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Posts posted by PAWHITTECAR
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I only wish it worked that well here..When I took over we were getting a lot of nurses down to pick up units with an order to transfuse but no orders to a TS or units. At that time we couldn't even see the "transfuse" order so it was like "surprise we need blood". So I worked with IT and now have it set up so when they put the transfuse order in we see it in BB. Great!! not so..now they just order the product and there is no transfuse order documented...I think I might be bald before I get this sorted out.
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We receive all leukoreduced but back when we did get both we had defined parameters. Hem/Onc, CVOR pts and those on ECMO automatically received LD units. I would suggest getting your transfusion commitee (if you have one) or other "physician" commitee involved in determining who needs this and set it up. Most computer systems will allow you to set attributes and "alarm" if they are not met/
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She was (and still is though not working in the profession anymore) a very wise woman that taught me a lot. The other one that I love and use often (when someone is really beating themselves up over an error) is "as long as no one dies we can normally fix anything else"
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Terri that is an excellent way to put it. I am going to use that the next time I get questioned as to why I got a positive screen (Gel) and ARC got negative (tube).
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Thanks!! I am considering taking a run at the SBB, I started years ago then didn't take it. I have started considering it again...
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Welcome..I know that I use this site as a resource often. Especially in my cuttent position. The wise woman that got me started on this path many years ago taught the "CASE" method of blood banking. She told us to "copy and steal everything", that any procedure you are writing as most likely been written before. This is such a great site for sharing ideas, policies and procedures. Ifeel that I always have "back-up" in anything I am trying to accomplish.
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Rebecca you are absolutely correct. I remember when we started using monoclonal IgG and the first package insert said "Do not read microscopically". Then, several years later, I began working part time at another hospital that used the very same reagent and viewed them all microscopically. I pulled the package insert and it said that "a viewing aid" could be used and the supervisor said that the microscope was the "viewing aid". The pathologist at the first hospital was adament that we not use a microscope for any AHG reactions. Don't know what the "right" answer is I have only my opinion and feel that in reading them microscopically a lot of "trash" is called a reaction.
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...and hopefully with something more than a finger in the ****. I hate the ones that they take to OR and "fix", then back to OR again and again cause they keep bleeding....
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Yes!! I want to make sure that the physician knows. In my previous position the pathologist approved use of "least incompatible" but here I do not have a full time pathologist on site and the "on call" pathologist does not have a real strong blood bank background so I feel safer making sure the physician ordering the transfusion knows what is going on.
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We are also about 30 minutes from our blood supplier and I have been very closely monitoring platelet orders. Many times I have called the doctor that wanted to have plts "on hold" for surgery on a patient with 100 plt count and explained that if we get them in and they are not used then they are wasted. I have (for the most part) been able to convince them to wait and order them if they need them. I do have some really good docs that are willing to listen to reason especially coming from me rather than another physician..
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I just changed my ABO typing reagents from Immucor to Bio-Rad and ended up with > 16K a year savings. I had received mixed reports about the Bio-Rad reagents so I did a very extensive correlation and everything worked great.
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We are mostly nurse collect but have a "veni" charge that we use when laboratory personel draw (either outpatient or inpatient).
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How do you get Google to find anything effectively??:pcproblem
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Yes I am very much enjoying my job but don't have time to sit back and enjoy. We are beginning to build the blood bank module of the LIS so no rest for the weary.
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I'm with you Malcolm. Way above my pay grade. I think I would encourage them to transfer the patient to a facility better equiped to handle it. You know one with a pathologist in house to handle it.
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Mabel I really like that..Thanks
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Excellent information Terri, Thanks
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I thought i was going to have a stroke while they were here...They kept finding things that I had recently fixed. Nice inspector said "Oh well its allready corrected so it is not a defecency". I am so relieved.
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[ATTACH=CONFIG]704[/ATTACH]We use this form for emergency/medical releases
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A negative patient control is an excellent idea. If you do not have the cards to differentiate between IgG and C3 with the control do you run your types in gel? The type cards I have experience with have a control for the front type (for those pesky AB pos samples). This would be essential the same as the DAT control. Patient cells and gel with no "reagent".
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Wow..our nurses love it!!
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Our laboratory director does the compentcies for the supervisors
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At the large facility I used to work for we had an internal disaster that caused the laboratory to be evacuated. We grabbed the coolers and all the O= and O+ that they would hold and "moved" the blood bank to the frozen section room off of OR. After that there was a policy written saying to do just that.
Alias in BB
in Transfusion Services
Posted
Does your LIS not have a way to log alternate or "alias" names? We often would get trauma specimens with a "trauma name" like ie. RJZ1234 Hispanic, Male, Then in the middle of the trauma they would put in his real name, ie. Jaun Ortiz, then 2 hours later we would go to issue blood and his name is James Smith (hospital assigned alias). Got really confusing in blood bank but the HIS (MediTech) had a great way to tie the names together.
Are they using the same medical record number? This would be a way to tie the two together in the system.
If your system can't tie them together I would put a detailed note on both names for future reference.
I think legally your ok as long as you can tie the names together and the patient is not using the "alias" to commit fraud - like to use someone else's insurance. (Just my opinion).