NancyC

So in that case John, does each tech have to do their own QC because the human factor varies amongst humans. We view the Vision as just a hard working tech that works 24/7 and rarely takes vacation and that always scans its specimen barcodes without fail (the specimen verification is the human part of the equation I feel safer having the Vision performing).

QC on Vision is sufficient. If all reagents and card lots are the same, the only difference is if the analyzer pipettes or a tech, it is all the same methodology. I verified this with CAP. We have had a Vision and manual gel since 2016, running QC on Vision only. We do also use the tube method and QC that separately as it is a different methodology. Curious as to which regulatory agency states Gel methodology is different if manually pipetted?

Years ago, we did transfuse a Rh positive patient who developed anti-D and upon investigation, he did have a partial D.

The nurse's "transfuse" order can be turned on to print when released. That is what our nurses bring to us out of Epic for blood pickup. The patient label is the downtime procedure for when the printer isn't working or for surgery patients because that workflow does not use transfuse orders.

We keep a segment pulled at issue for 10 days placed in a cup with issue date.

Our KB test is considered a Miscellaneous Hematology test and we have designated readers who perform the CAP surveys to prove competency since we get so few of them. Some of the techs are generalists who float into the blood bank and some are Heme techs. As long as your SOP spells out whose responsibility it is to read the slides, the department should not matter. Competency is required though.

Hi Ray, we have been using Epic/WellSky (previously HCLL) since 2013. Nchristensen@olympicmedical.org

Congrats!

We emergency issue the freshest O NEG unit we have (not always irradiated) and nursing staff administers how much of it is needed. We transfuse a newborn maybe once every 10 years on their way out via airlift to nearest pediatric hospital.

We having been using the ALBAQ controls for 7 years as DAT controls without issue and I do not plan on changing. However, I did put into place a back-up plan to test a donor unit, if we should ever receive a false positive result on our DAT NEG control to cover our deviation from manufacturer's instructions.

OR tisssues regulated under the hosptial CLIA license, not regulated by blood bank license. When asked to have BB take over, my CAP consultant said "say no and run". I just showed them (OR) the difference in regulations and they kept the tissues.

Done by the BB (ordered as misc. Heme test) - all float techs are generalists and only a handful kept competent to read (currently 5 techs), all stain slides. TAT = 24 hours.

We have made it policy that if the bleeder is an adult male or a female beyond child bearing years, they automatically get O Pos. We only have 6 - 8 O Negs at any given time and we are 2 1/2 hours away from our blood supplier so we are protective of our O Neg supply.

Are you already Epic/Beaker and adding Mediware or the other way around? We currently have that combination (Epic/Beaker in May 2013 and added Mediware in Oct. 2013). We are affilliated with a larger organization and are what they call "community conect". This is usually used for clinic add-ons, but we are a 100 bed hospital with an extensive outreach service and a Cancer Center so we have a large test menu. So we are the first community connect (maintained on an external server) of this size for this organization and therefore have had numerous problems.We have been extremely frustrated with the Epic/Beaker portion as we do not have any control over the build and it is not being customized for us but 'standardized' for the larger organization which does not fit our needs and in many ways seems to be a reduction in quality of care. As far as Mediware interface: Biggest problems are that reflex testing fails so we have to add/replicate additional testing. Comments are limited in character size and only one comment will cross without failure. All specimens must be received in Beaker before they cross into Mediware. Updating the physician database in the Mediware configurator to prevent ADT failures is on-going daily process (due to our large organization affiliation). System is designed for physician ordering of all blood products and physicians are hard to train (different processes for scheduled outpatient transfusions (Cancer Center patients) vs inpatient transfusion ordering. Hope this helps. Nancy

Thanks Denny, how easy is the maintenance? NancyC