Jump to content


Members - Bounced Email
  • Posts

  • Joined

  • Last visited

  • Country

    United States

About bowerj1

  • Birthday 02/08/1973

Profile Information

  • Location

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

bowerj1's Achievements

  1. A question that also comes to mind as we are writing our SOP for thawed plasma, is it necessary to have the provider sign an Emergency Release form when A plasma is given to someone with no blood type on record. Does anyone do that? Or is the policy stating when to use the A plasma sufficient?
  2. Hello, We are going to begin keeping 2 thawed A Plasma units on hand at all times for MTPs and Traumas. We are a level 2 trauma center. A few questions come to mind: Are there ever any MTPs or Traumas where you would not use the Thawed A plasma? For example, you know the patient is Type B historically? Or an OB hemorrhage scenario (a non trauma patient) where the patient is Type B or AB? Do you always use the thawed A plasma units on all compatible patients. For example if you get an O patient needing plasma, and the A units are available but were thawed about a day ago (and still have 4 days until expiration) do you always give the A, or is it a case by case basis? Does everyone limit the use of A thawed plasma to 2 units, until the blood type is known and type specific plasma can be given? Is anyone willing to share their policy? Thanks, Jesse
  3. 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!
  4. 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!
  5. 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.
  6. Thank you very much cswickard! The link worked great. I really appreciate you sharing your SOP.
  7. 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
  8. 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
  9. 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.
  10. Question. If the patient is registered, why can't you use the SoftBank emergency issue function prior to the Type and Screen being completed?
  11. 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!
  12. 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
  • 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.