cthherbal

We do B

Same as mollyredone

Aww, thanks for the snowflakes, Cliff!

Same as David and Terri

We are going Live with SoftBank in January '14. I had considered tissues but I think some of the lot numbers are too long than the number of characters allowed so we decided to keep it a paper process since we don't get that many. I think had I done it, it would have been as an action, not a blood product.

We do pre, 15 min and completion vitals. All patients get discharge instructions- both inpatients and outpatients. Some inpatients are transfused day of discharge so we recently decided to include both groups to increase awareness of delayed TRs especially since they make up 20% of all our reactions.

We do the same as David. We only do DATs in gel.

Same as Auntie D

I should also add that if we set up units "in case" (ex. Patient has antibodies), we'd put little tags on the unit that say "Do Not Issue, Physician order needed"

We do same as Terri

Sorry for this. I realized today that I just had the paper in backwards! It prints beautifully and the carbon copy goes through when you write on the 1st page. The brand we tried is Relyco carbonless 3-part straight, Item: RE811S3.

I am seeking help from users who currently print Transfusion Record paper on a Laser Printer, and then require a copy of the completed Transfusion Record for Blood Bank records. In our state, Blood Bank needs to be able to evaluate records for Transfusion Reactions, so we currently receive the yellow carbon-copy of the 2-part form that includes the nursing signatures and vitals (currently written on the form by nursing). We will be moving to a computerized process soon. I found the multi-part paper that prints beautifully on our laser printer but I didn't realize that if you write on the first copy it does not go through to the second copy. Help!

OB organized a task force and it took about 1 year to implement. It has been very successful since. Basically, like a MTP, if there is a protocol and everyone knows it, and it's followed, good outcomes are bound to result.

Sorry if I wasn't more clear. Based on the CA program 5dogs refered to above, the OB hemorrhage is "staged" by levels. Level 1 (least serious to level 3 (most serious). OB estimates blood loss by weighing pads, etc soaked with blood as a more accurate method then by just "eyeballing it". Once a certain level is measured, the patient is "staged", BB is notified, and based on that, we provide the appropriate products.

Depending on the stage of the OB hemorrhage called, we provide the appropriate products.

We have implemented Transexamic acid for Orhopedic patients which has shown to decrease blood usage.

Our OB Hemorrhage policy/ protocol actually came out first and is based on the CA resources mentioned. It includes immediate response from lots of folks, not just Blood Bank (anesthesia, pharmacy, rapid response team) The MT policy specifically addresses blood products and labs to draw at which time frame so the two are different.

My thought is just that we QC all reagents used for patient testing. Saline is a reagent, so it gets QC'd. pH paper is also a reagent.

100% agree with David and dragonlady.

Annual (in NJ)

The HIS has rule set up to automatically cancel a type and screen sample if ordered within X number of hours since the last sample was drawn. This has helped eliminate many duplicate draws at our facility.

Done

I agree with all, and also Terri that this is a reportable incident since the error reached the patient before it was detected. Good eyes by the family member.