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Mass casualty - unit tags/ emergency release


BloodBanker80

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We are revising our mass casualty/ disaster plan.  The computer system we use (Sunquest) is not ideal for Emergency Release of products because if you use it, it automatically collects the TS specimen.  We are keeping the E-Release/Mass Casualty on downtime.  Does anyone use unit tags that are carbon copy?  This seems like it would be the next best process in chaos to keep up with who is getting what.  We do use carbon copy transfusion records - but in mass casualty situation would rather use just the unit tag.

Also, how would your facility handle physician signatures for uncrossmatched blood?

Any advice is greatly appreciated!

Edited by BloodBanker80
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We use HCLL.  It's not easy to emergency release tagged products.

We pretend to relabel the product and get a 4x4 product code label and put that on the tag.  We attach these to the unit.  Then when we get a call for MTP, OB hemorrhage, or emergency release, we print and ADT label and put that where the patient info would have printed.

All this for O Neg or O Pos.  Seems silly to me, but rules are rules.

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On ‎2‎/‎22‎/‎2019 at 8:57 AM, BloodBanker80 said:

We are revising our mass casualty/ disaster plan.  The computer system we use (Sunquest) is not ideal for Emergency Release of products because if you use it, it automatically collects the TS specimen.  We are keeping the E-Release/Mass Casualty on downtime.  Does anyone use unit tags that are carbon copy?  This seems like it would be the next best process in chaos to keep up with who is getting what.  We do use carbon copy transfusion records - but in mass casualty situation would rather use just the unit tag.

Also, how would your facility handle physician signatures for uncrossmatched blood?

Any advice is greatly appreciated!

We use Sunquest as well.  Our MTP does not drawn anything.  All it does is print the order in Blood Bank.  The BB Staff orders what is needed (Prepare Orders, etc.) and informs the provider IF a BB Sample is needed (often times we already have a sample).  I suggest you get the order for TS out of your MTP order.

We, too, put MTP on 'Downtime' protocol.  Our Unit Tags are 3 parts: White Top copy, Yellow middle copy and card stock back copy.  When issuing blood 'routine', the white top copy is discarded, yellow copy is kept in BB and card copy stays on the unit.  For 'Downtime', the white copy stays on the Unit Tag and they use this for their dual checks, etc.

Message me if you'd like more information.

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