Jump to content
April 2024 Challenge

DPruden

Members
 View Profile  See their activity

  • Posts

    213

  • Joined

  • Last visited

  • Days Won

    14

  • Country

    United States

 Content Type 

Everything posted by DPruden

  1. DPruden
    We do monthly audits and we also hand out 10 to 15 self-audits a month. The transfusing RN checks off the same items that we audit and returns the self-audit to the blood bank (we get almost all of them back). We have had a number of nurses tell us that they were helpful and that way we get more opportunities per month than we would have time to actually observe.
  2. DPruden
    In our last mass casualty drill, we added gender to the patient identification piece of our disaster plan. So, it is good that you are involved in the drill, because the limited number of O negative units was a surprise to many of the physicians involved in our drill!
  3. DPruden
    The physician champion is key! And I think it should be a transfusing physician, as opposed to a pathologist, preferably a doc that is well respected and listened to by other medical staff members. We were much more successful after adding standard indications into the EMR, so that something had to be chosen by the ordering MD.
  4. DPruden
    We have a signature line on our transfusion tags, so one signature per unit. We have a "trauma patient" that we use to pre-print tags and keep them labeled for emergency release. We highlight the signature line on those pre-tagged units and most of the time the MD will sign and if not, we badger them until they sign the form.
  5. DPruden
    We have different quantities for post-partum hemorrhages than for "regular" massive transfusions. We have cryo upfront for the moms.
  6. DPruden
    I try to find electronic solutions to human error problems because the best trained most diligent tech will still once in a blue moon make a serious error. Could you make the armband number a required field that the tech could not get by without entering something? We are switching to the armbands with barcoded numbers because we were having clerical error while entering the number/letter combinations.
  7. DPruden
    We added a second signature line to our SOPs for the CLIA Medical Director, for all the SOPs that he previously had a designee sign off on. It was easier to keep track of this way. We also provide a summary of changes with the SOP.
  8. DPruden
    .3?? Yikes! I thought the 1.0 postpartum hemorrhage patient we had was the lowest I would ever hear about!
  9. DPruden
    We have this same process.
  10. DPruden
    I agree with the training. We try to scare the beejeebees out of them when they are trained and we also do not allow them access to override any exceptions that come up at issue. I had to design the training differently than I would train an MT, but we have not had any problems.
  11. DPruden
    Seriously?? Since it was published as a recommedation, I think I will ignore this silliness.
  12. DPruden
    Before we went to ISBT, we had a sticker on which we wrote the new expiration date and affixed it over the expiration date barcode.
  13. DPruden
    Here are a couple more references: Creation, Implementation, and maturation of a Massive Transfusion Protocol for the Exsanguinating Trauma Patient. Journal of Trauma, Volume 68, Number 6, June, 2010 Improvements in Early Mortality and Coagulopathy are Sustained Better in Patients With Blunt Trauma After Institution of a Massive Transfusion Protocol In a Civilian Level I Trauma Center. Journal of Trauma. 2009; 66:1616-1624. The other 2 AABB presentations were in the Oral Abstract sessions and I don't think that you can get to them online anymore. 9323-TC Blood Ordering and Transfusion Support in Obstetrics from 2011, they discuss MTPs in reference to post-partum hemorrhage 9106-TC Massive Transfusion Protocols: A Workshop in 2009
  14. DPruden
    There was a good presentation on this at the AABB this year and a couple last year, if you have access to the online presenations you could listen to them.
  15. DPruden
    Thanks for posting this letter. We have actually had this come up a number of times, maybe there is a large population of strange Rh patients in my area!
  16. DPruden
    You are correct, a lookback as defined by the FDA is from a confirmed positive test and they require recipient notification. Post-donation information recalls are really common and blood suppliers handle them differently, but the FDA usually requires that the blood supplier only recall any in-date transfusable product. I have my medical director review any recalls that we receive from our blood supplier, but we very rarely notify the recipients, except in the case of true "lookbacks".
  17. DPruden
    There are 3 hospitals in my system in the metro Denver area. We are all somewhere between 5000 and 6000 feet elevation. Our normals for Hgb are Female: 12-16, Male 14-18. We use 8 and 24 for transfusion indications, and we have had specific discussions about keeping them at 8 and 24 because of the altitude.
  18. DPruden
    I have a question about this that was brought to mind after attending a session at AABB. Why do we need to record the daily temp of refrigerators if there is either a continuous chart or an electronic monitoring system? We currently have a probe that is connected to the chart, a different probe that is connected to the digital readout on the refrigerator, and 2 different thermometers in different places from which we record the temp daily. It seems like overkill. Couldn't I just calibrate the probes annually to my NIST, verify that the chart is working everyday, temperature map every so often and get rid of the other 2 thermometers and daily recording?
  19. DPruden
    Steal away! Glad to be of help.
  20. DPruden
    We would just send it to our Reference lab and have them do a polyagglutination workup, the wording was left over from the old test code in our computer so that my techs would recognize it!
  21. DPruden
    I received an email from a friend/colleague who is on the AABB education committee with the following instruction. "I would like to ask you to take the opportunity to suggest programs and/or take the opportunity to present in one of the programs at the 2012 AABB Meeting." So, in my mind, that means you can fill it out yourself and send it in and not be big-headed in the slightest! If you enter program proposal in the search field on the AABB website it is the first one that comes up.
  22. DPruden
    Malcom, here is the "official" form. I think it would be great if you could present!
  23. DPruden
    I can try. We use the linear accelerators at my facility.
  24. DPruden
    Certainly!
  25. DPruden
    I enjoyed the updates on the Kidd, Colton and RhAG session and also found the Blood Ordering and Transfusion Support in Obstetrics helpful and informative!
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.