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BankerGirl

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BankerGirl last won the day on November 15 2017

BankerGirl had the most liked content!

About BankerGirl

  • Rank
    Senior Member
  • Birthday 01/18/1967

Profile Information

  • Gender
    Female
  • Location
    Kansas
  • Occupation
    Medical Technologist/ Blood Bank Supervisor

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  1. This is how we have it set up. Works just fine.
  2. BankerGirl

    Transfusion of Visibly Bloody Units

    It was documented as a safety event, and no, I didn't get the unit back so I can't say how bloody. The nurse called me after she transfused the unit and had discarded the bag. I didn't think about her spiking the unit prior to laying it down. I have had leaking segments before, but I pulled the segs just prior to issue and would think that I would have noticed blood on my hands or the checkout counter if that had been the case. I do handle and mix them while inspecting them at issue. She put in the incident that the labels were bloody when she got the unit from the courier, but that it looked dried and she just thought it was odd. Later when she picked it up to transfuse it she had blood on her gloves. If it leaked in transit, I would think the courier would have had blood on her hands, and she did not.
  3. We recently had a nurse call to say that the unit of blood she received was visibly bloody on both sides of the unit. Blood was smeared on both the unit label and the crossmatch compatibility label. The courier brought it to her and she laid it down in the patient's room while she went to attend to another patient, and when she returned and picked up the unit, it was bloody. She checked it for leaks and, finding none, started the transfusion "because the patient needed the blood." (She is Type A Neg with an anti-Fya and a 6 gram hgb.) She then called the courier who brought her the blood and the courier said she didn't have any blood on her and didn't see any blood on the unit when she picked it up. The nurse then contacted our Employee Health nurse who told her to call the blood bank. I was the individual who checked out the blood and told the nurse that it did not leave the blood bank in that condition. Any thoughts on this situation? I want to scream NO! NO! NO! but need some ammo for our risk manager. By the way, each manager concluded that their employee did nothing wrong and "Standard of Care" was met.
  4. BankerGirl

    antibody identification art or science

    Malcolm, I'm shocked!
  5. We do the same as above.
  6. BankerGirl

    Meditech Orders Inpatient vs Outpatient

    We also use their Medical Record number for our patient wristband, and we manually result the second Type and Screen. I don't know of a way to copy the results, although that would be really nice. Most of the time the blood bank orders are on their own requisition, so we can use the Move To Another Account without any issues.
  7. BankerGirl

    Meditech Orders Inpatient vs Outpatient

    We move the account number if there are no other tests on the requisition. If there are, we simply copy the results into the Inpatient order and credit the charges on the outpatient one. This assumes that the outpatient was armbanded when the type and screen was done and meets our requirements for pre-transfusion testing.
  8. We have an NPR writer on contract with the hospital. I hope we never lose her!
  9. I have found most of the standard blood bank reports useless for transfusion review. I don't specifically remember data mashed up and becoming unreadable, but it is difficult to do a proper review with the multi-line reports that they give you. I had my NPR writer develop a transfusion review report for me which pulls all of the data I need in a semi-colon delimited format. I download this report, export it into Excel, and then each transfusion is on its own line with headings that I can sort any way I need. This has been a lifesaver!
  10. I just answered this question. My Score FAIL  
  11. BankerGirl

    Cord Blood Testing

    We keep our cord blood samples until we run out of storage space. This usually works out to between 20-30 days. We have done testing on them up to a week after delivery if the baby is jaundiced at their 1 week doctor's appointment, but that is exceedingly rare. They almost always get ordered the day after delivery.
  12. I just answered this question. My Score PASS  
  13. BankerGirl

    Meditech C/S Typing Units

    No, it is all or nothing. You are required to retype all units, not just Type O.
  14. BankerGirl

    Meditech Aliquot process

    This was addressed in a previous thread. I can't remember exactly what it was called but it is fairly recent.
  15. I just answered this question. My Score FAIL  
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