CYGI

More times that we care for the Ortho Provue generates error codes. These error codes cause us to shut the instrument down and reboot it. This causes a delay in patient testing. On error "unexpected occurance has occured", another error code "another user is operating QC" there are no other users. Do anyone else experience this problem, if so what was the fix.

I agree with Magnum, taking the temps every 4 hours shows that you have documentation of stability for at least 24 hours.

I think I know what you are trying to do. For the laboratory results for the hospital keep it simple, for blood bank staff make sure they understand why the results for transfusion helps determine transfusion. Once you define what the guidelines are, consult with the pathologist for comments, questions or concerns. Use the AABB manual for guidance. Do you have a blood utilization committee still? If so, they will be able to help determine laboratory guideline for your hospital.

I want to say THANKS to everyone who responding to my issue. I WON my battle with the form. I presented all the facts and insisted that this is the best process for the patient. I also, had a former instructor assist me. Another day we all have hopefully secured a patient life! Yeah us Thanks

The part about "if it is not documented, it wasn't done" can drive this issue home. Thanks for the words. I could not get that part together. As far as using the same form for issuing at this hospital does not matter due to the fact they have no tube system, but at other hospitals I work at some do and some do not. Thank you Mabel you have been very helpful. I will let you all know what was the outcome of this issue.

Thank you all for your responses. I will take all suggestions into my fight.

OK here is my issue. The faculty does not have a standard form used for nursing staff or hospital personnel to pick up blood or blood components. This causes people to bring whatever they think of to pick up blood and blood components: EKG records, patient labels from admitting, etc., If this is really not an issue let me know. I know that issuing units you must have the two identifiers, etc., and blood is a drug so there should be some where that something has to be brought to the Blood Bank to pick up blood. If the pick up is from the tube system, a form has to be sent down to the blood bank with the proper information required. Is there something for the walk-in? That is the information that I am looking for. I am trying to make this clear as possible.

Thanks David, that seems so out of the sink. Ok, so are you saying, there is no regulation that states that the nursing unit need to have a legal document or something to pick up units? I am not concern regarding the format, I really need something regulatory to fight this with.

I work at a community hospital in Chicago, Il, and trying to help them with policies and procedures. I have noticed that when it comes to issuing blood and blood components they really do not have a straight foreword procedure. They keep dancing around how staff is supposed to issue units. Do anyone know where it is documented that nursing staff has to have a legal documented pick up slip to receive units? I am looking for something written either in AABB, FDA, IDPH,.. something help me.

Karen, I have to agree with you, I too know MLTs which are knowledgable of different sections and hold just as much pride as MT. Don't worry about ranting i'm right in your corner. We need to stop looking at techs with degrees and help each develop knowledge to a higher lever. I always wonder if the people who complaining, why they do not apply for the positions that are posted. Each tech is an asset to the department if they are giving a chance.

HI Malcolm, The question was a two part question depending how you viewed the question, therefore I answered it in two parts without explaination, sorry for the confusion. Patients that have Anti-M that are not reacting at 37 degrees are crossmatched compatible , if the M antigen is reacting at 37 degrees, we use M negative units and proceed with AHG crossmatch. Was I able to clear this up??? I hope so. Thanks for looking at that.

Antigen negative units unless the antibody is reacting at 37

:)To answer the question regarding pathologist review for all possible transfusion reactions, the senior tech reviews the workup and it is their responsibility to inform the pathologist. The thread is regarding timeline, how did we get on temperature and other transfusion reactions? This may be a suggestion to help with the time line, talk with the techs in your department and see what they can handle as far as communication with the nursing units, just to make waves you can ask that any transfusion reactions, report to blood bank and than document how longs it takes to start the workup, with the information that was gathered, get with the nursing director and reach an agreement on how to make the process more effective for the patient. I have learned without documentation that it is hard to get any resolution to a problem. Everyone wants to pass the buck, no one wants to pick it up. Good Luck

Saline replacement

Once the nursing unit notify the blood bank of a possible transfusion reaction, we normally begin the process of sending the phlebotomist to the unit for post-transfusion specimen, with the form for the nurse to fill out. Notify the nursing unit that the form must be filled out immediately so workup can begin, also inquire if additional units are needed. The pathologist is notified with all information after workup is completed. cygi:o