SRMC BB

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

It's more than likely a dictionary setting that you can have edited. We recently moved to Meditech 6.1 and I have it set that you have to result and release a type and ABS before you can even crossmatch a unit. A little annoying, but it makes sure there is a current one before you can crossmatch. With that being said, we can add on units to another requisition (with no ABS ordered on that spec number ) as long as the patient has a current ABS in the last 3 days. That also is a dictionary setting for the system to look back on the same acct for the 3 days. Hope this helps

We are switching to Meditech 6.1 on May 1st. It's been a stressful year and a half!!! I had them specific for the EMR and the consultants told me to get them into more generic categories because the doctors wouldn't care what anticoagulant was in the bag. I used packed cells, LP packed cells, LP-irr packed cells, FFP, LP Pheresis platelets, LP-irr Pheresis platelets. Hope this helps Natalie

Does anyone use Trinity-Biotech's Uni-Gold Recombigen HIV 1/2? We currently have this kit in the Blood Bank and use it as a moderately complex test kit. With IQCP, I'm wondering if it would easier to switch to the waived testing using WB venipunctures. Anyone have any feed back they can share?

We charge both sets of patients. We have our own Donor Center so we have a lot of repeat donors and some have a history of antigen typings. If we can pull from historical data, we use those, and charge for it, otherwise we screen to find antigen negative units and only charge for the units crossmatched. If they aren't given, they are still charged for the crossmatch and antigen screening, just not the units and all the nursing administration fees.

We do have a QP for Blood Bank (reagents, etc). However, I'm referencing more the non-waived kits we use throughout the lab to include the HIV rapid test we use in the Blood Bank.

Has anyone started working on an IQCP plan? I'm starting to look over the information to write one for the HIV test kit we use in Blood Bank. Lots of IQCP's will have to be written in my lab. I cannot find an example of one that's already written to compare mine with....does anyone have one they are willing to share? Or does anyone have an IQCP development policy Any help/comments appreciated! Natalie

I'd love to get rid of elutions...some of our older doctors have now retired and we haven't had an elution ordered for at least a year. What is the Immune AntiA/AntiB test you are speaking of? MAnufacturer, etc?? Most of time with a positive DAT on cord bloods doctor's go ahead and start the bili lights when we call the result. Occasionally, one dr would order an elution and it would usually be ABO incompatibility.