Karrieb61
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Everything posted by Karrieb61
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Standards requiring retypes on new patients
Karrieb61 replied to Karrieb61's topic in Accrediting Agencies
Thanks all. Yes David, I have the CAP standard but I was sure there was something else out there. I have a paper from the UCSD Medical Center that says "Current FDA guidelines and JC and CAP Accrditation standards REQUIRE a second ABO/Rh for confirmation....."and it was about the patient, not the donor unit. So I'm thinking that they must have gotten that somewhere. I plan to try and email someone there and see what they say if nothing else pans out. -
Call me crazy or temporarily brain-dead but I thought there was an AABB standard requiring retypes on patients with no HX and that included the second draw being done at a different phlebotomy event from the first. I found only the CAP standard for retypes that lists this as an "option that might be considered" but I can't find anything in our AABB standards, in the 42 CFR or just by Googling. I don't have access to JCAHO standards. Where might this be found? Thanks
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We require a Transfusion Order form which is filled out by the nursing staff based on the official written order in the patient's chart. The form requires the reason for transfusion including lab values for H/H, plt count, fibrinogen, etc to check off or fill in on the form where our transfusion criteria is noted. Usually this means that they put the diagnosis but not always. So basically its our way of monitoring if the Hospital's criteria for transfusion is followed. We don't give out products until we get this Order form.
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I am curious about why you feel the need for external QC. I am asking as a former IL employee who managed clinical trials and did a ton of work in the company's QC lab. I remember this coming up with clients once in a while who were concerned that their accrediting agencies would not accept the internal QC as part of a "normal" QC program. Just curious really.
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Thanks again everyone, this is a wonderful site and I'm lovin' the helpful info!
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Thanks Malcolm. I'm not sure what you mean by "send in by our ECHO users" but I'm still new to Pathlabtalk
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Thanks to all of you for your comments and suggestions! They are all very much appreciated! Keep 'em comin"
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HI all, I had the opportunity the other day to look at another lab's Immucor ECHO and the Supervisor showed me a few results on the screen that were negative but not quite negative (loose cells around the bullseye or at least that's what they looked like) . She said that those types of not-completely-clean negative results are investigated as being weakly positive for antibodies etc. I am hoping that an ECHO user can give me an opinion on how often this happens. As I move our techs away from the microscope, it will be important for them to feel confident interpreting ECHO results and I would hate to see people panic and start doing back up tube/micro readings of "negative but not quite" reactions from the ECHO. I think that when I quiz the Immucor Tech Specialist, I may be told to not over-read these. Opinions anyone? Thanks
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OK thanks! One more bridge to cross when we come to it and in the meantime we will be stuck with what we have! Happy Lab Week!
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I also would love to hear what people say. I've just been told that we are two years out from being upgraded from Star Navigator (McKesson) to EPIC or something else so now I am trying to find out what we would need to do to connect the ECHO to Navigator. I'll be curious to hear what people tell you about building a connection to SCC )Soft?)
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Hi to all of you. I am already finding this site very useful and just signed on as a member. My little lab is about to acquire an ECHO which will bring us into the 21st century but our current, very limited LIS system is a Star Navigator. Rumor has it that we will be moving to EPIC within a year or so. Do any of you know if EPIC has a Blood Bank module for connecting to ECHOs? Thanks! PS, you'll be hearing more from me I am sure as we get closer to installation of our ECHO.
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If its not too late, I would love an update to this if there is any. We are in the very early stages of purchasing an ECHO and I recall from my Gel-Provue days that Rh discrepencies weren't unusual. I am now building 'experience" logs to have on hand as a reference should we run into these situations as we do have an active oncology dept. Thanks
