I have no critical values in our blood bank. Although if we have a positive DAT on a baby we call it, and we call the floors to update them if we have antibodies.
Normally if I request items, they are specific items and just request them to be available AT the time of inspection. When we did our virtual inspections, we requested digital copies.
We used to include a type and screen in our Rhogam workups, but about 15 years ago we opted to just provide the fetal screen. There is no requirement to provide a screen at that time.
yes, here in the DFW area, it only takes approximately 10 minutes or so for the internal core temp of the unit to exceed 10C. new nurses as well as old ones are still under the fallacy of the "30 minute" rule.
Although we are technically not a pediatric transfusion service, other than NICU patients, we have recently received pediatric trauma patients that could have needed blood. Would anyone be willing to share their processes and policies for pediatric MTP's?
thanks.
Scott
We, the blood bank, generates the confirmation types depending on previous history, the units have NO say in the matter. If it is determined that the patient does not have a history, a confirmation order is generated by the LIS, A phlebotomist then goes to the floor and collects another specimen.
We require a confirmation on anyone requiring transfusion of any product. Our thinking is that if they are receiving plasma or platelets, they will probably require red cells also eventually. It is a no charge test so the patient only has to lose about 3 ml of blood and no money.
I download all the patient histories to a desktop file on Monday, Wednesday, and Friday every week. I also have an encrypted flash drive that I download to and write over the previous data. There is a computer somewhere in the laboratory that is not down that can be used for checking histories.
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