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Kathy3171

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  1. You should also be able to ask your Meditech consultant.
  2. We currently use the Blood Loc system, It works great. We require that the nursing floors and surgery return the blood loc bags with the Blood loc back to the Blood Bank. When this does not happen there is an immediate call to the floor requesting it. Our blood is released to surgery in temp monitored coolers so there is no need to remove them.
  3. We do all our unit confirmations on the Provue labeled with their unit number, we also do the IGG crossmatches on the Provue as well. The Provue does read the ISBT labels and the CODABAR labels as well, there only has to be a slight view adjustment to read the whole ISBT number. Your technical service person should be able to help you
  4. We are currently validating EXM for our hospital for Meditech 6.0. My questions are, when you are typing the same sample for the second time can you do an abbreviated front type or a full type--my thoughts are a full type. My second question is how do you label units as to compatibility?
  5. Generally this occures due to the type of reagent being used and which D clones are present in them. We currently use the Ortho Provue and do have this issue occasionally but they have an interpretation guide for IGG cards on what to do if the reaction is less than 2+
  6. What does your policy say if consent for blood/blood products cannot be obtained in an emergency.
  7. I am looking for literature on the amount of time a post partum specimen should be drawn for and accurate calculation on a Rho Gam dose. Anybody have any ideas???
  8. For our negative DAT QC we use blood bank saline.
  9. We referenced the same article by Dr Judd. As far as cord bloods that type <2+ by gel and/or are weak D positive, we have a canned comment that states the mother is a candidate for Rh prophylaxis but the infant is considered Rh negative for transfusions.
  10. We use the cutoff of gel D <2+. These are reported as Rh negative and candidates for Rhogam. Until we have molecular testing for D, I don't think there is a way to truly determine weak/partial D's as some of these are capable of 3-4+ reactions.
  11. We've been using the Provue since 2003. You can add testing once you have started a run. It will finish what it is currently pipetting, then start on the stat that was just loaded. We went with automation when our workload increased to the point we needed help but not quite a full FTE. By having automation, we can now stay with our current staffing. We chose gel back in 1998 because when we did comparison testing, we found too many false positives with the solid phase. I'm sure there have been many improvements in both methods over the years, but our staff is comfortable with the gel system and the Provue helps us manage our workload.
  12. We use a 24 hour outdate, probably based on going from a closed to an open system.
  13. Nurses perform the majority of the draws for our hospital so they are the ones responsible for labeling the armband with the bloodloc code. We have very strong administrative support that backs us up if the nurses don't comply with the entire process. Any occurrence reported to Risk due to bloodloc errors is referred to the Nurse Manager of the floor involved and appropriate disciplinary action is taken, usually reeducation for the first offense. One floor now requires 2 RNs to verify the bloodloc at the time of draw because of one nurse's failure to follow protocol. It seems cumbersome, but at the same time, the nurses do really like the added safety feature. Also, the contracted dialysis tech that tore the bag has been asked not to return to our facility. As far as the SOP, I followed the manufacturer's guidelines, then added our own requirements such as, if it the specimen is missing any of the main identifiers (name, date of birth and Bloodloc code) the specimen will be redrawn, no exceptions. If they can't wait, then it will have to be issued uncrossmatched.
  14. I have just been asked by one of the nurses how often does the transfusion tubing need to be changed and if it is the same for red blood cells, FFP and apheresed platelets. I looked on the box of the transfusion set and I can't find anything as far as the number of units. One of the component infusion set boxes states to discard after 24 hours. We currently have a policy that says to use a blood infusion set for no more than 2 units but does that apply to other components as well? Any help would be appreciated.
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