TreeMoss

We were lucky to use embossable armbands that were Biologics prior to St. John's. Unfortunately, these armbands are no longer available. This box will last us many years, I'm sure. When they are all used up, we'll be going to the red Blood Bank wristbands that are available. Currently, we use the MobiLab system -- when hematology specimens are labeled with these wristband labels, we are able to use those specimens for blood bank purposes so that the patient does not have to be redrawn.

I suspect it was one dose of 4-300 mcl. Since we're not pharmacists, we sometimes fail to use the correct terminology when speaking of a "dose". This amount would have been indicated from the results of the Kleihauer-Betke stain for fetal hemoglobin.

We have 4 units of Group A liquid plasma on stock. As it becomes short-dated, we are able to use it on other patients. The liquid plasma is generally used for MTP patients, but we have the choice to use it as needed.

Thank you for sharing this great news with us. Congratulations -- you've earned it.

Our facility uses MobiLab. This system prints labels after scanning the patient identification band. The specimens are then labeled at the patient bedside when collected. We have Meditech that uses Bar-coded Transfusion Administration. Nurses scan the patient ID band and unit identifiers (DIN, Product, and Blood Type barcode labels). If something doesn't match, an error message pops up to return the product to the blood bank. This system is used for all transfusions except some emergencies (i.e., Massive Transfusion Protocols). It works very well. In the past, we used Biologics wristband label with patient ID. These worked like a credit card -- labels were made from embossed plates and attached to specimens -- so I've never used the Typenex bands. With the Biologics and now our current wristbands, we are able to use the blood specimens that were collected previously for CBCs, etc., for our blood bank work if the specimens were labeled with MobiLab. There was no reason to have to stick the patient again for a blood bank specimen. This system works.

I think that the liquid plasma we get from our blood center has a 26-day expiration (21 + 5). CPD/CP2D blood has a 21-day expiration, so that made sense to me.

We do an annual temperature validation of our blood coolers for a 24 hour time period. Since we have validated the coolers to show that they maintain the appropriate temperature over the 24 hours, we do not monitor when they are in use during the year. If they still have ice in the bag on return, they have maintained the temperature.

We are a level 2 trauma center. Our original MTP order includes FFP (including liquid plasma) x 6, packed cells x 6, and pltph x 1. Blood tests drawn with that original order are ABG, CBC, PT, PTT, Fibrinogen, D-Dimer, TEG, Chem 7, and Ionized Calcium. Every hour for 3 hours (if the protocol goes that long), we order ABG, CBC without diff, PT, PTT, Fibrinogen, D-Dimer, TEG, Chem 7 and Ionized Ca. After the first pack of blood products is taken, blood bank orders in the next pack if told to continue. Second pack and every other pack is the same products but also includes pooled cryo x 2. If the MTP is an OB patient, the pooled cryo are sent with the first pack.

We were not pleased to find that Helmer didn't have the dividers, so we used the old ones from the refrigerator that we replaced -- just needed Engineering to cut them down a bit to fit in the drawers.

We test both panels with the same diluted antibody and make sure the results are the same.

For whatever reason, when I click this form nothing happens. Is it possible for you to email to me -- I'd like to see what it looks like. It may be similar to the one I designed my form after. Thank you.

We cross-check our panels on receipt with the panel currently in use. This gives us the cross-check of the new panel and the "intermediate" check of the current panel. We do not do any QC testing on a panel on other days of use.

We print out spreadsheets for patient results because we don't have computers right on our workstation benches. This will change when we do a remodel -- whenever that happens. Of course, we check the computer results at the end of each shift against the patient worksheets. We also check all results from worksheets against the patient master log every morning as part of our morning paperwork.

We have Meditech version 5.6.7. Our Transfusion Report is found by going into the Blood Bank module -- Management Reports -- Transfusion Report. By entering the dates needed, you will pull up all patients transfused on those dates. We use BCTA (Barcode-Enabled Transfusion Administration) which includes the ER using TAR to access blood transfusion. Our vitals show up under the transfused units given to each patient.

We are also a level II Trauma center. Our adult MTP 1st pack is 6 FFP, 6 PC and 1 PLTPH. Initially, we issue 2 PC and 1 PLTPH because we already have the 2 PCs ready for emergency issue. The assigned runner returns to pick up the other 4 PCs and then the 6 FFP once they are thawed. We are going to be stocking liquid plasma as soon as we can arrange for that from our blood supplier. After that, we will issue 4 units of liquid plasma at the beginning of an MTP. We felt that whole blood was too costly, but we think the liquid plasma will work well for us. The second pack includes 2 pooled cryo with the 6 FFP, 6 PC, and 1 PLTPH -- and we alternate contents as the MTP continues. We have also defined 2 pediatric MTP packs, based on the weight of the patient.