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BankerGirl

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Everything posted by BankerGirl

  1. BankerGirl
    We use the new Timestrip temp indicators. They store at room temp and you "pop the bubble" and have not encountered any issues. We used to use the Safe-T-Vue but several folks couldn't keep their sticky fingers off of the indicators and they turned pink while they were packing the units. The Timestrip indicators also stay active for several days so if the units come back unused you can put them in the 'fridge and issue them again if needed. They are a little more expensive than the Safe-T-Vues but I think they are worth it. They come in 6 and 10 degree indicators.
  2. BankerGirl
    We use TAR. 1. Do you use an additional form of identification (Typenex bracelet)? NO 2. 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. This is correct. 3. What form of identification or requisition do you require at the time of issue? We require the patient's full name or MR number. 4. What information from the unit and/or the patient do you require nurses to verify (scan barcode) at bedside? They scan the patient's wristband (account number) and all four quadrants of the blood unit. For RhIG they only scan the patient's wristband since the other info isn't applicable. 5. What other issues have you encountered? I can't think of anything specific right now.
  3. BankerGirl
    This is my understanding as well.
  4. BankerGirl
    Wow, I really didn't think I'd see the day. Congratulations Malcolm, and I'm glad you will still be around on here!
  5. BankerGirl
    We have Meditech and our nurses also use TAR. We have our expiration time set to 2359 and the RNs have no problems with scanning the barcodes as such. How do you have your dictionary set up for the product? Do you have it in days or hours? We have ours set as days 5.
  6. BankerGirl
    Does anyone printing ISBT labels from Meditech have any idea how to get the CMV status, volume etc to print automatically? I can select the Attribute code and manually enter the volume, but I would like that to print without my additional help since it is already entered for the components. I haven't figured out how to do the CMV status, so those I have to print out of Hematrax. We are on Meditech v5.67. Thank you in advance.
  7. BankerGirl
    KDAVIS: You may have this figured out by now, but if you are converting to Thawed Plasma with a 5 day outdate, the outdate time is assumed to be midnight and then the Hematrax printer does not print a time on the label. This is how it should work. However, if you are only using a 24 hour expiration, then the time should print with the date. On the Hematrax stand alone program, you have to select either date or date/time for the expiration field.
  8. BankerGirl
    This is what we did. I built a separate antibody called RHIG and made it not clinically significant. It translates to PRESUMED RH IMMUNE GLOBULIN and we report the date given.
  9. BankerGirl
    Computype no longer has the on-demand printing system.
  10. BankerGirl
    Ours are transported this way as well, however we have still had rare instances where they were not within the 20-24 degree range when they arrived during extreme weather conditions. When this happens we call the supplier and they decide if they are acceptable or will be replaced. I believe that the original question was for units issued for transfusion but returned unused. For this scenario we take the temps, examine the product, and decide from there.
  11. BankerGirl
    The only option our nursing service has is RhIG if indicated. We order the appropriate testing to determine the answer to the question. If RhIG is indicated, then the RhIG order profile includes a fetal screen and an Rh type (or Type and Screen if one hasn't been done). The BB techs must cancel the Fetal Screen if it is for antenatal purposes.
  12. BankerGirl
    What version Meditech are you implementing? We are on v5.67 and our TAR is set up differently for RHIG where only the patient armband is required to be scanned. If you are changing to v6.x this might have changed, but it might be worth investigating.
  13. BankerGirl
    Mabel, Just curious in your scenario above, if you don't draw a fresh specimen and perform the screen on mom at the time of the exchange transfusion, how would you know if mom DID develop an antibody after delivery? I would think you would remain blissfully ignorant of any new developments in mom.
  14. BankerGirl
    We do just as Goodchild states. Our computer system (Meditech) reflexes the pool charge each time one is issued and bills for each unit in the pool.
  15. BankerGirl
    My cellphone number is on speed dial in the blood bank. I wish they would call me more often than they do, but some folks just won't do it--even in the afternoon. I have told them I wouldn't have put my number on speed dial if I didn't want them to use it. I was working late in my office one day (across the hall from the department) when a tech didn't know what to do about a problem with the computer system. Our lab director heard the discussion and convinced her to call me. They were both surprised when I walked in and solved her problem.
  16. BankerGirl
    I agree with you about the practice Brenda, but the additional benefits of smaller size and (mostly) no refrigeration were the deciding factors. We don't use them very often so I was constantly having to rotate the monitors in and out of the refrigerator. Plus when they are stressed in a MTP situation, it is easy to be careless and mishandle the Safe-T-Vues. Those are the units most likely to be returned to us.
  17. BankerGirl
    We switched from the Safe-T-Vue to the BloodTemp indicators recently. We had issues with the staff touching the indicators while applying them and so we were wasting a lot of them. I like the BloodTemp ones because they don't have to be refrigeratred prior to use, so touching them is not a problem. Also, they are smaller than the Safe-T-Vue. They are a little more expensive, but I think with the decreased waste we will probably about break even. We only apply them to units in coolers.
  18. BankerGirl
    We would not honor the special blood protocols because we couldn't honor them. We don't irradiate blood and have very limitted (if any) supply of irradiated units. I don't know what BB IS system you use, but our Meditech has an emergency issue function that basically allows us to give anything to anyone. It will still pop up alarms if incompatible blood is issued, but it will allow it. This can be done with crossmatched blood as well as uncrossmatched.
  19. BankerGirl
    I set this up a few years ago. We are on v5.67 at the moment so I don't know if calculations are done the same, but if you want to see my calculation I can send it to you. We stopped performing them inhouse a few years ago, so I haven't actually used it for a while, but I recollect that it worked.
  20. BankerGirl
    Well, in this case the mom came into the ED several weeks previous with suspected threatened abortion and received RhIg so I was surprised that any fetal cells would survive in mom's circulation. I guess anything is possible, especially since the infant was stillborn. Time to move on.
  21. BankerGirl
    David, I too have given moms of full term newborns many more vials but my concern is that the fetus was only 22 weeks. It would seem that is a lot of blood to come from such a small one. That is my only question.
  22. BankerGirl
    We just had a mom with an incompetent cervix who had been bleeding for several days (4 days that we know of) deliver a stillborn at 22 weeks gestation. Our second shift tech performed a KB and the result was 0.9% with recommendation of 3 vials RhIg. I wasn't here to look at the slides but a second tech verified with the performing tech. We didn't get any cord blood so don't know the fetus' Rh status, but from what I'm reading, that seems an unlikely percentage for 22 weeks. We did give the poor lady all three vials, but it seems like a lot.
  23. BankerGirl
    We have custom label designs for our non-mobilab labels, but I believe that the dimensions are close to 1.25 x 2 inches.
  24. BankerGirl
    I doubt that these additional items will be on the mobilab label. You can still print the labels out of Meditech for you information if that is something you need. The MRI will be printed on the labels. I didn't set up the labels for Mobilab. All of our Mobilab labels look identical to each other but we don't have anything fancy like that on our regular BB labels.
  25. BankerGirl
    Same as mollyredone.
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