1 hour ago, Cliff said:

I suspect this is a caching issue.  Did you see the notice at the top of every page?  If you do not clear all of your browser cache, I'd be surprised you are able to post at all.  The prior version of the editor had a lot of settings that were stored locally on your computer to make it work faster.  This version of the editor is significantly more sophisticated and many of those settings have changed and are likely stuck in the old mode on your PC.

Hmm, please let me know if it happens again, after this point.  I just updated the software again, the vendor released a fix for this.

Thank you

Yay!  I cleared my cookies and wed data the first day.  But it's working now!

Do blood transfusions still have to start within 30 minutes of leaving the blood bank?

 

If so,

If they have trouble with the IV site and you tell them to keep the unit but finish within the 4 hours do they get penalized for not starting within the 30 minutes?

Well now I can't quote again!    lol

 

The only option I see is to share a post.   But it does nothing when I hit it.

Did you get to skip the SBB 586 SBB Clinical Practicum course ?

That would be pretty cool if we could.

It's just amazing how quickly things change in blood bank.  You can look away for a minute and a procedure is different! 

I have a student with me this month and she was asking questions that made me pull out our procedure manual.

 

Our policy says "Our policy is to give Rh negative blood to all patients who look Rh negative on immediate spin. A Du test will not be performed on the recipient. Du testing will be done ONLY on newborns."

 

Is this the right procedure for weak D's now?

That's awesome! I've got the page pulled up and I've got an old professor pushing me to try it.

What are some good perks for having your SBB? Other than just being really awesome.

H&H??

Hemoglobin and Hematocrit

Thank you ! 

 

I'm new to this job,

 

where would be a good place to include this in a manual?

Do you have a policy in place for a pre transfusion H&H that has to be done before transfusing blood.

 

 

I've always been taught we have to have an in house H&H done prior to transfusion but there is currently no wording of that in our Blood Bank.   I just had a tech do a type and screen and issue out 2 units of blood on an outpatient with no history of any hematology done at our facility. How do we know the patient needed blood?

 

 

I've also had a doctor ask how old an H&H can be prior to transfusion if someone can also tell me what their policy for that is.

 

I had a dr write up the blood bank because she wanted us to use an H&H that was from 3 days ago but in the meantime the patient had left and come back and they wanted to transfuse but I said no Because I have no idea if that patient got transfused somewhere in the meantime.  

 

Thanks for any help!

Anyone doing this who uses UBS?

My previous hospital did total overkill. A type and screen on every OB, a postnatal type and screen and fetal screen on every Rh neg mother. And a cord blood on every baby!

So, the set up we have now is just peachy compared to that. ha

We've stuck with 3 days.  We are a small rural hospital and people are not driving a hundred miles to have surgery here!

Ditto at my current hospital. 

 

My last hospital did a 10 day but it was more likely that people were traveling to have surgery there in a bigger city. 

 

My staff of all generalists, though competent in BB, are not initiating a MTP. These events here are very rare (I can only think of 3 in the last 20 yrs). Our protocol is the MD running the show has to call it. Once initiated WE will take care of ordering product. Seems a moot point since we don't stock plts and they are at least 90 minutes away (if the police drive like banshees).

I'm in the process or writing everyone's responsibilities after the Dr has initiated the MTP. We hope to have an average of only 1 a year. I'm just trying to think of every thing now so when it happens I don't get called at 2 in the morning.

As far at the batches and ratios of blood products that you are preparing for the MTP.

Is someone actually ordering X number of RBC's on MTP patient, X number of FFP on MTP patient...

and who is responsible for ordering that ?

Same as goodchild and pbaker. All of them get one.

Our current procedure says we only check out blood to a licensed RN, LPN, Paramedic, or Perfusionist.

Is that a hospital decision ? Can I change that?

In my experience you only "run" the blood when something very very critical is occurring. I've done it less than a handful of times in 40 yrs. I'd deal with the computer later (you can always back date/time - or should be able to). Can't let the pt exsanguinate for the paperwork.

Oh for sure. I was just wondering do you say you checked it out to yourself/leave a comment ?

We have a microwave thawer (from the company in FL); we love it.  But yes, when we need it fixed or need a part, it does take a long time.  There's nothing like thawing in 5-7 minutes though, so when it's back in service we are all happy.

 

As far as I know nobody else makes a microwave thawer.

Do you have to keep a back up method in house in case you are down for an extended amout of time?

Can anyone elaborate on MTP without the use of coolers?

 

I already have 6 coolers validated 3 for OR and 3 for our cancer clinic. I do not want anymore!

 

I have a surgeon wanting to implement a MTP here with coolers.

 

We are steps away from the ER so we are really hoping we can talk them out of the coolers.

 

 

Do you just get the "pack" ready as in have the units ready but keep them in BB and issue you them as they come?

How do you handle issuing blood in the computer if you are the runner?  

Good question but no clue.

 

 

I am in charge of ordering and keeping track of Platelet and plasma filters though.  I issue them out with the products. 

Try private messaging Cliff amym1586; he is superb at this kind of thing, and always very helpful.

yay! He helped

Most all of my patients have hemochromatosis.  Their crits are usually normal or slightly low. But several have hepatitis/ history of IV drug use and just crappy veins.

 

I've had one that got sent over from another hospital with a crit of 57 and that blood was so dark it looked black.  She was on constant oxygen. She got some relief after that draw.