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.

PAPER TAGS PRINTED ON A DMP PRINTER

 

Hey Malcolm, I especially like the bottom right quadrant that says "Date Bled".  We really need the phenotypes included on the unit face label.

 

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?

32 minutes ago, AMcCord said:

Sometimes I wish we could put a chip in the scruff of everybody's neck that had all that info loaded on it - allergies, antibodies, med history - wouldn't that be handy.

Jason Bourne all over again!!

6 hours ago, John C. Staley said:

Just curious, do they want the documents sent electronically or hard copy?  Either way, especially since you referred to the request as a "big list" I would probably, respectfully decline.  I would indicate that the listed documents would be readily available upon their arrival.  But that just me and I never had an inspector request anything like this.  I'm sure things have changed since my last CAP inspection.

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.

7 minutes ago, Bet'naSBB said:

Does it specifically call for DI water?  We've had one for YEARS and always use tap water and their clean bath.  We empty, clean and refill ours once a week.

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.

we treat PEG as another enhancement, so no difference in charges

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.

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

As part of result, we indicate whether the patient has ever had a reaction that we know of.

Quote

Biggest risk maybe drawing two tubes at the same time (one draw) and writing different times (two separate draws)!!

 

sounds like fraudulent documentation

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 do not retype any antigen typings that come from the reference laboratory.

 

Our cap is 45 also. Has everything to do with the population at hand.

I whole heartedly agree with the pint!

 

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.

DONE, SOMETIMES WHEN ARTHUR IS ACTIVE ITS ALL I CAN DO TO MANUALLY SQUEEZE THE SEGS.

We just charge for each individual Ag test.

I use expired units as well as saline/glycerine mix.

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.

That is my practice, and the practice of the preceeding blood banker. Just what we do.

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.