goodchild

This is the HR paranoia in me but this incident is too specific/identifiable and for your safety I would recommend asking Cliff to censor/remove it, I'll message you my perspective.

I've been really pondering this idea. Having unique tubes for Retypes.

It's essentially the ProVue.

Interesting. We have to manually input volumes when we print with Meditech 5.67 but the times are automatic.

I don't know the exact set up for you but we were doing the daily checks every day in addition to our wireless network-based continuous temperature monitoring system. For us, my response would be that if there was a power outage (in that particular outlet) we would lose signal on the continuous monitoring system and then investigate and followup. Or if the probe was still powered but fridge was down we would get the alert that the temperature was dropping at the expected range and the audible alarm would sound. If we had a network outage we would resort to manual temperatures according to our contingency procedure. And then there's the people who say that "it only takes a few minutes to do, it's not a big deal." And you end up with dozens of "not a big deal" things that eat into the workflow every single day and drive me crazy. We eliminated doing them last year. End rant.

We type for C,E,c,e every time a patient has an Rh antibody.

This is essentially why we still have a procedure for "cold antibody screen." The AABB technical manual also includes this as their procedure for ABO discrepancies. I also thought it was interesting that the rouleaux wasn't seen in reverse typing but I'm not familiar with the ECHO.

I'll be honest, I didn't even know Ortho produced monospecific cards.

Read her title for the thread. "Using ONLY mixed field anti-D as qualitative indicator." Sounds like they were trying to do a little cost containment.

From 21CFR606 CURRENT GOOD MANUFACTURING PRACTICE FOR BLOOD AND BLOOD COMPONENTS Sec 606.121(c) Container label. (13) The container label of blood or blood components intended for transfusion must bear encoded information in a format that is machine-readable and approved for use by the Director, CBER. (i) Who is subject to this machine-readable requirement? All blood establishments that manufacture, process, repack, or relabel blood or blood components intended for transfusion and regulated under the Federal Food, Drug, and Cosmetic Act or the Public Health Service Act. (ii) What blood products are subject to this machine-readable requirement? All blood and blood components intended for transfusion are subject to the machine-readable information label requirement in this section. (iii) What information must be machine-readable? Each label must have machine-readable information that contains, at a minimum: (A) A unique facility identifier; (B) Lot number relating to the donor; (C) Product code; and (D) ABO and Rh of the donor, except as described in paragraphs (c)(9) and (i)(5) of this section.

Maybe we're just lucky with the functionality in our LIS but we successfully use the emergency release routine in Meditech C/S. Transitioning from a completely paper environment to the computer was actually a big undertaking where virtually every technologist had a learning curve/resistance. The computer routine actually makes things faster because you don't have to do any writing.

We have electronic transfusion documentation which requires machine readable labeling. We print new ISBT labels for the thawed product and re-label only product type/expiration quadrants.

A follow up question for this thread may be, how does your particular institution actually process these charges to the patient account? How is the workflow handled? How is the documentation handled? How does it capture in-house testing vs blood supplier testing?

86902 x27

No, but I'm already contemplating purchase of Grifols' antibody panel. We currently purchase Immucor 16 & 20 cell 3% panels and dilute to 0.8% for selected cells in addition to Resolve A and B 0.8%.

We also add in the CPT code for the pooling process.

Honestly, if anyone does have any comprehensive studying resources they are willing/able to share I'd be looking for them as well.

Unless you're being inspected by a CAP-employee inspector, you should take some inspection findings with a grain of salt.

As "bah, humbug" as I am, I love this idea. Thanks Terri.

Story of my life. I'm glad it's not just me.

As much as I love to go paperless/electronic, this is how we do it also.

We also use Meditech TAR and got rid of Typenex years ago. We use a "Retype" system: second specimen collected from a unique collection to verify ABO/Rh.

Concur with Dansket.

Ours is the same as Teristella.

Whatever you use, make sure you review the manufacturer's instructions.