Everything posted by MAGNUM
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Critical values
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.
- Blood unit patient label
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Rh antigen typing on Vision
Hey Malcolm, I especially like the bottom right quadrant that says "Date Bled". We really need the phenotypes included on the unit face label.
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Microscopes
They are AO's, then I am sure that they are still working. Why is your upper management trying to mess with a good thing?
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Patient hx
Jason Bourne all over again!!
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CAP Inspector Requesting Documents in Advance
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.
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Post-partum workup
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.
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Helmer Plasma Thawer-water change frequency
I have one and if I am not mistaken, it recommends against DI water, so we use tap water and change it weekly as suggested by the manufacturer.
- CPT codes used for PEG crossmatches
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Pipettes (droppers)??
I have not used glass pipettes in quite a few years, ever since the powers that be determined that they were unsafe. We use the Cardinal pipettes now.
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Blood administration
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.
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PEDIATRIC MASSIVE TRANSFUSION PROTOCOL
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
- Best Practice Alerts for Transfusion Reactions
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Same Day Survery ABO Confirmation process
sounds like fraudulent documentation
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Same Day Survery ABO Confirmation process
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.
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Repeat of donor Antigen typing
We do not retype any antigen typings that come from the reference laboratory.
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Rh positive blood to Rh negative patients when it's NOT an emergency
Our cap is 45 also. Has everything to do with the population at hand.
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ABO confirmation testing required for red blood cell transfusion not platelet or plasma transfusion?
I whole heartedly agree with the pint!
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ABO confirmation testing required for red blood cell transfusion not platelet or plasma transfusion?
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.
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Seg device/ senior project/ help appreciated!
DONE, SOMETIMES WHEN ARTHUR IS ACTIVE ITS ALL I CAN DO TO MANUALLY SQUEEZE THE SEGS.
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Meditech phenotype panel
We just charge for each individual Ag test.
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Units for cooler validation
I use expired units as well as saline/glycerine mix.
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MEDITECH 5.67 LIS DOWNTIME... HOW DO YOU BACKUP/DOWNLOAD PATIENT FILES?
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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Segments post-crossmatch
That is my practice, and the practice of the preceeding blood banker. Just what we do.
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Rh pos to Rh neg patients
We give Rh positive to males and females >45 for traumas and MTP's. The medical director still wants to be made aware of the switches though.