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amym1586

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Posts posted by amym1586

  1. I'm having the worst time with therapeutic phlebotomies.  Can someone give me some tips and pointers.  I'm a novice to put it nicely at normal phlebotomies.

     

     

    I often experience a tugging or pulling feeling on the big needle.  What is happening in that situation ?

     

    I have another patient who has a huge juicy vein but there is so much swelling around the needle site that I can't finish the procedure.

     

    I have another who has no veins and I have to have a phleb help me syringe him.   We are working on ordering 20 gauge needles to help with the syringe process.   Do they make donor bags with smaller needles.  We obviously aren't concerned with hemolysis.

     

     

    Thanks for any help !

  2. Sorry to bring a post back from the dead.

     

    We haven't missed a survey in so long!  I start and we have an unsatisfactory ! We aren't in any trouble YET but now I have to fill out this evaluation  as to why it happened/corrective steps to solve the problem and corrective action to avoid the problem in the future.  And said employee that missed the survey won't be here for a week!  I have no idea what she did wrong.  GGGRRR

     

     

    Rant over. 

  3. yep!  Id say they are still a little old fashion.   I was shocked when they said they were doing Electronic XM's.

     

    They way they have explained it to me is that they like to have a forward and reverse done very quickly for emergencies.  We only keep 10 O neg units on the shelf and we are 70+ miles away from our blood supplier.  In the state of emergency after they have a forward and reverse done they will emergency release type specific blood. This is how our pathologists like it to be.

  4. My hospital is using what they call  Mobile Care Phlebotomy.   The patient is given an armband at admissions with a bar code.   Once they have orders that barcoded label on the patient is scanned and labels are printed on a handheld printer.  They label at bedside and we have gotten rid of the second sample ABO/retype.  On the first visit the patient is required to have an IS XM. After that they have an Electronic XM.  It's been going great.

  5. I have got to add this to our policy!  I had some snotty guy come in drinking from a Styrofoam cup.  At the time I had only been the blood bank sup for about 3 days So I didn't feel brave enough to really tell him off but I told him in the future not to do it again.  He said nothing but glared at me with his cup.  He then barely even looked over the paper as I called it off and then folded it up before I was done.  IF he acts like that again he'll be getting a piece of my mind and a call to his boss!

  6. Well that's convenient!  We are in the deep South and if I am stumped I'll usually just call around to local hospitals to see if they've got a history on a tricky patient.  But that would be nice to have a set up like that.

  7. It's come up that when our blood supplier (UBS) does hospital to hospital platelet transfers, we are responsible for testing the temperature of the platelet when it comes in.  Do any of you also have to do this?  Do you keep a digital thermometer on hand for this? What kind do you use?  If I buy a new one will I have to incorporate calibrating and temp checks on it?  

    * sorry for all the questions I'm a new supervisor.  Thanks!

  8. Our supervisors work weekends every 6th weekend.

     

    1.  We work normal hours 7-3 but are expected to be able to answer the phone at all times of day/night.

    2.  I am almost always the bench tech but there are days I have a bench tech and I do my supervisor work.

    3. No.

    4.  Yes

    5.  165 bed

     

  9. Thank you!

     

    They were on the right track and antigen typed for M but they were still confused about why.

     

    I'm not sure if we have a policy/procedure for doing panels at RT, I'll have to further look into that.

     

    I'm a new BB supervisor and I"m trying to get as many reference charts, key things to remember and what not. My entire BB staff are floaters who don't get a lot of experience.

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