MAGNUM

We have an electronic time stamp when we issue the blood or blood products. Also, since we use BCTA we have a time and date stamp of when the transfusion was started as well as who started the transfusion. We also have a record of all the vitals performed during that transfusion.

We report as "Unidentified at this time"

Since transfusion reactions are a rarity here, we plant all units from suspected reactions and they are generally planted by the blood banker who just so happens to also be a generalist.

We order our irradiated products from our blood supplier as needed. I don't relish the government running around here.

6ml packed yes

We use compliance 360 for our procedures, and in order to sign off on a procedure you must have access to the procedure and then once myself then the pathologist clicks ok then his electronic as well as my electronic signatures are affixed.

We had a problem with the clinics not sending their results then sometimes when they did send them they may be old results, so when we as the transfusion committee rewrote the transfusion criteria I included in the procedure that we require "X" testing for "X" products and that to insure that we had that testing performed, that testing would be ordered for each outpatient transfusion, such as if the patient was to receive packed cells we automatically order a H&H, for platelets we order a Platelet count, FFP a PT/PTT, cryo a fibrinogen. We then took the policy to the Medical Executive Council and the hospital Policy and Procedure committee. At both places I pointed out the requirement and they approved the policy and changes without question. So we now have an unwritten written order for the pretransfusion testing that we need.

We only do cord bloods in tubes, so YES we do wash at least 5 times sometimes we will rewash if the results look funky.

I have been splitting up all my surveys between techs for the last couple of years. Each tech is assigned one red cell specimen and its corresponding serum specimen. The tech completes "ALL" the testing necessary for that one "patient". If it is the automated survey, 5 different techs each are assigned 1 of the samples. Not only does this share the wealth, but it shows competency in performing unknowns. DAT's and Fetal Hemoglobins are treated in the same manner just with fewer techs. Then I rotate the surveys that the techs receive. Sometimes the tech gets lucky and has a negative ab screen so their testing is short and sweet and then sometimes they get to play detective because their ab screen is positive so they get to determine which ab it is.

I agree with everything that i have read. We have very little call for subgroups, so that being said I will not be ordering this survey. Plus, I have a reference lab for subgroups.

We do the whole thing. Being as we use Meditech we have a test built for the transfusion reactions. It includes the retypes, the rescreens, the DATs, etc. Plus it includes the clerical checks and the interp.

We ALWAYS run a screen first, why expend the time and reagents to perform the ID when there is nothing to ID.

When we went live with BCTA in 2008, all of our hospitals in our division moved the RhIg to the pharmacy. The injection is ordered by the floor, after we perform a fetal screen/KB. So far we have not had any problems..

But we sooooooooooooo rely on your infinite wealth of knowledge.

what version of meditech are you using Bankergirl?

If at all possible could get a copy of your flow chart also.

Amen brother Malcolm. Preach on.

I was thinking more on the line of Dusty Hill.

I treat them as I would any other reaction.

When I was using gel and suspected that I might have a M playing around in my plasma, I would actually prewarm the gelcards and actually inoculate them while in the incubator that way, the card was hopefully at a constant 37.

TEMP RANGE FOR ECHO REAGENTS IS 1-30 C. ROOM TEMP IS USUALLY CONSIDERED TO BE AROUND 22-26 c.

I know that you don't want to hear it, but unless you have your confirmatory test reflex onto the original accession number, you will be unable to fix things. Meditech attaches any new blood bank work onto the most recent active blood bank accession number, i.e. your confirmatory accession number. I have my confirmatory types to reflex onto the original number that way any crossmatches or product orders will attach there.

Post 4 months of age, we require a confirmatory sample.

DEFINATELY GET HELMER. I have had the same rotator for 10 years with NO problems.

We have recently begun not separating the plasma from the cells. We had a mix up that resulted in the patients from that chunk of time that day being recollected and repeated. Since then, no problems.