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slsmith last won the day on April 24

slsmith had the most liked content!

About slsmith

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    Junior Member
  • Birthday 08/09/1955

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  • Location
    Portland, Oregon
  • Occupation
    Medical Technologist
    (Lead Blood Bank)
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  1. Right now we are using Radsure but are going to switch to RAD Control(made by TYPENEX). It is a smaller label and stored at room temp rather than the refrigerator. The thing everyone likes about it is the lot number and exp date that we write on the irradiation log is actually a sticker on its own that you peel off and attach to the log. As far as a making doses from the parent bag we use a ISBT based label that has irradiation printed on, like Malcolm's.
  2. 6 rbc/6plasma(usually liquid)/1 pphl every 15 minutes(we try). If it is a OB one of the rounds also gets a pooled cryo.
  3. We do have a rotem but it is used mainly for trauma surgeries. Surgery is in charge of the running of the cell saver although the BB does review their QC, put it in a spread sheet and then transfusion committee reviews it. The standing order is 3 red cells on the fresher side of expiration. And although it isn't order at the onset there is pphl on hand in the event it is needed.
  4. Last Aug we stopped using the Quick Release sheets where we documented the T & S, wrote all the units down, document the dispense time; and initials of who listened, read and picked up. Now for dispense documentation we use the regular dispense log where the patient's label is place, the number of products that went out and what type, also the initials of involved. The dispense log is reviewed the next day for accuracy and usually there hasn't been any discrepancy. The ones we had were able to be figured out.
  5. We use plain old plastic ziplock bags. Not so much for the safety of the transporter but in the event they drop the bag and it happens to break.
  6. I have been told by the BB leadership that antibody workups need to be kept for ever per either AABB or CAP(don't remember which was they said). This doesn't make sense to me as the results are in the computer unless they believe the workups would be subpoenaed if sued. Anyway since our file cabinet is bursting at its seams so I am in the process of removing the workups of anyone born before 1940 and haven't seen in 5 years and moving them to long term storage
  7. What a timely question! My hospital also is a trauma center and we have a pretty good adult protocol for MTP in place. But currently trying to have a good one for peds which as we are finding out there is no real good studies or whatever you want to call it. Currently if the child is 10 or older we send the adult mtp pack which is 6 rbcs, 6 liquid plasma(if not available fp) and a platelet. If under 10 we send a RBC and FP with a filter syringe and let them push it(this has worked well in the pass). As for the platelet portion we aliquot based on the patients weight. I will be interested to see what others say on this post
  8. 365 bed trauma center that pulls staff from the other departments if needed although during a massive the hem/coag needs to be staffed too. If another body is needed a call would go out to someone close to the hospital and works in the blood bank. Fortuanately, we have not had anything the staff couldn't handle and not problem in the rare occassion to get a body in.
  9. We use the cells on from the panel with the @ as long as we know the patient has received rhig. Also it is documented in the Blood Bank Patient History that you can not use this work up for transfusion purposes.
  10. Patient medical record# and their own id(not all nurses have been trained to access the refrigerator)
  11. OR staff, usually the anesthesiologist
  12. 1. There are two in separate cores for the OR. The OR techs take the temperatures daily which the BB reviews at the end of the month and keep with the other temperature records. A circular graph is also connected to monitor peaks and valleys 24/7 which is changed weekly. The refrigerators are also connected to alarms that sound off at the OR desk, facilities and BB. Blood that has been crossmatched for patients that have a high chance of using is picked up in the am by a OR runner, They are sent in and store in separate containers to prevent a mix up. 2. There is also refrigerator with uncrossed O+ rbc and A low titer liquid plasma. Which only can be opened by a trauma RN who has the MR# of the patient that the blood is being given to. When the refrigerator is opened there is a large screen in the BB that flashes that the blood is being removed, which units and the Patient's MR#. This refrigerator temp is also taken daily and connected to an alarm.
  13. I don't understand this question? What do you mean by platelet bag?
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