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About bldbnkr

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    Blood Bank Supervisor
  1. Hello Meditech users, Does anyone extend the preop Type and Screen samples for longer than 72 hours (example 7 days, 14 days, 336 hours)? We used to do this with Softbank, no problem. Now that we have converted to Meditech, the background settings that require the ABORH and Antibody Screen to have been done in the past 72 hours for Electronic Crossmatch, are over riding the setting where we extend the expiration date of the sample. In other words, the sample is good for 2 weeks, but the Type and Screen is only good for 72 hours. This is a bit pointless because upon ordering up red cell product to be crossmatched, a new Type and Screen is reflexed on. Any suggestions?
  2. lab technician criminal check

    Update: We wrote a letter outlining our concerns. HR listened to us and it is now official - we do not have to register with the State of NH as Medical Technicians!
  3. lab technician criminal check

    Back story is there was a travelling OR tech at another hospital - he turned out to be a drug diverter and managed to infect a number of patients with Hep C. I volunteered to help the State of NH test exposed people for Hep C and spent a day in a local school cafeteria doing that testing along with my medical student daughter. Well, the legislature decided to somehow attempt to regulate these "Lab Technicians" and thus this kangaroo board of 3 people in the state who meet monthly and determine if people are worth of "Lab Tech" designation or not. 2 physicians (1 a gastroenterologist from the affected hospital) and a nurse. And they are going to determine if I, a medical technologist registered by ASCP is deemed worthy of being a "lab technician"? I think not! We are going to fight this.
  4. lab technician criminal check

    Yes, it says licensed - but "Licensed by the State of New Hampshire" and NH has no Laboratory Tech registry - so our MT(ASCP) registration is meaningless as far as this is concerned. Grrr.
  5. Blood Utilization Suyvey

    I have done one that is CDC/HHS with the following information at the prompting or request of my lab director: "Your contribution is vital to this national effort to estimate and project future needs of blood collection and blood utilization in the United States. For more information related to NBCUS, the findings of the 2015 survey were published in a June 2017 Transfusion supplement issue1. Jefferson Jones, MD MPH Medical Officer LCDR USPHS Office of Blood, Organ, and Other Tissue Safety Division of Healthcare Quality Promotion Centers for Disease "
  6. BB saline

    Hello - We went to the smaller containers years ago because the large ones were too heavy to comfortably lift and move. It is worth the extra cost to save a tech's back/neck/shoulders!
  7. Has anyone in New Hampshire received notification from your HR department that you must submit money to the State of New Hampshire "Board of Registration for Medical Technicians" including a criminal background check with fingerprinting? From the State website: "On August 1, 2017, the Board of Registration for Medical Technicians adopted a new Mtec 304.02 , relative to qualifications for initial licensure. Those with questions on the new rule should contact the Board. The mission of the Board of Registration for Medical Technicians is to assure that the services provided by our registrants protect healthcare consumer against harm which may be caused by unqualified or impaired practitioners. "Medical technician'' means a health care worker who is not licensed or registered by a New Hampshire regulatory board and who assists licensed health care professionals in the diagnosis, treatment, and prevention of disease. For the purposes of this chapter, medical technicians shall be limited to health care workers with access to controlled substances and with access to or contact with patients in a health care facility or in a medical establishment. Notice If you have any questions regarding registration, call (603) 271-8389 not the phone number on the letter. Recently the Board of Registration for Medical Technicians sent packets to a wide range of individuals. If you receive one of these packets, it is to inform you that, if you or any of your employees, who are not licensed or certified by a State of New Hampshire entity and have access to controlled substances (if the substances are on premises), those individuals must register with this office. These packets are informational. " As clinical laboratory scientists, medical technologists, this seems very demeaning and offensive, but I was told by the woman at the State that if our employer deems it necessary that we do this, then we must. But we have no access to controlled substances. I think it is all in the semantics...that someone in HR does not know the difference between a Technician and a Technologist, but it appears that it will not be of any help to us in this case. Has anyone else experienced this?
  8. See link above - just type your text into the box on the first page and it should generate. Then I was right clicking and saving the barcode to a file that I could copy/paste and print.
  9. https://www.barcodesinc.com/generator/index.php
  10. Hi, when I was implementing rather recently (we went LIVE 2/1/17 and I did the entire build) I found an online barcode generator and used that to create the ISBT ABO group labels. I also photocopied real units in our inventory and used those as TEST units. Hope this helps.
  11. Hello TAR users, Sorry for jumping into this thread, but has anyone had an issue where a unit was not "finished" transfusing by Nursing in the TAR, and Blood Bank has to "finish" it in the BBK module? Has anyone had a "Transfusing" unit get "stuck" in the TAR because nursing did not finish it and the TAR thinks it is still transfusing? Thank you.
  12. Massive Transfusion Protocol

    We have two tests built in Meditech - One is Massive Transfusion Initiated and the other is Massive Transfusion Discontinued. Anyone can order them either on the Clinical Side or the Lab side, they are for documenting the MTG order.
  13. Are you posting hypothetical case histories for educational purposes? Looking back at your other posts you seem to be posting about transfusions with ABO mis matched units on other occasions. Hopefully someone in your hospital is not transfusing ABO incompatible red cells. What country are you in?
  14. Freezer Problem

    I have an under the counter Follett Plasma freezer, 5 years old. Traditionally it runs at -34 degrees C, and cycles to defrost 4x per day going up to -30 and back again. The problem began when the OR tendon freezer (a similar model) had a issue last month and our maintenance department decided to "look" at my freezer to see if they could figure out what was wrong with the OR freezer (?why). I ended up emergently storing the OR tendons, meanwhile my own freezer defrost Cycles became shorter...they went from -34 to -33 4 x per day. I put in a work order to figure out why suddenly these cycles stopped being 4 degrees warmer and I learn that when maintenance "looked" at my freezer, they noticed ice built up behind the cabinet (and did nothing about it). So they powered it down and did the defrost and PM on it. When they plugged it back it, it continues with the 1 degree defrost cycles. I asked them again to fix it, and they moved the temperature probe in the back of the drawer. Still no solution. I called Follett myself and got a tech rep who told me that it was a "good" thing that my cycle temps were smaller....and that some units cycle -18 degrees while defrosting. I pressed him "what if the thing is not effectively defrosting with such a small warming temp" and he said "if it does not defrost properly then it will build up ice and cause an alarm and then you will know it is not working properly". What kind of answer is that? Anyway...has anyone had a similar problem? I am wondering if I should attempt to reset the defrost cycles on the little temperature panel. I just have that gut feeling that this unit is not operating properly and I really do not want to store plasma in it while it is acting this way. Thank you!
  15. RhIg Dispensing

    Version 6.15, I should check with the TAR guru on that one. Thank you.