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About bowerj1

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  • Birthday 02/08/1973

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  1. Thank you tcoyle. I hadn't thought of looking on the donor side. Of course most of the drugs I'm thinking of are on that list. Great starting point!
  2. Hello, Maybe a long shot, but here's what I'm looking for. Does anyone have or have they seen a list of medications that are especially relevant to transfusion medicine. Darzalex, fludarabine, plavix, aspirin, tranexamic acid and many others. I find myself not always remembering how the drugs work and have to look them up to be better informed. What I'm thinking, as an example, is an order for platelets when the count is normal and helping to confirm they are on a medication that causes dysfunctional platelets. Has anyone compiled a list of these and how they effect blood bank, mechanisms of action, etc? Have any suggestions? Maybe I'll make my own list but thought I'd ask first. Thank you!
  3. Our peds actually agreed to stop doing the babies of O moms! They said they want to do a Type and DAT as part of a bilirubin check - so if the baby is getting drawn for a bili, they will add on the Type and DAT. This sounds like a good compromise.
  4. Thank you very much cswickard! The link worked great. I really appreciate you sharing your SOP.
  5. Hello, One of our facilities was recently inspected by DNV and they asked us to edit/update our SOP for Look Backs. I haven't updated our SOP in a few years. We are a medium sized facility and do not get many of these notices from our supplier. I think we've only ever had to have our Medical Director contact a patient's physician once. It would be helpful to see how other's in the US have written their Look Back SOP, as we edit ours. Would anyone be willing to share theirs? Thanks! jbower@samhealth.org
  6. Thank you all for your comments and answering the poll question. It seems like many of us are still doing this even though the value of the test is pretty limited. We'll be discussing this at our facility...but the final decision depends on the pediatricians of course
  7. Hello. We have been looking at our policy regarding when the nursery orders Cord Blood Workups (Type and DAT) on babies. Currently we do all babies of Rh Neg moms (of course), as well as of O moms. I have read that many blood banks have dropped performing these on babies of O moms, and only do them as part of the RhoGam workup. In talking to a few of our pediatricians, none of them seem to care much when we call them to inform them of the positive DATs and they shared that they do not treat differently based on the result. This article states that testing babies of O moms is not required (American Academy of Pediatrics): https://pediatrics.aappublications.org/content/pediatrics/114/1/297.full.pdf What are your thoughts? What do you do at your facility? We are discussing this currently at ours and appreciate your feedback.
  8. Question. If the patient is registered, why can't you use the SoftBank emergency issue function prior to the Type and Screen being completed?
  9. Yes, Epic/SCC. I'd love to join the emails - please! (We also decided not to pay for SNUG this year so I no longer get the SNUG group emails, would love to be included.) Thanks!
  10. We don't require blood bank bands for inpatients or outpatients. All outpatients getting blood have their Name, DOB and MRN confirmed when they arrive for a blood transfusion. Then the Epic band is placed on the patient and the barcode is used for administering blood products etc. We do have a two ABO policy as well where all patients require two separate types (not same draw). Honestly when we first started this change (we stopped using bb specific bands about 7 years ago) I was a bit nervous. But it really has been a non-issue. Our Infusion nurses are very careful and know their patients well. Us
  11. I apologize if this has been discussed previously. I'm sure it has but I had a hard time finding it. In the situation where you have anti-E (but no other antibodies) in a patient that is c antigen negative, and they want to transfuse...in what situations do you give c negative units? Is the rationale that they were likely exposed to c (I understand this part - because of the antigen frequencies) and so they will likely make it if they are exposed again? Is it simply trying to avoid future anti-c creation? I assume if there is an emergency that you'd have to bypass this step and just give E antigen negative blood? What are your policies/practices regarding this?
  12. Thank you Malcolm! You are in England right? Where did those IRA bombings occur? Wow.
  13. At your hospital, who do you call when you need additional employees in the blood bank during a Massive Transfusion event? Just looking to see what other facilities are doing. We are only an 80 bed hospital, so we don't get a lot of these. But I'd like to hear what larger facilities and trauma centers do as well. Thanks!
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