tricore

Thanks, Cliff.

Thanks, Cliff.

Thanks, Cliff.

Thanks, Cliff.

I do not think they should be refused for the reasons above. Could get into a lot of legal problems. In the "old" days before HIV and Hep C the only autos we seemed to get were young girls having scoliosis surgery. The idea was to not expose them to antigens that could complicate a furure pregnancy. And of course there are always the people with multiple or difficult antibodies like our local Bombays (had 3 at one time), McLoud (however he passed away), and cellano who should donate autologous units if possible.

I totally agree with the posters who said record directly in the computer system.. The chance of transcription errors is too great. Get rid of as much paper as you can. Do you save the original pieces of paper on which the result is written for the required amount of time?

We do the same except few tests where we read and record results directly in computer. It depends on your computer system. I believe cerner is not easy when it comes to document antigen typing results. You have no choice but to document results on paper and then enter in computer as cerner doesn't allow to enter partial results. eg. once you enter IS results for rh typing and the result is negative you incubate it for 5-10 minutes then you will read again and enter result in computer. Cerner doesn't allow that all typing results must be entered same time that is why we need paper.
Some of the computer system allows enteries at different time so you can enter IS and after 10 minutes go back and enter RT result.
 
& also your STATE and CAP regulations must be checked before getting rid of any paper documentation.

Virtually all results are recorded directly into the LIS.  I would view double recording as an extra opportunity to make a clerical error.  We do have downtime worksheets so that results can be recorded on paper during computer downtime.  Some tech who are less comfortable with antigen typing will use the worksheet to record antigen results on paper and enter into the computer.  That's about the only time we see double recording of results.  Most will record antigen results directly into the LIS. We do also have an Antibody ID worksheet and a few things are recorded there, additional investigational studies, ABO typing discrepancy workup.  Another exception is that antibody panel results are recorded on paper on the panel manufacturer's antigram.  These are not double recorded (paper only) as we only enter the interp in the computer.

If you have a BBIS you should just document in that.  There is no need for paper documentation (if you validated your system and if you use it you better have validated it).  Resulting on paper and then transcribing into your BBIS is just another step where a transcription error can occur.  I inspected a hospital years ago that did all the work on paper and then back-entered into the computer.  When we went to the pt area to watch a transfusion we had to bring the blood back because the patient needed irradiated products (documented in the computer not the pt record card).  You have validated your BBIS - dump the paper.  I know I have lost jobs because I told the interviewing staff that the first thing I would do is scrap the paper recording . . . the BBIS truth tables alone make this a wise decision.

If the techs have to record it, they have to look at it and hopefully notice problems. I have found the following (even though someone had looked at them previous to me finding the problem):
Charts that are not turning because the person who replaced it did not tighten it.
Charts for freezers on refrigerators and the reverse.
Charts that were left on the refrigerator for more than a week and were rerecording.
Pens that have been moved out of alignment and were recording the wrong temperature.

If you want to use concatenation (reading two bar codes at one time) with your bar code scanners the space between the DIN label and the ABO/Rh label must be the correct width.
I set up concatination using labels I printed from my Hematrax system and then when I tried to scan actual units from my supplier the space between the labels was incorrect and would not read correctly.

Corollary to "Transfusion has risks, but bleeding to death is fatal.": I was taught this in med tech school in reference to switching donor Rh type from Rh Neg to Rh Pos: "Better a live sensitized patient than a dead pure one." I don't know who said it first.

Scheduling the Assessment
All AABB renewal assessments in the US and Canada, including AABB-CAP coordinated assessments, are UNANNOUNCED which means the facility is not contacted by the assessors. Only initial and international assessments will continue to be scheduled with the facility.
AABB assessments must be performed in the facility’s assigned quarter. In addition, AABB-CAP Coordinated Assessments are to be performed prior to the CAP anniversary date. If there are questions or concerns that need to be addressed, contact the AABB national office at (301) 215-6492.
When scheduling a coordinated CAP/AABB Assessment the assessment must occur within the facility’s AABB cycle and before the CAP anniversary date. For example, if the CAP anniversary date is November 11, and the AABB cycle is the fourth quarter (October –December), the assessment should be scheduled between October 1 and November 11. If the CAP anniversary date is April 15, and the AABB cycle is the first quarter (January – March), the assessment date should be between January 2 and March 30 (the facility’s AABB accreditation expiration date.)
As an AABB assessor, you do not need to be at the facility on the same day that the CAP team has scheduled its inspection for the rest of the areas of the laboratory. As long as AABB and CAP have both been notified that this is to be a coordinated event, the CAP team should not include a transfusion medicine inspector.
The lead assessor is to coordinate the assessment with all team members and then notify the National Office of the assessment date. This may be accomplished by e-mail to accreditation@aabb.org. Assessments must be scheduled around the organization’s indicated black-out dates and federal holidays (note: if the assessment is to be performed in Canada, Canadian federal holidays must be honored). International assessments are scheduled with the facility so local country holidays can be honored. If for any reason, the assessors are unable to perform the assessment within the scheduled quarter, the National Office must be notified as soon as possible.
The lead/sole assessor develops a schedule for the assessment, including the assignment of team members to each section, and the approximate timeframe for the assessment.

Corollary to "Transfusion has risks, but bleeding to death is fatal.": I was taught this in med tech school in reference to switching donor Rh type from Rh Neg to Rh Pos: "Better a live sensitized patient than a dead pure one." I don't know who said it first.

Corollary to "Transfusion has risks, but bleeding to death is fatal.": I was taught this in med tech school in reference to switching donor Rh type from Rh Neg to Rh Pos: "Better a live sensitized patient than a dead pure one." I don't know who said it first.

Are you putting a label with E0773 on the bag?
E0773 Thawed FRESH FROZEN PLASMA|CPD/XX/refg
E0773 works only if your original FFP was CPD plasma. If you put this label on plasma that was collected in any other anticoagulant it is mislabeled.

I added a document to the library that ICCBBA sent to me when I inquired about reconstituted RBCs. I put it under forms.
Cliff, if that isn't the correct place to file please move it.

The purpose of using coated cells (check cells for us oldsters) when you perform a DAT is to ensure that the cells to which the antiglobulin sera was applied were thoroughly washed and that no antibodies, plasma, serum remain in the tube that could have neutralized the antiglobulin giving you a false negative reaction. Therefore IgG coated cells serve to show that the washing procedure was complete for both anti-IgG and polyspecific.
This is different than QC in which you need to demonstate that the poly anti-globulin sera contains anti-IgG and anti-complement

From ICCBBA website
Transfusion and Laboratory Services:
These are facilities that do not collect or recover products, but only store and distribute blood, cell, and/or tissue products. Use is defined as application of ISBT 128 labels. This encompasses facilities that modify, pool, or aliquot products and label these products with ISBT 128 data structures.
A facility may also wish to register and pay licensing fees in order to receive all ISBT 128 databases, documents, and updates and have access to password restricted areas of the ICCBBA website where such information is maintained.
The license fee for transfusion services is maintained as low as possible to encourage such facilities to maintain regular contact with ICCBBA and remain fully informed about updates and changes to the ISBT 128 standard.