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Everything posted by Byfaith
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Yes, that is what we do.
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Our policy is similar...Blood Bank tech initiates the process, actually our computer system asks a default question with every blood type "Previous type found?". If no, then a Re-type is automatically ordered with a new accession #. We then check to see if we can use a different specimen on hand which was drawn at a different time by a different phlebotomist (usually a CBC specimen, which we keep for 3 days). If none is found a phlebotomist is dispatched to draw ASAP - if it must be a nurse draw then a phlebotomist may witness. For us, this includes the ER as they are especially culpable for mislabeling errors! If time does not permit, we use type O until a 2nd specimen is drawn. Patients with PAT testing have the Re-Type test deleted, as most have a 2nd sample drawn upon admission. Our computer also alerts us if a second type has not been performed when we get to the crossmatch step.
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Does anyone have a copy of Ortho A Panel extended typing sheet?
Byfaith replied to goodchild's topic in Transfusion Services
Also noting the same Rx with Cell 11 - glad to know we are not the only confused ones! -
Could you perhaps have a witness to the second draw recorded when the same phlebotomist is used? Our system records the Computer sign-in ID for each draw (written on the tube label at bedside). On the rare occasion that the same phleb. or IV nurse draws, a witness ID can be recorded instead. We do not currently use E-crossmatch but do use a second draw for unknown patients.
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Hi Angela, from one of your reference lab users!
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We do the same as Zola Hall, along with a second draw for patients with no history. We changed to this last year from using Typenex armbands which required handwritten name, DOB. This has cut our specimen rejection rate due to mis-spellings, transcription errors DRASTICALLY. Once we got through the learning curve, everyone seems much happier with it and it is good for the patients, saving wasted time!
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We have a Sanyo Ultra Low "VIP" Series with chart, but alas, you must crawl on your knees to read it:tongue:. Otherwise, it works well.
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Our lab just purchased 3 Helmer EBA 21 centrifuges, with swing-out style rotor for 12 x 75 tubes rather than fixed angle. We currently use some aging Serofuges - - we are used to seeing our cell button toward the side of the tube. The new fangled ones have the button lower in the tube, almost on the bottom. Is this an issue, or just something we need to adjust to?? Thanks for any input!
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Emergency release of uncrossmatched products
Byfaith replied to BBKT's topic in Transfusion Services
We do the same. While not a trauma center, we do get frequent unidentified patients as we are in a "touristy" area with many travelers and foreign workers.