tcoyle
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Everything posted by tcoyle
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We too are working with MasterControl for our Event Management piece. We hope to later move all our documents under this application.
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In our institution we are discussing what occurrences should be sent through our entire event management process. We are doing some benchmarking to see how other institutions are processing these items. We have three questions: 1. What system or categorizations or definitions do you have to define an event from a “non-event”? 2. What criteria are used to qualify an occurrence to become a recorded event (sent through event management process, but not necessarily reported to FDA) in your institution? 3. Do you have a "threshold" defined for those occurrences that are not considered an event but would be considered an annoyance that needs to be looked at? Thanks in advance for your responses!
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We use two hours, based on a computer setting. But we are looking into changing that...
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Wouldn't this be a divide of a unit? Product code with A0, B0, C0, D0...up to 26 instances?
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Do you have the 27th Edition? The standards I am reviewing has this as 5.26.3. Tranfusion Tag requirments are 5.20.1 (27th Edition)
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Thanks! That is awesome to understand the thinking behind the scenes. It generally helps me remember things better! So how about a suggestion to create an "active" db and a "retired" db. You could keep an overall db with everything in there, but then separate the db's so I won't mess up again. :-)
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No, but I did find out that the (-) code has been retired...column at the very end of the db. :-(
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What is the difference between these two products: [TABLE=width: 675] [TR] [TD]E0661 [/TD] [TD]Y [/TD] [TD]Apheresis RED BLOOD CELLS|CP2D>AS3/XX/refg|Irradiated|ResLeu:<5log6 [/TD] [/TR] [TR] [TD] [/TD] [TD] [/TD] [TD] [/TD] [/TR] [TR] [TD] [/TD] [TD] [/TD] [TD] [/TD] [/TR] [TR] [TD]E4550 [/TD] [TD]Y [/TD] [TD]Apheresis RED BLOOD CELLS|CP2D─AS3/XX/refg|Irradiated|ResLeu:<5log6 [/TD] [/TR] [/TABLE] (Note the > vs. -) I cannot find anything in ICCBBA that indicates a difference… Thanks
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What are the rules for those that may be colorblind and being able to document the visual inspection of a red cell prior to the unit being issued? Has anyone had this experience in their lab and how do you document their competency if allowed to perform this task? Are we allowed to exclude those people based on 21CFR part 606.2© "Persons whose presence can adversely affect the safety and purity of the products shall be excluded from areas where the collection, processing, compatibility testing, storage or distribution of blood or blood components is conducted." -
If performing multiple SCD welds, does one need to document each visual inspection of each weld, or can there be a blanket statement that, "All welds acceptable"?
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What do your techs feel about events? Do they feel they are punitive? Do they document the problems rigouriosly? How do you engage the techs to know that these are not to be used in a punitive manner, but to help find the holes and problems by documented those items that are near-misses and deviations, etc.
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We use Isensix and have been for a few years. I would recommend running a back up to Isensix. We continue to use thermometers and chart wheels because of "downtime" with servers or bad probes.
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We do not require an antibody screen for routine plasma/platelet transfusions. Only requirement is an ABO/Rh.
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We allow the use of A plasma in an emergent situation. If it is later found that the patient is incompatible, we have the resident write a note in the patients chart.
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We do send out FFP and RBCs in validated coolers.
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Love it!
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Historical Types and Uncrossmatched Products
tcoyle replied to Brenda K Hutson's topic in Transfusion Services
1. We would never give type specific uncrossmatched blood unless we have a current specimen and a current ABO/Rh from that sample...even with a recent historic type. 2/3. We give FFP, Cryo and Platelets based on historic type without the requirement of collecting a new sample. -
Wondering how your institutions are handling getting an order from surgery for blood products? Do you require it before you issue the product? Do you just get the orders after the fact? How does your facility handle this Joint Commission patient safety goal requirement to have the order prior to administration? We are a larger facility with many, many, many OR rooms... Thanks for any help.
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Hello, Wondering if some who are using this equipment could engage in a conversation about orders, interfaces etc. Thanks.
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We have a brand new NEO and having extended troubles with the wash manifold. Is anyone else experiencing problems with it?
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We use the Galileos and at times have experienced this. Did you contact Immucor to let them know of this issue? Contacting them can help them determine if it is an antibody strip issue, or perhaps it is due to expiring indicator cells. If you do contact immucor, they will want to have the lot numbers of everything and may even ask for a packet of strips to test. They should be able to help trouble shoot you through this...and if other places are having the same problem, it would be good for them to know.
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Infusing a cold spiked unit periodically for 24 hours
tcoyle replied to Kathy's topic in Transfusion Services
I still think there is an issue with pulling aliquots and labeling and issuing. How will you document these aliquots, who they go to etc. I think the labeling is a huge issue. Not sure if the blood culturing would be required, but could be a QC check if you end up doing this. -
Infusing a cold spiked unit periodically for 24 hours
tcoyle replied to Kathy's topic in Transfusion Services
How would you handle issuing the blood each time an aliquot is pulled off? If you are printing ISBT labels and they are"dividing" the unit, you are essentially creating a new unit...How can you ensure they are changing the expiration time? You know blood bankers...(from the AABB Smart Brief quote)...We are paranoid hysterics who spend our lives thinking up worse case scenarios and then living as though they happen everyday... -
Are you using an electronic XM protocol? If you are or can, you can remove those units for the just in case...we don't allow holds anymore since we are using EXM and we tell the docs they can have blood in five minutes when requested. (This is for EXM eligible recipients only, of course)
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Wondering if your institution is using the Hemosafe for just in time blood issuing. If so, are you requiring an order and how are you getting that order?
