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TreeMoss last won the day on November 13 2017

TreeMoss had the most liked content!

About TreeMoss

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    Medical Laboratory Scientist

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  1. We accept specimens drawn at the oncologists' office and labeled with Temporary ID band labels with the TID band placed on the patient's limb. Otherwise, all patient specimens are collected at our facility with the armband being placed on the patient at the time of specimen collection.
  2. Antibody Titration

    We follow the AABB guideline and test only in tube method.
  3. Return of used blood

    We also have empty blood bags returned to the blood bank. We keep them for 7 days following transfusion. We keep the bags in the morgue where there is room for storage. We decided this was the easiest way to keep what we needed in case of delayed reactions, especially since we don't have many of these called. We thought this was easier than having to pull segments off of the units and store. We have a special door below the Blood Bank window where the nurses or volunteer can drop of the units into a biohazard bag. We just fill up the bag, label with in and out dates, and take to the morgue. Pretty painless!
  4. They do this occasionally at our facility. The specimen(s) are labeled at the time of collection with a label made by scanning the infant's identification band. We also do not use cord blood specimens for crossmatching/transfusion purposes. This source is also often used for chromosome testing due to the larger volume that is needed. They will not use placental blood when twins are delivered.
  5. Meditech Aliquot process

    Where do these inspectors come up with these things? We have never had this difficulty. When we issue the aliquot, we point out the AO, BO, etc. at the bottom of the new label. If you use a sterile welder to make your aliquot, I suppose you could show that paperwork to prove that it is a closed system. I'm curious to see if anyone knows the answer to this one.
  6. RHIG Workup

    Our result includes "Candidate?" where we result "yes" or "no". This documentation helps the nurses know right away whether the mom needs RhIG or not. We credit the patient account for any testing not performed but resulted.
  7. Our facility currently has a consent for transfusion that is good for 30 days after which a new consent has to be signed. Our NICU staff would like to have a transfusion consent that is good for the length of stay since their patients can stay for up to 4 months if not longer. We are inspected by The Joint Commission and CAP. Is anyone aware of specific guidelines that apply to these consents? Thank you
  8. We dilute up some anti-D and use an aliquot of that to crosscheck the newly received antibody screening cells with the screening cells currently in use. When the cells are put into use, we check all three cells using anti-D or anti-c diluted up so that we are testing all cells for something positive.
  9. Crossmatch Billing

    We listened to an ARC sponsored reimbursement webinar a few years ago where we were told that we could charge for all crossmatches and antigen typings performed, within reason. We will also crossmatch first and then antigen type the compatible units if the antibody is showing -- to conserve that expensive antisera.
  10. Electronic Crossmatch

    We are using EXM on Meditech 5.6.7 and love it. I was able to get the building and testing information from ATLAS and just followed that information. You will begin by having changes made to the LIS Parameters and then will just build what is needed. The whole process went well with that information.
  11. Ordering Emerg Blood

    We have 2 O Pos and 2 O Neg units all labeled and written on Emergency Issue and Blood Cooler forms ahead of time. Segments are also set aside for these units. When a full trauma is paged (we have full and partial traumas in our Level II Trauma Center), we call to find out the age and gender of the patient. We then pack up the appropriate units in a blood cooler. For most of our full traumas, someone comes from the ED to pick up the cooler. Sometimes they call first, and sometimes someone just appears at the blood bank window for the blood. These units are usually taken to the ED prior to the patient's arrival. If the patient is an inpatient, the courier comes to pick up the units and brings patient identification. Orders are not usually in the computer prior to picking up the units. If a type and screen has been completed, we can quickly do an electronic crossmatch and have the units available. If it has been necessary for us to put the order for the packed cells in the computer, we complete a sheet for verbal orders that the physician signs later. If an MTP is needed, that order is place in the computer. We prepare the first pack, and then blood bankers order any additional packs that are needed. Since this is an approved protocol, we don't need additional signatures from the physician.
  12. We don't have this version, but when we scan the DIN barcode (or type U#[unit number] under result entry, the specimen pops in and we can enter the results. Has this changed in later versions?
  13. Competency on Couriers

    Annual training for nursing staff.
  14. Emergency Release Labeling

    We do the same. If we have a "Doe" patient arriving, we ask for the age and gender, then issue O Negative or O Positive packed cells depending on the answer. These units are labeled only with an "Uncrossmatched Blood" sticker. If, by chance, we have received a specimen prior to the need for uncrossmatched packed cells, we quickly do a blood type and will then issue type compatible packed cells with a patient identification sticker and "Uncrossmatched Blood" sticker on the units. There is also the paper for the physician to sign acknowledging the need for the emergency blood. These are sent in a blood cooler and are issued to the patient after the cooler is returned and we have paperwork showing the units were transfused.
  15. Preferred CLS/BB Conferences?

    The Intermountain States Seminar is the regional ASCLS meeting for Idaho, Utah, Montana, Wyoming, and Colorado. This meeting is held in the fall -- usually the end of Sept/ first of October at the Snow King Hockey arena in Jackson, Wyoming. Each state in this region also has an annual spring meeting.