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R1R2

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Everything posted by R1R2

  1. I took it to mean that it must be issued by expiration (per the FDA regs, I think, but don't quote me). However, the new AABB 28th Standards has reworded Administration of Blood and Blood Components 5.26.3 #5 "The unit has not expired". It does not say that it must be completed before expiration. Bottom line, if you issue close to expiration, make sure that transfusionist can begin transfusion before expiration. R1R2
  2. Can you explain #3? I would think you would want to include these patients. R1R2
  3. How do you record the results of this bedside test?
  4. I thought pH testing of platelets was no longer acceptable?
  5. For those of you that state that blood must by completed within 4 hours of issue -> how do you handle units issued to patient care areas with remote storage (OR, SICU)?
  6. Does anyone try to remove bound antibody to get an accurate D type? R1R2
  7. Can your ICU director provide you with data she collected? Did she look at the blood types issued and patient blood types? I have been asked for fresher platelets for oncology patients, never for actively bleeding patients.
  8. We have no policy in place that states a patient can't walk around with blood hanging. The transfusionist does instruct the patient on signs and symptoms of a transfusion reaction and that the patient should inform the transfusionist if necessary. I am not too concerned about this. If this problem only applies to one patient instruct him to stay put and document the conversation. You can only do so much.
  9. Hi everyone, Is anyone using Sensoscientific or Sensotech to monitor blood storage equipment?
  10. I agree with Malcolm. In fact, I don't think I have ever seen an Rh positive baby with passive anti-D in plasma (DAT positive only). R1R2
  11. If you want to validate that the freezer can circulate cold air when filled with plasma you can use anything to fill the freezer, such as bags of water or saline.
  12. Not that I know of (in the US). Perhaps someone else knows differently?
  13. Perhaps you are thinking about temperature mapping?
  14. I have never used plasma to validate a freezer. I have validated that alarms work, temp is accurate, plugged into proper receptacle, chart works, door seals properly, unit maintains temp etc.
  15. It is relatively inexpensive and if you are able to return just a couple of units back into inventory per year it pays for itself. It is easy to validate, use and recalibrate.
  16. You should be able to determine if patient has blood available by accessing the computer file and do away with the cards. You may need a s file to keep transfusionadministration record paperwork if you need to tag units ahead of time. We havecompletely removed all paper files due to some unfortunate clerical errors. Wecrossmatch on demand, but if we have to tag units a head of time the paperworkis kept with the unit in the fridge. We access the patient's computer file todetermine if patient has blood available.
  17. Thank you aakupaku for your ideas. We have institued your suggestions several months ago and they have helped. Our last error occured because tags were printed out ahead of time because of special patient requirements. I am looking for zero errors. Perhaps that is not possible? R1R1
  18. Hi everyone, Please tell me how you solved your "not issued in the LIS" problem. Thanks for your replies. R1R2
  19. What kind of reports are you printing? Daily, weekly? How many pages? R1R2
  20. Thanks guys. I will tell the techs not to do it in front of an inspector.
  21. Does anyone know of any regulations prohibiting consolidating a reagent of the same lot and expiration date is not an issue? Thanks for your replies, R1R2
  22. We have written in our SOP that if time allows and employee safety is not an issue a cooler may be packed. If time does not allow or safety is an issue employees leave without blood. We also have a designated cooler for evacuation to place blood products. It is stocked with necessary logs, phone numbers, pens, bags, etc to take in an evacuation. We do not stipulate that blood products must be packed properly as they would not be returned to inventory. We would call supplier for additional stock as soon as we relocate. We have designated relocation areas. We occasionally conduct in services to review process and procedure.
  23. Hi Terri, Can you explain more about this "action"? R1R2
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