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Showing results for tags 'medical director'.
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Hi All, I am curious about the medical oversight of your blood bank. If you have the time and inclination, please take this little survey. 1. Is your medical director solely a clinical pathologist or does he/she do anatomic pathology as well? 2. If your medical director also practices anatomic AND clinical pathology, what proportion of his/her time is spent on each? 3. Does you medical director review all your QC? 4. How many beds does your hospital have? 5. About how many red cells does your facility transfuse per month? Thanks for your time!
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I am in the process of updating our Transfusion Reaction Workup procedure. The current procedure is divided into 2 phases. Phase 1 testing consists of a clerical check, DAT (Pre and Post), visual examination of patients serum, ABORh retype of post-transfusion specimen and a visual examination of the unit and any solutions hanging with it. If there are no clerical errors, visual inspection is okay, DATs are negative, and there is no drastic change in the serum/plasma we are to call nursing/physician with results and additonal units of blood may be issued for transfusion. An administrator (fresh from a presentation of JACHO surveys) wants a statement added to the procedure stating the transfusion cannot be restarted unless the Medical Director approves. ????? I am looking for clarification about why the Medical Director would need to approve additonal transfusions if everything is negative. (I think the physican should decide if additonal units should be transfused.) If there are any errors detected, DATs are positive, or post transfusion is icteric/hemolyzed we would proceed with phase 2 of testing, notify the nurse and/or physician immediatly, and notify the blood bank senior tech or Laboratory Medical Director. The Medical Director/Pathologist review all transfusion reaction workups. Thank you for your input!
