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John C. Staley

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John C. Staley last won the day on November 18

John C. Staley had the most liked content!

About John C. Staley

  • Rank
    Retired BloodBanker
  • Birthday 12/17/1953

Profile Information

  • Gender
  • Interests
    Bird Dog training, hunting and fishing.
  • Location
    Evanston, WY
  • Occupation
    Retired Clinical Laboratory Scientist 35+ years with most of those supervising blood banks and transfusion services in 250+ bed level II trauma centers.

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  1. Ok, here we go. First is from a personnel stand point. When promoted from with in you are no longer "one of the guys". This means that some of the staff will try to leverage your close friendship which in turn will cause problems with others. Both you and the rest of the staff need to recognize that things have changed on a personal level, at least in the work place. This does not have to be dramatic and should not be, but it is real. Some can do this and some find it very difficult. Now, when coming from outside your are exactly that, an outsider. Now the level of this can vary immens
  2. To this I will add, pick your battles carefully. Make sure they are worth fighting. If you came from outside the facility be very judicious when using the phrase, "The way we did it"! Changing something to the way you did it else where is not necessarily a change for the better just because it makes you comfortable. Make sure you understand your new facility's processes before trying to incorporate sweeping changes. As I noted above, much of my advise would depend on if you came from outside or promoted from within. This is just one golden nugget for you to consider.
  3. First question, were you promoted from within the organization or did you come in from the outside? Believe it or not it can make a significant difference n how successful you will be. I've experienced both in my career. After I see your response I'll provide my very wise advise. Rest assured you will find it worth every penny it will cost you.
  4. I find it surprising that there have been no new members in 2 months. I don't remember there being a week go by without someone new coming on board. Hope it wasn't something I said!
  5. I do enjoy simple and practical. We have a tendency to over complicate just about everything!
  6. I'm curious, often do the counts not match and you have to undertake an exhaustive search for figure out what happened?
  7. If I remember correctly, we required a new type with each new admission for plasma. Most of the time a type and screen was ordered just in case.....
  8. For some reason I was always under the impression that the back pain was associated with the kidneys trying to deal with all the rbc detritus resulting from an HTR. That being the case, I can not imagine that would be the only symptom but one of many.
  9. Just a thought but why must the acute pain be associated with the transfusion? Why was the patient being transfused, trauma, chronic anemia, etc.? It makes a difference. Where was the pain, at the site the blood was going in, along the same vein, some other part of the body? I know that it is a natural reaction for us to associate anything unexpected which occurs during or shortly after a transfusion to associate it with the transfusion but that is not always the case. It is worth the effort to also look elsewhere for the cause. As I've mentioned in other threads, I've seen a temp rise p
  10. Personally, I never had a problem receiving in blood like you described as long as it met all the requirements that we required from out supplier. On the other hand I knew facilities that would discard any and all blood that was received from outside with out any thought. I considered this a dreadful waste of a precious resource! Just curious but did the blood have any of the temperature monitors attached to the units? If so, that could help you make the decision. Having said all that, I have been out of the world for a while and many things have changed since I was intimately invo
  11. Personally, I think that is a judgement call to be made by the patient's physician. Is there some reason this one hour post transfusion temp documentation is being done? Any new studies I'm not aware of? There are uncounted reasons for a patient's temp will rise, my favorite was the time the curtains were open and the sun was beating down directly on the patient! Just my thoughts.
  12. Having been out of the loop for awhile, what is BPAM? As far as stop time, I'm with David, when the last of the blood is infused. I would assume that the nurse responsible for the transfusion would be the one to determine when that is since they will be the one making that decision. Also, there are occasions, for one reason or another, the transfusion will be stopped prior to the bag being emptied. Again, the nurse makes the decision and will be the one documenting the stop time.
  13. Just curious but has anyone thought to ask the timer manufacturer their thoughts replacing batteries? Personally I don't think I would be overly concerned with the need to calibrate a digital time simply because I changed the battery. Also, "However, the batteries have all died prematurely." What makes you think that the batteries died prematurely? Did the manufacturer indicate that the batteries would last the calibrations period? If they didn't want you to replace the batteries they would probably make them inaccessible. Just a couple of thoughts.
  14. My personal system was virtually identical to yours except for the the reverse type I used JH-RA and JH-RB. In the facilities where I was the Transfusion Service or Blood Bank supervisor my tube labeling requirement for the staff was that anyone in the department could set down an take over the testing and know who and what was in each tube.
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