Jump to content
PathLabTalk

Emergency Release


Recommended Posts

Some physicians are  requesting that our IT build an Emergency release XM test to avoid having to sign 'the paper' for it. It will be a normal crossmatch test with the understanding that it is uncrossmatched and 'emergency released' via the verbiage that will be attached to it. Does anyone know if that is not acceptable to any agency? I will definitely require that the phone call to blood bank still be in the process, this is not my choice but I feel being forced upon us. I feel I'm the only one who objects to these things. Thanks in advance for the comments.

Link to post
Share on other sites


Sounds like a good plan. Reducing needless work is a great idea.  I find it absurd to require busy practitioners to attest to the urgency of a clinical request by installing bureaucratic obstacles.  It may be required by regulators and accreditation agencies, but it is bureaucratic nincompoopery (sic) to my mind, serving no real purpose. 

A discussion of the pros and cons of giving out red cells without an antibody screen should occur with every such request when time allows. Almost no one does a physical crossmatch these days anyway,  to my knowledge, except if alloantibodies are present.

This requirement is obsolete.  Documenting in the medical record what you did and why should be the priority, not filling out forms taking responsibility for that which one is obviously entirely responsible.  The transfusion service doesn't decide when to transfuse patients, so obviously a decision to urgently transfuse partially tested or untested blood is the responsibility of the ordering practitioner.  Duh. :)

Link to post
Share on other sites

I think that your institution may develop whatever means they feel appropriate for emergency release.  The only caveat I have is that the MD who is  ordering is documented on the request.  Many times computer generated orders only have the attending who is in the system.  Definitely keep the phone call.

Link to post
Share on other sites

We have a order for emergency uncrossmatch blood in EPIC and it has an electronic signature attached to the order so no other signature needed. How the IR department built it I don't know. And a phone call is still required as there are times the order was placed in error (darn residents) and the fact that when an order prints we don't necessarily jump to see what  just printed .

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Advertisement

×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.