SRMC BB

We do BB QC in Meditech (we are in 6.x). I would not have it any other way!! I had to build it, but can pull reports, make it flag out of range QC and it is downloadable so you don't have to keep paper copies.

Is anyone on Meditech and using a BacT Alert without Myla? They aren't playing well together and we are getting very little help from Meditech.

We have meditech. We type all moms in labor/delivering. We have a reflex rule built to order a Fetal Screen if the mom is Rh negative. We type all babies, but only do a fetal screen to determine RhIg on RH neg moms and Rh Positive babies. If baby is Rh negative the fetal screen is canceled by Blood Bank

I have several "real patient" antibody panels that I can share. I give to my students that come through the lab and new employees to make sure they understand rule out/ dosing, etc. (Have an answer key as well). May not be exactly what you are looking t hough. I'll be glad to share if needed.

We only require a second sample retype if there is no history prior to transfusion. Our pre-natal outpatients are not required to have a second sample retype (no transfusion). Once they come in for delivery, they get a Type and screen. If they need blood, we have a blood type on history that we use as the confirmation type. If we have an new patient for transfusion (no history), we would draw the Type and screen for cross match. Then, have a second PBT go and stick for a second sample retype to confirm blood type. We will not issue this blood until that SSRET is done. (emergency release is an exception-they would get type O)

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Does anyone use the BacT/Alert along with Meditech? If you do, please let me know because I have some interface and programming questions! Natalie

Do they have 2 separate sites to infuse at the same time? That would be the only way I 'd release 2 at the time

@bankergirl could I email you some more questions? My email is nlamb@sampsonrmc.org

@Bankergirl

Does anyone use the handheld phlebotomy feature with Meditech? We are interested in looking into that feature and I wanted to ask some "Real life" users before I talked with Meditech. Looking for something that we can use at the bedside for scanning orders and patient wristbands to ensure the phlebs are sticking the right patient everytime. We have had a couple of wrong patients collected in the past month because of not verify patient with the required 2 identifiers. Thanks! Natalie

We bought the Rotixa. We use it for spinning down WB to make FFP in our hospital blood bank. We aren't a blood center, but we do have our own donor center. Most of our units are "settled" before packing

We have a set of pre-defined classes of suspected transfusion reactions that the nurses can pick from. I met with our residents and interns and went over transfusion reactions and what the nurses are supposed to do when one is suspected and that the Doctor cannot cancel one even if they don't think the signs/symptoms are related to a transfusion reaction. They asked for a some standard guidelines as to what the nurses were calling reactions. For example: we have a hyper/hypo tension symptom. They would like to know what is the standard change (systolic up 30mm, etc). They also didn't like the pain symptom because some people are chronic complainers and I tried to explain a new onset of pain. Anyway......does anyone have set parameters that the nurses use to call a suspected transfusion reaction? I've looked on AABB's website and can't find exactly what I'm looking for. Natalie

We still use them and have no plans to discontinue

Yes I have reached out to them. They sent a starting point on a different sized centrifuge which was not helpful. Asked them to let me know what other customers had this centrifuge and what they were doing and I have not heard back.....so we winged it and got it figured out

Does anyone have a Hettich Rotixa 500RS? Trying to get setting for spinning down whole blood of 450ml-500ml to make FFP components. Any validation guides or suggestions would also be helpful. Natalie

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We save a segment at crossmatching with the patient's sample, all rubberbanded together. Only get bags back in the event of a suspected reaction

Do you always do a second sample draw on pre-op patients? I had one yesterday for a hysterectomy, hgb 13.3, no prior history. I didn't get a second sample for retype because the chances of her needing blood were slim. I figured that if she needed blood in the OR, a nurse could draw me a second sample. Most of our surgical patients do not need blood the day of surgery, it's usually a few days after if at all. I hated to have her stuck again for no reason since there was no blood ordered to be crossmatched or transfused.

Do you use an additional form of identification (Typenex bracelet)? We use Typenex bracelets for all blood bank samples. If we draw a Type and screen, with or without crossmatch, type and hold, etc. The patient gets banded If so are you using it for all products? Yes we do. We recently (May 2016) sent Rhogam to pharmacy We currently use typenex for packed cells and Rhogam. We don't require it for ffp, pheresis, or cryo. Our LIS tech is telling me it has to be used for all or none in TAR because of the way the parameters have to be answered. That is a dictionary setting. I believe it is all or nothing If required for all products do you use a different one for each product? No, we use one armband per patient per admission. If it becomes illegible, we change it when we draw a new sample What form of identification or requisition do you require at the time of issue? We have a blood/tissue release form. They have to put a label (name, MR#, DOB sticker) on it and then sign, date, time the pickup. We also put a Blood unit number on it so we can track if needed. It's also issued in meditech at that time so nursing can start in TAR What information from the unit and/or the patient do you require nurses to verify (scan barcode) at bedside? Patient hospital wristband, Blood unit number, and product barcode. Can set up to have blood bank wristband scanned but we haven't done that yet. They also have to manually check like we did before TAR What other issues have you encountered? Nursing not documenting Vitals in TAR. Regular vitals don't flow to TAR if they doc them there. Other than barcode scanner issues, it's worked really well