time and energy trying to explain to corporate and local management that all affected facilities needed input and knowledge of changes prior to the changes being placed in the live system.
  7. I agree "least incompatible" is not an appropriate term to use. We had stopped using it until we got a new computer shared with other facilities and the only way to issue these units in the computer was to interpret as Least Incompatible. We kept the same paperwork for signatures stating "Incompatible", but had no choice in the computer. Personally, I think interpreting as Least Incompatible gives a false sense of security.
  8. mcgouc

    FDA reportable Question

    The wrong unit was issued in the computer and left the Blood Bank. It is FDA reportable. It does help if you can scan the unit itself when issuing. Some computers also print a form when issuing that can be checked with the unit prior to the unit leaving the Blood Bank.
  9. Only way we could do it was to double check with floors regarding the mother/baby medical record numbers and put a Blood Bank comment on the neonate's medical records number with the Mom's information and when it was performed.
  10. mcgouc

    Misidentification risk mitigation alternatives

    We used Typenex but also went to the second specimen drawn at a separate time or a historical record. The transition was not as difficult as I had thought it was going to be.
  11. mcgouc

    CAP survey data entry

    After entering results, I always printed & read results from the computer print-outs to someone else to check my data entry. I totally agree result entry should be grouped by patient, not test.
  12. mcgouc

    ANTI-a1

    For years, we had a policy for determining the 37C reactivity, but we had a lot of generalists rotating through Blood Bank & there was no time to document their competency on a test they might do once in a great while. So, we went with B for AB and O for A. We were a small hospital & I determined it was only about 10 extra O units a year.
  13. You would only be giving group O cells. Of course, you could give the incorrect plasma type if only one ABO. Since I had so many generalists rotating through Blood Bank, we just kept the same policy of requiring a second sample for the second ABO for all patients.
  14. mcgouc

    Unit segments

    As long as the segments are kept seven days post-transfusion, it is up to the facility to determine how to meet the requirement. When we were preparing for the electronic crossmatch, I knew our method of keeping the seg when we crossmatched was not going to work so we started pulling extra segs when we processed as described above. I did think it would be difficult retrieving the segs when needed, but i would dump the segs in the correct day's bag on a counter & it wasn't bad. Thankfully, I didn't have to do it often, but on delayed reactions, I would pull segs to type transfused units.
  15. mcgouc

    Sending Blood In A Pneumatic Tube

    We used the AABB publication as a guideline. When validating we sent a tech to the floor to time how it took & the unit's temperature. We required a request/order and the floor had to sign an area that said unit appeared acceptable and information checked, time it, and return when they received the blood. We called when we tubed it & followed up if the form was not returned in a few minutes. We kept the completed form with our transfuse orders. We only tubed to two locations. That said, the blood bank has no control over the blood once it leaves. One day we issued a unit, got a request for another patient, waited until we got the completed form for first unit back, and issued, called & tubed the unit for the next patient. A few minutes later, the first nurse called wanting to know where her blood was. She had delayed getting her unit & the second nurse had grabbed it & completed the form. Two people had signed the bedside check area, but the first unit was hanging on the second patient. Thankfully, it was group O & the patient had no antibodies.
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