nsfirm

anyone has a copy? and how to use it? nova

hi, khalid. I'm Nova from Indonesia. Can I get the manual? my email is nsfirm@yahoo.com thank you before

is it also happens for Mr. X that changes to Mr.-with-a-real-name? if we ask for a new sample to be sent, does it mean that we have to do the test with the new sample again? won't it cost the patient more than needed? I know that it's for patient safety, but in my country money is also a big problem, that may go to the press -which is already happened for doing the TTI rescreening-.

btw, I heard one presentation about the handheld barcode reader. I got the impression that it will mean that if we use the tool, we don't need a second person to do the re-check. is it true?

so, it means the number three, which one person do the checking and the second person do the same process all over again. thank you.

how is it done? I mean about two people should do the verification of the blood bag and the patient. I asked three people which gave me three answers. 1. the first people read all the information from the document a (e.g. the blood transfusion request), while another confirmed it from other documents ( e.g. the piece of paper on the blood bag, the blood bag which is another piece of paper that is separated from the blood bag, and the medical record or patient's wristband. 2. the first people is the nurse who is going to start the tranfusion, has to confirm the doctor who request the blood (whether the blood bag asked was the same as the one that will be transfused) 3. one person read all the documents, and check whether they're all the same, and the second the same thing (re-check) to all the documents again. what's in yours? tq b4

I know that I may ask too much, but anyone can please help me about: 1. indication of blood transfusion 2. indication of emergency blood transfusion 3. indication of massive transfusion 4. indication of transfusion before surgery (in my hospital there are doctors who ask for blood before surgery, how about in yours?) 5. msbo thanks before.... nova PS: I have to make a blood transfusion guide for my hospital and I need some references about how detail it should be (does all the laboratory result should be put inside the guide, or just the general laboratory result, eg. Hb for RBC transfusion).

actually the question that I was going to ask is almost the same. as far as I know, my teacher told me that according to one research it took around 30 minutes to increase the blood's temperature to 10 degrees (if the room temperature around 20-24 degrees). but is there any real statement or research about this (it takes around 30 minutes bla bla bla) and about the consequence of getting the blood to 10 degrees high? is it really increasing the possibility of bacterial contamination and the hemolysis? the problem is I still couldn't find the literature about that and the literature about what will happen if the blood's temperature gets 10 degrees. my logic told me that it will increase the possibility of bacterial contamination, but I can't give any data about the percentage. I also said that it will make the blood lysis, but again I don't have the data. anyone have?

After thinking about it, I would like to ask for both.

what is sbb? is it possible for someone from outside of us to get it?

I know that there is a quality control in a blood bank that collect, and process the blood. but my hospital has the processed blood from the red cross and my lab only does the cross-matching test. what do I have to use as the quality indicator/parameter? btw, we still do the major and minor xm with the tubes, not the Ab screening and identification. nova

Do you have the copy of the rule? is it possible to give a copy to me? or where can I get it? I know that I have to follow the latest rule, but if it's going to be too much, e.g. have to check the vital sign every 15 minutes, it will not be applicable in my hospital. considering that my hospital is also a teaching hospital (with a high turn over rate of doctors), it will be hard to make a new policy with too much detail to do. but if I it's going to be easier to comply, then I'll choose that one. I know that JCI ask us to do things according to the local rule, but the problem is the local rule is still not established, yet. so, another work and extra work.

thank you for the sharing..... like I wrote before, it really helps me in making the information form in my hospital. but I would be glad, if you share more about... when the patient come to the hospital again (in my hospital most of the ambulatory patient usually comes back for other transfusion session, e.g. thalassemia patients, hemophiliac, cancer patients), do you ask again whether they have transfusion reaction? and how do you record it? thank you...

that's one of the suggestion that I think possible to do in my hospital, but it means I have to make the information sheet, which is another problem since I don't know how detail it should be. could I have the copy of the information sheet? and when the patient come to the hospital again (in my hospital most of the ambulatory patient usually comes back for other transfusion session, e.g. thalassemia patients, hemophiliac, cancer patients), do you ask again whether they have transfusion reaction? and how do you record it? so many questions...

Thank you. about lots of forms to choose from, I have downloaded many forms, but there are times I don't think that I can't use any of those forms since it's too perfect I have to make sure, that it's enough for safety reason, but not too much so the overloaded nurses will be able to fill the forms correctly. it will be very hard to audit, but one step at a time is the thing that I should do at the moment. the problem is when I try to modify the forms, some important points will be lost, so I need other people to point those points out for me. about vital signs recording, I know that it's different for each place, my hospital doesn't regularly check the vital signs while transfusing, but at least in the wards, they have regular vital signs check. if your hospital doesn't use the WHO recommendation, what do you use?

Thank you

Thank you. Actually I feel the same way, since I've already got helped for my first question.

Hi, I'm Nova Hippy from Indonesia. I work for a blood bank hospital in Jakarta. At this moment, my hospital is trying to get the JCI accreditation, and it's a kind of giant leap, since transfusion is a kind of ignored before. I really need a lot of help from others, since some time I feel blank about what to do. For example, would you please share your point of view about transfusion for out / ambulatory patient. We usually let the patient go after being transfused, but: 1. as far as I know, WHO asked to check the vital signs 4 hours after the transfusion ends. 2. some of the patients that I know had transfusion reaction after they was outside the transfusion room. do you think that we still have to ask the patient for 4 hours (which will bring a lot of trouuuuuubbbllllleeeeee) or ask the patient to be hospitalized at least one day (which also bring a lot of troubleeeee from financial point of view) or just let them go, and hope that they will not get the transfusion reaction (which means underdiagnosed and underreported of the cases)? I also would like all the help regarding the forms.... For a start, I've already made the forms for: 1. informed consent 2. forms to take the blood from the blood bank 3. forms for blood administration 4. reporting transfusion reaction I know that it's still too few, but I don't want to give too many forms at one time (before the clinician only fill in the blood request form). is there any possibility for me to share the forms, and ask for your suggestion and opinion about the forms that I made? thanks a lot before. Nova