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tbostock

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Everything posted by tbostock

  1. tbostock
    We have in our Patient Blood Management and Nursing Transfusion policy that we encourage single unit transfusions, with re-evaluation after the first to prevent TACO. Also mentioned in our Transfusion Reaction policy (that is a combined BB/Nursing policy) about TACO and how to prevent and react to it.
  2. tbostock
    Welcome aboard!
  3. tbostock
    Yes a few months ago. No more transfusion tag; we now have a label that goes out with patient name, MR#, DOB, "crossmatch compatible", unit #, patient's blood type, unit's blood type. We have SoftBank and it prints when we crossmatch the unit. We send the unit upstairs and they scan everything into Epic BPAM and document everything there. We review documentation compliance daily.
  4. tbostock
    DSC-0035.JPG
    I spy Christine Lomas-Francis
  5. tbostock
    They won't work very well without being in fluid (which I think is regulatory); as soon as you open the door, they will alarm as soon as they are exposed to external temp.
  6. tbostock
    I'm the same way; when I hear a BB tech say that they want to "prewarm something away" when they don't know the dangers makes me a little crazy. My other pet peeve is the term "least incompatible"...but that's another rant.
  7. tbostock
    David, what EMR do you use? We have Epic and we were told that it cannot flag incomplete documentation?
  8. tbostock
    Yes, we dilute glycerol for our probe bottles. We add a small amount of bleach so that they don't grow cooties (aka mold).
  9. tbostock
    Hey Liz. I want to bring DTT in. I'm having a hard time finding a source for it; is there any vendor that sells it already pre-mixed, or do you have to get the PBS and powdered DTT?
  10. tbostock

    Cleanbath

    tbostock replied to bldbnkr's topic in Equipment

    We use the Cleanbath in ours.
  11. tbostock
    My advice from 2 years ago still holds true. Be honest with them, smile, breathe, and ask a lot of questions. If they cite something, there's no harm in asking them for how others do it. AABB assessors are not allowed to offer suggestions, but if they are ASKED, they are allowed. They won't put it in writing, but they will be very helpful.
  12. tbostock
    Yes, we had to upgrade our POC Coordinator position to a POC Supervisor position with a bachelor's requirement to cover this because we do moderately complex POC tests.
  13. tbostock
    Hydatid cyst fluid? Really? THAT is trivia!
  14. tbostock
    Yeah, we were just given the mandate by administration to call the transfusing nurse at the 4 hour mark and tell her to complete all documentation for every transfusion. Then we look in the EMR and if still incomplete it goes all the way up to the head of nursing. At least we can show an inspector that we take it seriously and have started a corrective action already. The BB staff is NOT happy though.
  15. tbostock
    We went live with electronic blood admin documentation a couple months ago and we are stuck at 40-50% compliance for accurate documentation. Ugh!!! Since the Blood Bank/Lab will get cited, sadly it is my burden.
  16. tbostock
    We have an Anti-Jk3 and an Anti-AnWj. Both are just so much fun.
  17. tbostock
    Our temperature monitoring system takes a temp every 5 minutes and alarms immediately if out of range. Other non-BB equipment we have set to 15 minute readings.
  18. tbostock
    I also am not a fan of "least incompatible". Gives a false sense of security and really means nothing. In this case the patient should get Rh negative.
  19. tbostock
    I just took it this past October and passed. It was crazy hard. Study everything; the last two weeks, identify your weak areas and dig into them. The test is very intuitive, quickly identifies your weak areas and tailors your test to torture you. My test was all molecular, complement, and HLA. I had only one calculation and one question about panels. A few of my classmates took the test: one had all donor stuff (her weakness), someone had a lot of calculations (his weak area). If you can get a hold of the AABB Annual Meeting SBB review, I would recommend memorizing what's on there. Wishing you the best! If you want any specific details about the format of the exam, etc, private message me.
  20. tbostock
    I had a hematologist once that wanted all of her patients to get "double-filtered" products. I asked her to provide me a reference to bring to Transfusion Committee; she couln't find one. Request denied! LOL
  21. tbostock
    In my state (NY) they would have to get licensed as a limited transfusion service. Very lengthy process, lot of regulations. I wouldn't want to touch that either. The only way I would consider it is if they had the Hemosafe system (blood vending machine). The Puget Sound system uses these for some of their locations.
  22. tbostock
    We use RALS
  23. tbostock
    I am not a fan. We got rid of ours about 4 years ago and are very happy. They were nothing but problems...nurses and patients cutting them off, requiring too many redraws. We made the decision to get rid of them when we put other safety mechanisms in place: New BB LIS that requires 2 independently drawn blood types before allowing non-type O red cells. Drawing specimens at bedside with barcoding and bedside printing. No more grabbing the wrong patient's label if you are doing it right. Very strict labeling policy with no corrections allowed. Any mislabeled BB tube is reported to quality team, which monitors them daily and follows up with the nursing directors. We don't extend the 3-day window for PST samples. They are drawn at PST and then again on OR day.
  24. tbostock
    We screen the new ones, so they will be in inventory for a while. We enter them into our LIS so the techs can search online for E neg units. We put antigen labels on the units as well. We don't segregate them, they are just in with the rest of the inventory if needed.
  25. tbostock
    We just started using TheraSafe therapeutic phlebotomy sets. It's a 17 gauge needle, a smaller gauge and also a shorter needle. There's also an air vent on it that removes air from the bag and increases the flow. Each bag is individually wrapped which is nice. And they have graduated markings on them so you don't need to use a scale. They are distributed by Genesis. http://www.genesisbps.com/therasafe.html
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