BankerGirl

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We have the compatibility question on the pre-transfusion checklist in Meditech TAR. We were also cited for this several years ago and have not had a problem with this since. Whether the RN understands is another question though.

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SbbPerson: Thank you for responding, but what I see on MarketLab isn't quite what I'm looking for. I am needing work benches with storage under and above, maybe some with sinks included.

We are in the process of remodeling our Lab to accommodate an automation line and need to replace our decades-old lab benches and storage. Has anyone done this recently that can give me recommendations on suppliers? I should mention that we are in the US.

We scan the form to the EMR and the physician signs it electronically. We recently had a physician who refused to sign the uncrossmatched form when the patient first started hemorrhaging but then called an MTP. Of course, the MTP was discontinued a few minutes later and he sent back everything except 4 RCs and a platelet. No idea what he was thinking, but he did sign the form.

I would be leery about putting this on personal cell phones. This seems to be a huge HIPAA issue.

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We do the same. We have a test that simply asks how many antigens were tested and the technologist enters a number. This is how many charges will go to the billing module.

Expired units

Have your LIS person set up the History Backup Client. This will backup all files and then automatically backup any new or edited files every hour. We have ours backed up to our network and a portable hard drive that we can access if the network is also down.

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I agree with David and his comments above. We transfuse neonates very rarely as well. Considering you are a small rural health center and will not be doing this routinely, you just have to do the best you can in an emergent situation. We do keep neonatal syringe sets and most of them outdate.

I just read through the regulations again to update our lookback policy and I did not find any such date.

We have been used HFAP (now part of ACHC--Accreditation Commission for Health Care) for at least the past 20 years. I have no experience with any other accreditation organization so can't really compare to CAP, but they are another option.

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Agreed!

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We use the Immucor Echo and have it set up the same way. No reason to look at it twice, but I definitely would not set it to autoverify.

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We use Mobilab as our normal positive patient ID process. Registration has a system where they can generate visit labels during downtime without the MR number, so during downtime we have prenumbered armbands and write that number on these demographic labels.

John, I agree that reimbursement may not be always be realistic, but for documentation purposes it would be advisable to have even a basic registration and document the transfusions.

In this scenario, we would do as Ensis01 stated as long as the blood was not transfused in route. If it was transfused, you may have difficulty getting the receiving hospital to accept this. Then I believe you would have to have the patient registered, even if just as a John Doe, and perform an emergency issue in Meditech.