Jump to content
April 2024 Challenge

mollyredone

Members
 View Profile  See their activity

  • Posts

    568

  • Joined

  • Last visited

  • Days Won

    28

  • Country

    United States

 Content Type 

Everything posted by mollyredone

  1. mollyredone
    The only place we use coolers is our outpatient transfusion. I validate them annually, but they are kept in the therapy clinic, so any cleaning is done by them. We use insulated boxes for anything else. So often we don't get the box back, and I would hate for that to happen with coolers!
  2. mollyredone
    We are a level III and keep 2 PPH in stock. Our MTP protocol doesn't call for PPH unless the plt ct is <75,000. Our supplier does credit us for any outdated PPH, which is very nice! We are a little over an hour from our supplier.
  3. mollyredone
    You could also concentrate your 0.8% cells to 3% by using 4 drops of cells, spinning, decanting and adding one drop of saline, then test it in tubes.
  4. mollyredone
    At what point do you decide that RhIg that has been administered prenatally is sufficient if the patient has a miscarriage or trauma? I would assume the fetus was Rh positive and give another dose to cover the bases. But like Goodchild, pharmacy issues RhIg and we may not even know about it if we wanted to do a screen. There is a clue if the ED orders an ABO/Rh on a young female, but that's all they order and occasionally they just give it based on patient information!
  5. mollyredone
    That's my understanding.
  6. mollyredone
    I agree with Dansket. There is too much insurance card swapping and sharing going around to rely on a historical type, even if andministration of Rhogam would not necessarily be that harmful. We require a current type for everything except emergency release/massive transfusion and even then we would like to a specimen sooner than later so we're not pouring out ON for child-bearing females.
  7. mollyredone
    This covers 3% panel cells, but what about any 0.8% panels? We currently have 7 indated 0.8% panels and three 3% indated panels. We had to add additional panels to our standing order since we can no longer use out-dated panel cells! Do you perform all your antigen typing in tubes? We validated our Fya and Fyb in gel, so that is what we use for antigen typing and QC'ing the 0.8% panel cells.
  8. mollyredone
    Meditech also updates when the products are ready. How do the nurses notify you when they want a unit? We know they want one when they send the unit ready slip through the tube system, and then we tube the blood product to them (except for ER, who sends a tech up to pick up the unit)
  9. mollyredone
    We are still using the two part tractor feed slip with tags. We use the bottom part "unit ready slip" to tube to the floors to let them know the unit is ready. How do you notify the floor the unit is ready?
  10. mollyredone
    We could show them our antigen typing worksheets so they could see the different lot numbers. We keep two years of antigrams, although most of anti-sera testing is IS (3%) now, only Fya and Fyb are AHG, which we validated in gel.
  11. mollyredone
    What we do is use the current cells for our QC for our antigen typing, using a heterozygous cell as a positive control for whatever antigen we are testing. That seems periodic to me.
  12. mollyredone
    That's because I just made it! Maybe I should put it in the library!
  13. mollyredone
    Well I did it! With help from the forum I created my own electronic crossmatch flowchart! ELECTRONIC CROSSMATCH FLOWCHART.doc
  14. mollyredone
    Thanks Tricore!
  15. mollyredone
    We keep 2 O Pos and 2 O Neg PRBCs tagged for emergency release and make up the papers that have the unit stickers on them for the doctor sign. I've tried to tell the techs that it is almost as quick to issue through the computer, but they get frazzled easily because they don't do it often.
  16. mollyredone
    Here is my procedure. BB M Blood Bank Transport Cooler Validation.doc
  17. mollyredone
    No, the techs just issued the units on paper forms and did the testing. They did a TS on the mom under her account, and also ordered one under the baby's account. I had the mom's TS credited. They did a crossmatch but forgot to issue the unit in the computer, so I did that the next day.
  18. mollyredone
    I validate our coolers once a year with two expired PRBCs and an NIST thermometer for 6 hours. The boxes we used for blood sent to our ED and OR are validated by our blood supplier.
  19. mollyredone
    Thanks Dansket! We wouldn't begin to have a lot of those antisera, nor are they on the panels we use!
  20. mollyredone
    We recently had emergency release situations on two newborns, first one I can remember in my 7 years here. The day after the O neg PRBCs were issued, I was trying to figure out what testing was required and how to order it. We do NB types and DAT on all babies. My thought was to create a new order for PRBC. If I do that, it will order a type and screen. Since we have already done a type on the cord blood, we would TNP the results? We would still just give O units, Rh compatible. Or would you put in the results from the cord blood with the comment that it was performed on cord blood and TNP the back type and credit the type. Then we perform the screen on the mom's blood, with an external comment, but the order is under the baby's account. If the mom has already had a TS right before delivery, would you put in the results from her screen there and credit that screen, so she isn't double charged? I'm kind of thinking out loud, but I would appreciate any feedback.
  21. mollyredone
    Does anyone have a flowchart for electronic crossmatch? I had one at one point, don't remember where I got it from, and of course now I can't find it. Thanks in advance! Mari
  22. mollyredone
    Or do you mean it wouldn't last that long due to other factors??!
  23. mollyredone
    Yes, the digital temperature readout, which is also calibrated, does read out to 0.1 degrees.
  24. mollyredone
    We use 1.0 degree.
  25. mollyredone
    We send most of our blood through the tube system, but will allow ED techs and CNAs to check out blood if it is not available. Our policy states that a CNA can record vitals if the tranfusion is performed on paper. But most of the blood is documented through Meditech in the TAR module. Two nurses have to sign that everything was checked (consent, scanning of the patient and blood product barcodes) and only nurses can enter the vitals.
×
×
  • 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.