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MAGNUM

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Everything posted by MAGNUM

  1. MAGNUM
    The only paramedic collected blood bank samples that we will accept are those drawn in the ED by the paramedics who work for us. If it was drawn offsite, the blood (all samples) gets filed in the red filing cabinet that has no access, i.e. the sharps container. I am very stringent on blood bank specimen collections, even down to the initials on the sample and the card, must match or its a nogo. Someone once asked me why I am so strict, to which I replied that what if it was your family member? Scott
  2. MAGNUM
    Same as most others, we sterile dock the syringe setups onto the plt unit and aliquot the volume the physician has requested.
  3. MAGNUM
    Thank you Swede and Malcolm, that was the answer I was looking for.
  4. MAGNUM
    Is there anyone who can tell me if you can do your antigen typing on the gel cards? I know that they sell the RBC Phenotype cards, and the C, c, e, and E, but what about the others such as K, Jka, Jkb, etc? Does anyone have a method of performing these other than tubes?
  5. MAGNUM
    In our facility, by policy only a physician or licensed nurse (RN, LVN) may pickup blood or blood products. Once our tech completes the crossmatch (always serological), they print what we call a Pickup Slip to the requesting floor. The person picking up the blood then brings the pickup slip, and the order from the chart to the blood bank and they will be issued the blood, and only in rare instances do we make exceptions to the rule. Scott
  6. MAGNUM
    It is my understanding that if a facility is separated from the main facility by 5 miles, then the second facility must have its own CLIA number and CAP number. With that said, I would not accept the specimen or their results although I may know them very well and trust that they are good techs. But in the end, whose name and quality is being afixed to that work. I would not trust the other even if my mother did the work, I would repeat it. To facilitate fast transfusion, in the interum I would transfuse the patient with O Neg PC until I could get my own results.
  7. MAGNUM
    Congratulations, a long and hard process that is now behind you.
  8. MAGNUM
    Your funny diagnosis reminds me of a story that took place several years while working in a very small rural hospital where I also had to double as a ED tech. We received a phone call from a patient complaining about excessive bleeding during her mensus. The nurse trying to get a hand on the matter asked her "How's the Flow?" To which she got the response of "The flow, whats the flow got to do with it, the flows linoleum." She dropped the phone.
  9. MAGNUM
    How about the time the young intern at one of our Military Hospitals ordered the Stat throat culture, and then called 30 minutes later complaining that he ordered it stat and he wanted it stat!! I proceeded to call him for the next 24 hours every hour on the hour to report that the patient still had no significant growth.
  10. MAGNUM
    On each subsequent Crossmatch ordered, if the Antibody screen is positive, we perform the identification because we do not ag type each unit for all antigens and although the patient received antigen negative units for the original antibody, we cannot guarantee that other antigens are present that could cause the patient to create new antibodies which happens more times than you might think. Better safe than sorry and have a delayed transfusion reaction.
  11. MAGNUM
    And remember that ETAR is just around the corner. You may have to have your IS department increase the size of the unit number field so that all 13 digits are able to fit.
  12. MAGNUM

    Root Cause Analysis

    MAGNUM replied to RR1's topic in Quality

    maybe if you used *%$@ it would be more readily understood in the USA
  13. MAGNUM
    Since you will not be aliquoting or making components, the transition will be a breeze. We do both here and the transition was easy. Our division (HCANT) scripted all the products into the blood bank dictionaries, all we the site users had to do was to activate what we needed and not activate what we felt we would not need. We tested the ISBT system for about 6 months prior to going live, so it was a seemless transition, one day were using Codabar and the next we were using ISBT. The biggest hurdle is the training of the nursing staff on what they could expect to see happen once we went live. Training of the laboratory and other blood bank personnel was really a easy, since we are used to change.
  14. MAGNUM
    I have found that by sterile docking pediatric aliquot bags to the mother unit, the integrity and life of the mother unit is maintained. You can also sterile dock your pediatric filters directly to the unit if all your aliquot bags are used.
  15. MAGNUM
    At my last posting, I failed to remember that we do have one stay ahead protocol and that is if there is a massive transfusion going on. But this is the only time, and it is very delineated in my policy about what and when.
  16. MAGNUM
    At our hospital, we tell the nurses that thanks for the information, but that it is their responsibility to order more units if desired. My Medical Director nor myself respect these "stay ahead orders". It is our opinion that by having the blood bank personnel order the ahead units that constitutes them writing the order and we do not feel nor do we want the responsibility for ordering the units.
  17. MAGNUM
    Here in our facility, we do the ABO/Rh and a DAT on all cords. If the mother has a significant antibody and the baby has a positive DAT then an eluate is performed, written into our policy, the doctor does not even have a say in the matter.
  18. MAGNUM
    Here at my hospital, if it isnt complete, it gets filed in the red filing cabinet and the collector gets to revisit the patient and redraw the specimen. We do use a red armband, but the armband is wide enough to permit use of a hospital label that contains all lthe patient information. I also require the person collecting the specimen to date time and intial the specimen and armband. If they do not match, then filed.
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