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Showing results for tags 'pre-op'.
I tried searching but this is a tricky one to find. What are your policies regarding collection of a 2nd blood type specimen in OR, especially during an emergency or really urgent case? Our OR wants to substitute the "timeout" where they double-check patient ID for a second blood type and I was tasked with finding out what others do. We currently request a repeat type only on non-O patients with no historic type or separate specimen to test. We stick with O blood until we can get the 2nd type. If you allow them to not collect the second type, do you issue type-specific blood once the T&S is done?
We currently allow a patient to have their type and screen (or crossmatch) drawn within 30 days of their scheduled surgery if they haven't been pregnant or transfused within the past 3 months (and verify this information upon admission). I was thinking of changing that to only allowing them to come in within 3 days of surgery but it's not very "patient-centric". Thoughts on the goods and bads of extending these pre-op samples.... Thanks.
So I was wondering if anyone else could chime in on this. I have a few different scenarios, so if it wouldn't be to much to ask, please specify which one is being responded to. A.) If a patient comes in for pre-op labs to be done; how is the patient re-identified/verified when they come back the next day for admission? B.) A patient comes in for same-day surgery with blood on hold for OR; the patient is discharged that evening. The patient comes back in 2 days and the MD is requesting RBCs (still within 72 hr acceptability) Is the original sample still valid, or is a new sample required? C.) How is patient ID verified for patients that have multiple reoccurring transfusions on an outpatient basis? Thanks much!!