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  1. Our Ortho unit has been running into problems with specimen expirations. We use the pre-admission testing deal like a lot of people where the patient comes in early, signs the preadmission transfusion history form and we extend their specimen. We use an algorithm where the shortest date is selected for T&S expiration when the patient acknowledges no pregnancy, transfusion, etc., on their form: 7 days from date of collection OR 3 days from date of surgery where date of surgery/collection is considered day 0. Seems simple enough, right? The tech who receives in the specimen extends the specimen expiration in Meditech and leaves a nice little comment in the specimen that's viewable in the EMR for the PAs/whoever. Problem is the Ortho team says they don't have time to check things like that. Sometimes a patient's type and screen will have expired and on that day they will want blood. The Ortho people are upset that they have to draw Type and Screens in the middle of the day (every patient has labs drawn every morning ~0500) and delay the transfusion for the wait in collection, testing, etc. A bright idea was thought up, have the night shift guy run a report from the LIS that tells them who expired at midnight and will need a new specimen and shoot it up to the charge nurse!!!! But then defeat once more. We use Meditech 5.65. There is a report under Management Reports: BBK Expiring Specimens Report. Stupidly enough this report does not compile specimens that are at Complete (COMP) status. What can we do to get this report to pull Complete status Type and Screens? There's an option to select "BSS (Bloodbank Specimen Status) - COMP - Include" but it still doesn't include them. Is there something in the dictionary you have to use? Is there any other alternative? I've looked through all of the other reports and nothing pops up with the Expiration date and I don't want our night shift techs to have to data mine to send a courtsey report. Thank you to anyone who read my wall of text.
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