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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 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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?
  6. Competency on Couriers

    Annual training for nursing staff.
  7. 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.
  8. 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.
  9. RhIg administration

    This is also what we do. We treat this as a blood bank "critical value" and do a "write down, read back" to nursing.
  10. You should be able to show your procedure -- do you have a sterile welder with documentation of use? Your procedure will show them what you do. Meditech will add the letter at the end -- has nothing to do with a closed or open system.
  11. CE or PACE credits

    American Red Cross has SUCCESS courses -- or you may find something if you have a different blood supplier.
  12. Meditech Blood Product Wastage Report

    We change our wasted products to Inactive Status FS2 to differentiate from those transferred to another facility or returned to the Blood Supplier. When we look up the disposition report, we can see those wasted units easily.
  13. We fill out a transfer form from the blood supplier to send with the units just in case the new facility will accept our units. With that paperwork, we include a note for them to call us if they receive the blood. We are also able to get the information from the flight team, if necessary. One of the major hospitals we send patients to in the "big city" will also send us a letter informing us of the disposition of any units they receive (that they were discarded!).

    Last I heard, she was working in a hospital transfusion service in Roseberg -- but that's been several years. Thought it was worth asking. Thank you.

    Do you know Julene L., by chance?