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May 2024 Challenge

ESIZENSKY

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Everything posted by ESIZENSKY

  1. ESIZENSKY
    I just answered this question. My Score FAIL
  2. ESIZENSKY
    I just answered this question. My Score FAIL
  3. ESIZENSKY
    I just answered this question. My Score FAIL
  4. ESIZENSKY
    Do you manually enter the tested results into the inpatient order? Do you have a "copy" function that takes the outpatient results and copies it into the new inpatient.
  5. ESIZENSKY
    clear plastic bags
  6. ESIZENSKY
    Couple questions: How do you manage outpatient and inpatient test orders? If you have an indated TS a new accession number is generated with a new visit account. Meditech generates a new accession number with each visit. Can you move the TS from the outpatient account to patient account to avoid a new TS sample. Moving account numbers in Meditech moves all tests associated with the accession number that creates more problems.
  7. ESIZENSKY
    We have Meditech and TAR and it is a problem. The transfusion report gives minimal information. My staff spends hours on auditing for compliance. TAR was suppose to eliminate incomplete transfusion charts, consent, vitals ,outcome. The implementation of TAR requires checking in EMR for transfusion data . IF the data is not present we have to search for documentation in the nursing notes. I would like a NPR report specific for TAR documentation. IF the information is not documented then it is an incomplete document. Unfortunately we do not have access to a NPR writer and Meditech has limited options. If you manage to get a transfusion report to please can you share it.
  8. ESIZENSKY
    Is there a computer work around to create an aliquot in Meditech without the aliquot (i.e A, B) adding to the DIN number? The IT card prints the DIN number with this aliquot "A". and it does not match the ISBT label. My protocol references the ISBT product code designates the aliquot (i.e AO) but an inspector indicated that this does not represent a closed system and the DIN number can not change. Looking for a protocol to address this issue?
  9. ESIZENSKY
    Do you have a flow chart how to manage antibody identification process and dosage antibodies (Anti-M).
  10. ESIZENSKY
    The inspector was not happy with the A added to the DIN on the IT card and computer screen. I am going to check with my IS team to research that KB article reference by Bankergirl. It may solve the problem. I will also add Sgoertzen comment that the clinical staff can differentiates which aliquot is processed for transfusion.
  11. ESIZENSKY
    It is a closed system. The inspector said it was not clear that it was a closed system if the "A" is added to the din number. I showed her our process that it was a closed system. The blood aliquot directly into a pedi bag attached to the mother unit. The computer creates the suffix.
  12. ESIZENSKY
    I was sited by the CAP inspector for my aliquot label for on a neonate unit. Meditech adds a suffix of "A" to the aliquot. She indicated that she was not convince that it was a closed unit even though the ISBT product code contained the "AO". Is there a way to print an aliquot label in Meditech that does not attach the "A" suffix?
  13. ESIZENSKY
    I had a similar situation and did report
  14. ESIZENSKY
    Pheresis products with the same DIN number the product description is different for each unit. RBC-1 and RBC-2 for the container. I recently added the product code to the compatibility tag for my modified products to prevent labeling issues.
  15. ESIZENSKY
    How was the test? Do you have any test questions for future takers?
  16. ESIZENSKY
    Thank you for the information. I think it is best capture in issue so its the final check that the product is label correctly? To avoid that FDA event... Did you build the CDS or Meditech?
  17. ESIZENSKY
    1. Positive DAT IGG within 3 mos transfusion, when we get a request for polybrene , neonate 2. Gamma Elukit 11 acid elution, , Lui Freeze for neonates 3. Capture solid phase, tube 4. Initial antibody screen cells, panel
  18. ESIZENSKY
    Is the CDS in Meditech built in processing component or at issue function?
  19. ESIZENSKY
    Can you share your CDS for your label verification?
  20. ESIZENSKY
    David, We just installed the Blood Track Merge in our ED and Hemobank in OR.We had some issues with interfacing it with Meditech 5.67 to print the ER and compatibility transfusion tag. The system tracks all the activity from user and blood product history. The system is not fool proof. The system requires a scan of clinical staff ID, patient account number and the blood product. If the blood is removed and not scanned no ER tag is printed. In the ED the blood units are not in locked compartments. This allows the clinical staff to remove more than one unit. We have only used our refrigerator for two events in the ED. I have had several events with OR staff not scanning the blood product but was able to track the nurse who removed the product. The system works as designed if protocol is followed by the clinical staff.
  21. ESIZENSKY
    What Meditech version do you have? I am interested in setting up my QC in Meditech. Is it possible that you can email your protocol and screen shots?
  22. ESIZENSKY
    I would like to know how do others manage test samples for FFP and Plts. If you have a current Type on file do you require a new Type if the patient's out patient billing account number changes? (i.e ER visit , out patient visit, inpatient)
  23. ESIZENSKY
    Do you have a protocol for Cord testing on the Tango. How did you validate the DAT coombs?
  24. ESIZENSKY
    What version of Meditech will this enhancement be added to?
  25. ESIZENSKY
    I want a process that verifies a modified ISBT label is on the blood product. We do have TAR and that is how we detected that the product was not labeled with correct ISBT label. I know Cerner has a label verification and the blood product is scanned and verified that the correct label is on the product.
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