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Posts posted by nsfirm
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is it supposed to be reported to the blood transfusion committee?
just got two different research proposals to use the blood bag for topical treatment of the eye ball and for burns.
one of the patients got swelling around the place the blood was put. is it supposed to be reported as blood transfusion reaction to the blood transfusion committee?
thanks
nova
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what is supposed to be tested?
just asked to give a test for the staff competency test, and just don't know where to start...
clue, anyone?
nova
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No problem. Give me an address to where I can send it on malcolm.needs@blueyonder.co.uk.
sent you an email
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I don't know that there are two parts of the film. I think I got the full version from start to end (include the what is supposed to be done, instead of what happened) in one piece, but I will check the duration again.
it's fun from the beginning where the audience was informed that if the audience has already know all the things, s/he can go straight to sleep. another one of the funniest thing is about how the staff informed the new patient where to find a certain room. it reminds me about me informing the same thing for a new patient, and in the end, I just said, "follow me."
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thank you all...
the consultant finally gives up.
I just told that it is what happens in a country, b country, c country, etc.about being red or not, my country has its own regulation, so the consultant has to use our regulation.
but, I have to give two thumbs up for the consultant because s/he gives in gracefully...
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thank you for the replies.
as I told before, my hospital is trying to get JCI accreditation, and the consultant told me that the blood, if not transfused, has to be emptied before the blood bag can be thrown.
and to make sure that the blood is transfused, instead of asking the labels back, the consultant said it would be better to send back the blood bag complete with the blood inside.
just like banging my head to the wall.
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We have a 16-point checklist that the Med Techs use - it has been a good thing to involve the bench techs as it 1) helps develop them as future leaders and 2) helps build a bridge between the blood bank staff and the nursing staff.
We transfuse roughly 10,000 products per year in a 400-bed hospital. We audit about 30 transfusions a month; we do so many per floor/unit based on the average number of transfusions each unit does per year.
In fact, one of our AABB inspectors was so pleased with the tool they didn't even wish to see a transfuion while they were here.
I would be happy to share our checklist.
would you please share it with me, too? please send it to my email nsfirm@yahoo.com thanks before
nova
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questions:
1. I know that it's supposed to be treated as biohazard waste, but is it a waste plastic bag, or is it supposed to be a firmer container; and whether it is in a yellow container or red container?
2. can the ward throw the blood bag on it's own or do the ward has to sent it back to blood transfusion unit?
3. do we have to throw all the contents (the blood) to a certain human liquid sink (which then will be treated as part of hospital waste management) or just let the contents inside the blood bag and put the blood bag filled with liquid inside the incinerator to be burnt?
thanks before...
nova
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Hi there Nicki,
I would be only too glad to send them to you, but there is absolutely no way that I can email them to you. There are something like 56 PowerPoint lectures and several Word documents that go with them. I would have to send them to you on a CD-ROM. If you email your professional (NOT your personal address) to me, I would be glad to burn you off a copy and put it in the post.
My own work email address is malcolm.needs@nbs.nhs.uk.
is it possible for me to ask for the same thing?
nova
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I read, an article about using blood not for transfusion, but for topical therapy, like in a case in opthalmology department, and a certain type of burn.
what if there is a reaction in that kind of cases, does it part of the haemovigilance that should be reported, or not?
anyone has ever reported something like that?
nova
jakarta, indonesia
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http://www.aabb.org/about/who/Pages/ContactUs.aspx
Try emailing at the link above and asking the AABB to put you in contact with someone with experience in devoloping countries where blood bank testing is limited to crossmatches as yours is. They have contacts all over the world and surely can put you in touch with someone. In fact, they should add a section to their (public) website for international information seekers such as you.
thank you..... I will
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This group isn't exactly a random sampling of opinion.
I meant the voting result in my hospital.
four doctors versus me. so, my thought should be put aside.
at least in this case I can easily step aside and do according to what they want, as long as there are two people check the blood bag and the patient.
but, I just got curious about what is really done in the other places.
thank you all for sharing.
I wish that I could spend at least a week in one of the best transfusion practice hospitals and learn.
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I remember reading it. two people check and re-check like in number 3, but most the management people in my hospital said that it's number 1. even though I don't really agree since the first people only read one document, while the other has to read too many, which may make that person miss-read.by doing number three incident still happens, what about doing number 1?but, I have to do things according to the voting result.The Joint Comm has an opinion on the bedside reading that states that they do NOT mean a 2 person bedside check to consist of 1 nurse reading and 1 nurse checking, but instead, both RNs must read and check the paperwork and the pt's ID bands. This is part of the new Blood Bank safety goals, but I'm sorry, I don't know exactly where. It is an interesting goal, but I understand it. We read the paperwork and the Unit information to the blood pickup person and have seen them miss our reading errors without blinking. 2 reads of the same data may not be any better, so I hoping the barcode banding systems with bedside ID eventually work out for us.
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There are some published transfusion guidelines on the internet you might search for.
yup. the one in the internet, which given for free, I have it. but if I have to pay, it means problem. I have no credit card (which I don't like), and the rate if I put it to Indonesian rupiah will mean a lot to me.
and indication is usually whether too general or too detail. and there are problems like leucodepleted blood which is not done to all of the blood bags in here, or washed rbc which is usually not in the indication guideline.
and about msbo, most msbo in the internet is usually for t&s test lab. how about in the hospital that still hasn't done that? like in my hospital which still use the major and minor cross match. so the samples from the internet can't be used in my hospital (even the sample from WHO can't *sigh*).
I know that this forum is not only for the people in developed country. so, that's why I ask for some samples in this forum.
so I can get the guidelines from many point of views.so, anyone? whoever it is, so I can make comparison, to decide what can be done at the moment, what will be done next, what to hope in the future. pretty, pretty please....
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???? - what is it?
there are two articles about it that I found.
1. transfusion medicine 2006, 16, 49-56.
2. world journal of surgery (2008) 32: 1183-8.
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I would be interested in the details of the JC goals. In some places two RNs read the info together (i.e. speaking in unison) to verify ID. I would think that would make it hard to hear small errors like 1 for 9.
another way to translate the procedure.
more confusing.....
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thank you. I will try that.in my hospital, the clinician usually only do Hb level test for determining the red cell transfusion. for hemophiliac, we use the coagulation factor level. but for other, it's a kind of no guide. it's complicated by the request form that (made by the red cross) and only ask for the Hb level.I think I know what you are trying to do. For the laboratory results for the hospital keep it simple, for blood bank staff make sure they understand why the results for transfusion helps determine transfusion. Once you define what the guidelines are, consult with the pathologist for comments, questions or concerns. Use the AABB manual for guidance. Do you have a blood utilization committee still? If so, they will be able to help determine laboratory guideline for your hospital. -
If you have a good BB reference book you should be able to find the material you are looking for.
yes, I have some. but, how detail it should be?
e.g. I had one sample that said for transfusion of some component, we need the laboratory tests result which is not commonly asked in my hospital, but I'm afraid that if I cut the tests, it's an important one.
so, I prefer to have more samples so I can make a comparison.
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Actually there are 2 places we need 2 people: Both at issue and at Transfusion.
If you are talking about Issue: Option 1 is closest.
a)The BB Tech checks the patient record (to be sure they have correct patient to begin with) while the person picking up the blood identifies the patient from their "pick up slip or label: info they need: Name of pt, MR# of pt, BB Band#).
THEN The BB Tech takes their pick up slip and gives them the blood unit. The Pick up Person (Nurse in this hospital) reads the ID label and the Blood bag ID info to the BB Tech who checks the issuing report (Transfusio slip or computer). WHEN all matches: PICK UP PERSON (Nurse) leaves with blood in a bag.
IF you are talking about transfusion (Blood Already at patient bedside):
a) There is a place to document both nurses who check the ID, Blood Bag, Blood transfusion slip, etc. That everything matches. So both nurses need to compare that the blood bag and label on the bag and transfusion slip that came with the blood all match the patient armbands (hospital and BB) for correct ID.
Hope this helps: Kym
it's number 1, then. thank you.
actually, I asked for receiving the blood bag (blood bag identification) and the bed side one (patient identification).
for issuing, do we have to contact the doctor again whether what they asked was right?
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sorry, If I was too harsh.... tired and a little bit angry when I heard that two doctors said that all the sops should be made only by bts people, not involving the clinician, not involving the blood transfusion committee.
I just don't want if something happen the clinician said that it's the bts' fault because they were't involved in the making of sops. aarrrggghhhh.....
and when I read your reply, I just remembered all the sops that I made which may not be used because the one that was put in charge was someone who didn't like me (and still doesn't). not to mention the forms that were made and re-made a couple of times. *sigh*
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#1.
Jb
ok, then we'll do that too, then....
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We do option 1.
so one person read one document, and the other check the other document.
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By barcode reading system do you mean a barcode band on the patient that is read with a scanner when the specimen is collected or transfusion software that the nurse uses to scan the patient's barcode wristband and the blood bag to record the transfusion in the computer?
yup. it will be helpful in reducing the work of the nurses (which in the end abke to reduce the number of the nurses), but at this moment, buying the instrument with that kind of price will only make my board of directors unable to sleep.
especially, thinking that the instrument need the support of a good his.... which is still a problem in my hospital. -
yup, I know that. you may think that I'm a little bit lazy because I ask the documents around. the truth is, I'm a kind of have to do this really prepared.
in my hospital, before, there is only minimal document about transfusion.
the clinician is used to give blood just like that. fever after transfusion is a usual thing that they will tell me that they have lots of patients with that, but only two reports of transfusion reaction in a year that were received by the bts.
I try to make a uniform forms of transfusion administration, but the nurse strongly refused, telling me that they've already have too many forms to fill in.
I need to be prepared. give the board of meeting samples of forms so, they can decide that what I made was actually a very simple version but contain the actual information needed about transfusion.
and having some samples makes me able to decide which is the thing that really need to be put there, and which one is a variation from one place to another.
I know that there are guidelines which give me the information of the information really needed, but having sample of forms and documents make me able to see more clearly the format that I have to make instead of thinking about it right from the start.
e.g. the information of the outward patient who gets transfusion. I have the sample of it, making sure that I have the same information given in the sample, and put it in my own format and try it in my hospital. there are changes after the try out, and it helps me a lot.
e.g. the transfusion checklist, I have samples with full six pages to write on. I made my own and make a one and a half pages, and still the clinician refused. at least I can tell to myself that at least I have tried, and hopefully one day, it can be used. one thing that make me keep on hoping is that the meeting concluded that I could use it for audit.
one step at a time, nov. e.g. the transfusion indication, I'm still confused about the detail to be put inside (I have one sample that is really great in detail, but I don't think that it can be used in my hospital).
so, I'll be willing to ask more and more of documents, not to be used as it is, but as a ground to make my own. and I need more documents as comparison. I need more documents to remind me which is needed and still not available in my hospital. I need more documents to make sure that I don't forget the things that I may forget because I'm a kind of working alone here. I need more documents so I can be prepared in the meeting which is attended by people who have more experience of the 'safe' transfusion (trali not part of transfusion reaction because they don't know about trali, fever is common thing that happens after transfusion, the blood is started at 6 and finish at 2, the blood needs to be put on the lamp just to make sure that it is warm for transfusion, etc).
I just told that it is what happens in a country, b country, c country, etc.
THEN The BB Tech takes their pick up slip and gives them the blood unit. The Pick up Person (Nurse in this hospital) reads the ID label and the Blood bag ID info to the BB Tech who checks the issuing report (Transfusio slip or computer).
30 minutes for return blood and blood products
in Transfusion Services
Posted
sorry, I couldn't catch the meaning. when you determine the time, is it the time for FFP to change from 37oC to below 6oC? and if it is, is it the thaw time or the pool time?
what is the definition of thaw time and pool time?