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lalamb

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About lalamb

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  • Birthday 01/01/1960

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  • Location
    California
  • Occupation
    CLS

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  1. We require a banded sample and an aborh for yellow products. The typenex band works w/nursing bb trxn software, Bridge. We use Cerner.
  2. On our "UA w/culture if" orders, we reflex to culture if: Dip is Esterase +, and/or Nitrate+ Slide is >5 wbc and/or >1+ bacteria If specimen is a cath specimen, any bacteria will trigger a culture.
  3. Encounter or every 3 days. This is also so a valid BB band will work with nursing transfusion software.
  4. ED nursing staff draws rainbows labs on all patients, so once labs are drawn a bb spec is included. Most of the docs are good about lab notification and samples, being a priority. They know we only have so much blood in stock. If we' get a call asking for a 2nd pair of o negs ( 3rd and 4th unit), before hanging up the phone we remind them we need a sample. Sometimes we don't get one as some pt's are shipped out quick.
  5. Thanks. Well, the latest from our microbiology department is a book referencing Ames media as a transport media. So, still looking for a reference source that sites Saline ( even though it's been used for ages and I'm sure is fine )
  6. Hi all - How do you prepare your wet mount specimens? Have seen adding 1-2 drops saline to the swab (ancient policies and the Dr's UpToDate ref source)- reason being you don't want to dilute the sample? and 0.5 -1 ml of saline ( other hosp's in our organization) - reason being you don't want the cotton tip to dry out. I also think that if you add more liquid, you get more uniform distribution of your sample. Have asked our micro dept, but have heard nothing yet.
  7. We used to have Mysis/Sunquest...Cerner is SOOOO much better. Our build was a disaster. We hade a good BB'er on the project but as it went live on all hosp sites, continual amendments were made. Here's a few suggestions....if you haven't covered them already Under ABORh typing: the "HX" drop down box. It means if there is a hx for the patient... not if a hx check was done. Name the choices "Hx yes" and "Hx no". Make the choice "Hx no" reflex to an ABORh recheck orderable.If an ABORh is ordered, the result will show up in the patients demographics box on the top. If an ABO and a separate
  8. We are writing a new cryo SOP ....our facility hasn't stock it in the past. thought I had it nice and simple, included the "Suggested Adult Flow Rates" from AABB,then a question popped up... Dr wanted to know how to calculate how many units to give? Pt in question is vWD, (unsure if they'r Type 1,2 or 3), slow abd bleeding We rec pooled units from our supplier ( 1 pooled unit = 5 single untis) The tech did a good job of researching it but the math looks cumbersume, and there are multiple formula. What do others do....if anything? Our local university said: give 2 pooled units for an
  9. Our ER routinely draws a rainbow whenever they start an IV. They are dropped off at the lab and spun. Vast majority of those get orders. We periodically call ER with "where's my orders?" if the tubes sit w/no orders appearing. During AM draws, phlebs will draw an extra grn if only a CBC is ordered, and visa versa. Has saved the pt a stick on more than 1 occasion. Doc's can order a Band 'n Hold. Same principle as others...no charges are dropped, we spin it, report it as "Received", and write the name on the board as a quickie reference. Get them mostly from OB and ER. We did a $$$ survey
  10. We use option B : new specimen, new TYPENX #. We band for FFP. Our bands don't stay on for weeks so I don't know...
  11. We read DAT's on cords microscopically.
  12. but it could be useful in a trauma situation - to show if there was a fetal maternal bleed...
  13. We've always used glass tubes...didn't know plastic was ok for bb...
  14. We've adopted 6 rbc: 4 ffp: 1 pl (got from a local university hosp) Will post our sop's this weekend
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