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