banker2010

Thank you all for your expertise. I think the "for infant use only" violates the accreditating agencies policies too. We will be cited bigtime if it's ever found out. Thanks again.

THAT should be the solution!!! Unfortunately our institution does not allow for pre registration. I wish it did for situations like this. This is what should happen. I still don't like the idea of writing on the tag with the mother's name on it. I just want somebody at an accrediting agency to reply to tell me I'm right, so I can show it to my manager. She just got her PhD in hospital administration and what she says goes! Sheesh! LOL!!Thanks for responding.

My issue is with the "for infant use only" on the tag. The crossmatch is irrelevant if it's given as emergency release. But thanks anyway.

Our blood bank is working with Peds ICU and neonatolgists to have newborns be put on ECMO as soon as they are born. It hasn't happened yet, but these doctors said they want blood (2 washed rbcs and 1 plasma) in the OR at the time of delivery. In order to accommodate this our manager's solutions is for us to crossmatch the blood to the mother and write on the tags "for infant use only". I take serious issue with this and got in trouble trying to dispute it. It just doesn't seem right or legal to me. My stance is to wait (no longer than a bleeding out emergency patient) and get the baby it's own registration number and then give the units as emergency release. At least the units will be tagged for the correct patient. Because to me, once the baby is born it's a new patient and any units it receives should be tagged for it with it's own registration number. It's not intrauterine once it's born. I just question the legality of writing on the tags, "for infant use only". If anything goes wrong it's going to get ugly fast. Any takes on this situation? JACHO, CAP and any other certifying bodies answers are welcome. Thank you.