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pbaker

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Everything posted by pbaker

  1. pbaker
    Thank you for all your good ideas. When the same information was presented to the pathologist with different wording, he accepted. As of 2/1/11 we will no longer need permission to do what blood bankers are trained to do.
  2. pbaker

    OP transfusion

    pbaker posted a topic in Billing

    How does everyone deal with OP transfusion billing when the patient comes in the day before for testing? Our admitting department has problems with using the same account OP account over multiple days. But our specimen and all the crossmatches are tied to the pre-testing account. We have Meditech 5.6, converting soon to 6.0.
  3. pbaker
    Do your facilities have pre-packaged disaster/trauma kits? This would include things like generic armbands and paperwork, laboratory orders, nursing forms, etc. Who is responsible for preparing and maintaining those kits?
  4. pbaker
    We had this same discussion with Immucor when we got our Echo. The only reason they could give me for Phix vs. Nerl is that is what they used to get licensed. We were adding Phix to Nerl saline and decided we were double buffering. We now use Nerl buffered saline, but check the pH before we put it on the machine. We have had no issues.
  5. pbaker
    Thank you for this suggestion, Dr. P. I really like it. That is the other reason for the extra step, to assure the nurses that we know what we are doing
  6. pbaker
    Is there anyone out there who requires a pathologist signature to give compatible out of group products to patients? Our current policy is to have a path approval ANY TIME we give a product that is not ABO/Rh identical. Even if we give an O+ packed cell to a B+ patient or an AB plasma to any patient, we must get path approval. The answer I receive from the pathologist is that we live in a very litigious county and they are afraid of law suits. Please help me get rid of this practice.
  7. pbaker
    You cannot rely on the crossmatch if the patient antibody is no longer detectable. A negative crossmatch does not guarantee an antigen negative unit.
  8. pbaker
    We have a way for the blood center to check the historic antigen typing of the units currently on our shelf. If they notify us of historic typing or send us units from the blood center tagged as historic, we reconfirm. If they send us units tagged with antigen typing results, we do not reconfirm.
  9. pbaker
    Are you sterile docking on a second bag or is it an attached bag? Or are you entering the unit with a satellite bag?
  10. pbaker
    We will be converting from 5.6 to 6.0 on June 1. The rebuild team has started their big task. I will let you know how it goes.
  11. pbaker
    Someone just pointed me in this direction and I am very impressed. There is tons of useful information here!! I have been the supervisor in this hospital for a little over a year and have made many, many, many changes. The previous supervisor and most of the staff was/have been here for 30+ years. Many things we did because "we have always done it that way". It is very helpful to get feedback from other institutions to take to my pathologist to explain that it is okay to change and we won't kill anyone because of the change. Thanks to whoever began the site and thanks for leading me in this direction!!
  12. pbaker
    Currently we have a database that matches typical blood orders with the surgery schedule based on physician and/or procedure. The blood bank pulls the schedule 48 hours prior, 24 hours prior and day of surgery to ensure that all the correct orders have been placed. If not, they follow up with the nursing floor and/or place the orders based on the surgery schedule printout. Based on usage date presented by the blood bank, the surgeons agreed to the "standing order" and do not write orders for each surgery. The hospital is getting a new computer upgrade and the surgery database will no longer be compatible. I would like to see the surgeons resume responsibility for writing orders for each surgery. What is your practice when it comes to blood orders for surgery?
  13. pbaker
    Our pathologists review and sign every case of Rhogam candidacy investigation. This includes when the physician orders Rhogam to be given with no testing by the blood bank or if the infant is Rh negative and the mother is not a candidate. What is the practice in your facility? Does the pathologist review any or all of your Rhogam workups?
  14. pbaker
    I am looking for information on how other facilities handle pre-admission blood bank testing. How far out from surgery date will you allow pre-testing? Must the patient leave the pre-test armband on? What testing do you perform day of surgery? How do you ensure the patient pregnancy/transfusion history from pre-testing to surgery day? Is there a specific location they must be tested through (i.e. admitting, OP lab, etc.)? I am trying to revamp our program, so thanks for any information you can provide
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