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BankerGirl

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    United States

Reputation Activity

  1. Like
    BankerGirl got a reaction from AMcCord in Changes to Manufacturer's Inserts   
    We use MediaLab also and scan the package inserts in a job aids.  You can revise them the same as you can your policies.
  2. Like
    BankerGirl got a reaction from REN_NH in Changes to Manufacturer's Inserts   
    We use MediaLab also and scan the package inserts in a job aids.  You can revise them the same as you can your policies.
  3. Like
    BankerGirl got a reaction from Mabel Adams in Proficiency Testing for TEG 6s   
    This is what we have from CAP for proficiency:

  4. Like
    BankerGirl got a reaction from Malcolm Needs in BloodBankTalk: Marrow transplantation safety and efficacy   
    I just answered this question.

    My Score PASS  
  5. Thanks
    BankerGirl reacted to Jsbneg in What problems in transfusion services that you encountered that is worth doing a study?   
    I'm all for the concept of quality and the strive to provide the safest blood products to patients, but I won't deny that sometimes many of our current practices in blood banking in terms of achieving that "quality" seems excessive, unnecessary, and sometimes it feels like a mere quality charade for inspectors and regulators. Considering the hight cost that blood banks have to incur to meet all quality regulations, it may be worth studying the financial impact of the many quality measures that regulate the practice of blood banking and to what extent these measures are actually contributing to achieving the quality needed to provide the best blood products to patients.
  6. Sad
    BankerGirl got a reaction from John C. Staley in CAP ALL COMMON CHECKLIST COM.04250   
    We have had HFAP until they were purchased by ACHC, and both of those have cited me for the lack of correlations:  one for not performing them at all, although I pointed out that we do that on every specimen without previous records, and just last year because I didn't include crossmatch tests with my Type and Screen correlations.  I contested the citation again, stating that it was the exact same methodology as the antibody screen, but was unsuccessful as their standards say "the same test using different methodologies ".  I gave up and added XM as well.  No concept of what we do and no common sense! 
  7. Sad
    BankerGirl got a reaction from AMcCord in CAP ALL COMMON CHECKLIST COM.04250   
    We have had HFAP until they were purchased by ACHC, and both of those have cited me for the lack of correlations:  one for not performing them at all, although I pointed out that we do that on every specimen without previous records, and just last year because I didn't include crossmatch tests with my Type and Screen correlations.  I contested the citation again, stating that it was the exact same methodology as the antibody screen, but was unsuccessful as their standards say "the same test using different methodologies ".  I gave up and added XM as well.  No concept of what we do and no common sense! 
  8. Sad
    BankerGirl got a reaction from Malcolm Needs in CAP ALL COMMON CHECKLIST COM.04250   
    We have had HFAP until they were purchased by ACHC, and both of those have cited me for the lack of correlations:  one for not performing them at all, although I pointed out that we do that on every specimen without previous records, and just last year because I didn't include crossmatch tests with my Type and Screen correlations.  I contested the citation again, stating that it was the exact same methodology as the antibody screen, but was unsuccessful as their standards say "the same test using different methodologies ".  I gave up and added XM as well.  No concept of what we do and no common sense! 
  9. Like
    BankerGirl got a reaction from mollymotos in Blood unit patient label   
    We print ours on a 4x4 adhesive label and place the label on the back of the unit at issue.
  10. Thanks
    BankerGirl reacted to jayinsat in Plasma Freezer Down: Better Process for Temp Storage of Frozen Products   
    All, I am about to blow your mind....
    Our plasma freezer is down and so is our backup. The freezer will not get colder than -18 C. I was preparing to move all the products into boxes with dry ice until I had a conversation with my 87 year old dad, a retired blood banker from University of Chicago. He said to me, do not take the plasma out of the freezer and put it in boxes, PUT THE DRY ICE IN THE FREEZER, IT IS THE BEST STORAGE BOX YOU HAVE!!!!
    MIND=BLOWN!!!!
    I did that. Our freezer is currently reading -25.1C and getting colder. Furthermore, the probes in the freezer continually monitor the temp in the freezer so you don't have to record temps every 4 hours, the chart is doing that for you!!!
    Isn't that cool? That perfectly illustrates the difference between wisdom and knowledge there. I wish we could hire my dad.
    I just had to share this here.
    PS. Freezer is now at -26.4C.
     
  11. Like
    BankerGirl got a reaction from SbbPerson in Nursing verifications done at bedside before transfusion   
    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.
  12. Haha
    BankerGirl got a reaction from Malcolm Needs in Nursing verifications done at bedside before transfusion   
    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.
  13. Like
    BankerGirl got a reaction from jayinsat in Meditech phenotype panel   
    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.
  14. Like
    BankerGirl got a reaction from EmmalynnE in MEDITECH 5.67 LIS DOWNTIME... HOW DO YOU BACKUP/DOWNLOAD PATIENT FILES?   
    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.
  15. Like
    BankerGirl got a reaction from jayinsat in MEDITECH 5.67 LIS DOWNTIME... HOW DO YOU BACKUP/DOWNLOAD PATIENT FILES?   
    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.
  16. Like
    BankerGirl got a reaction from SbbPerson in Has anyone dropped CAP? Pros/cons??   
    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.
  17. Like
    BankerGirl got a reaction from SbbPerson in BloodBankTalk: Correct Blood Bank Nomenclature   
    I just answered this question.


    My Score PASS  
  18. Like
    BankerGirl got a reaction from mollymotos in Emergency Neonatal Transfusion in Small Hospitals   
    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.
  19. Like
    BankerGirl got a reaction from SbbPerson in Emergency Neonatal Transfusion in Small Hospitals   
    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.
  20. Like
    BankerGirl got a reaction from John C. Staley in Emergency Neonatal Transfusion in Small Hospitals   
    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.
  21. Like
    BankerGirl got a reaction from donellda in Emergency Neonatal Transfusion in Small Hospitals   
    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.
  22. Like
    BankerGirl got a reaction from David Saikin in Emergency Neonatal Transfusion in Small Hospitals   
    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.
  23. Like
    BankerGirl got a reaction from Ensis01 in HIV lookback, defined time period?   
    I just read through the regulations again to update our lookback policy and I did not find any such date.
  24. Haha
    BankerGirl reacted to jayinsat in Persistent anti-K in eluate   
    If @Malcolm Needs doesn't know...nobody knows. Lol!
  25. Like
    BankerGirl got a reaction from SbbPerson in BloodBankTalk: Antibody / Antigen Reaction   
    I just answered this question.

    My Score PASS  
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