San Diego Blood Banker ☆ Posted September 6 Share Posted September 6 Does any of the hospitals accept or use "Keep Ahead" Orders? My new medical director is trying to deactivate the "keep ahead" section on the prepare order because any physician can always place an order in EPIC. Most of the time our physicians do not know what "keep ahead" means, if a physician sees "keep ahead" section, the order gets placed. So, my C:T value has been high. Is it worth it to keep the "keep ahead" feature in EPIC? Please share your wisdoms. Thank you! Link to comment Share on other sites More sharing options...
Kelly Guenthner Posted September 9 Share Posted September 9 We allow keep ahead orders, but we do electronic crossmatch, upon issue. So a keep ahead order, for us, is just a peek at what's on the shelf and adjusting stock, as necessary. Additionally, hardly any of our providers use keep ahead (mostly just active cardiothoracic surgeries). John C. Staley 1 Link to comment Share on other sites More sharing options...
Bet'naSBB Posted September 10 Share Posted September 10 We DO NOT allow "keep ahead" orders........... IMHO - Keep ahead orders are............ Kelly Guenthner 1 Link to comment Share on other sites More sharing options...
BankerGirl Posted September 10 Share Posted September 10 20 hours ago, Kelly Guenthner said: We allow keep ahead orders, but we do electronic crossmatch, upon issue. So a keep ahead order, for us, is just a peek at what's on the shelf and adjusting stock, as necessary. We do the same. We have a few docs who still think we need to crossmatch units ahead, but we educate them at the time of order. We keep it mostly for those times when a patient with special needs is scheduled for a procedure. Kelly Guenthner and John C. Staley 2 Link to comment Share on other sites More sharing options...
AuntiS Posted September 10 Share Posted September 10 I'm trying to get rid of this practice as well (ours is called "keep on hand"). I think it is completely unnecessary. If there is no antibody = electronic crossmatch and blood is ready immediately. If the sample is more complicated, we already make sure we have blood crossmatched so there is no delay. Slowly but surely.... Kelly Guenthner 1 Link to comment Share on other sites More sharing options...
sgoertzen Posted September 10 Share Posted September 10 We used to have a "Keep Blood on Hand" (i.e. Keep Ahead) with our old computer system, but we discontinued that when we moved to Epic. I think it was a hold-over from "way back when" before electronic crossmatching. It was time for it to go! Link to comment Share on other sites More sharing options...
John C. Staley Posted September 11 Share Posted September 11 This is just one more example of how inertia is the most power force in the universe and how difficult it is to battle the "that's how we've always done it" mentality.. Cliff 1 Link to comment Share on other sites More sharing options...
jshepherd Posted September 12 Share Posted September 12 Same as sgoertzen - we got rid of keep ahead when we moved to Epic. I didn't even know there was a keep ahead function available in Epic! The blood bank may keep ahead by doing crossmatches on downtime for difficult crossmatches, but that's it. Kelly Guenthner 1 Link to comment Share on other sites More sharing options...
James Spears Posted September 12 Share Posted September 12 When we were performing electronic crossmatches and had Cerner there was an 'additional units' field built into the product request order. The provider was free to write whatever they wanted in that box but we were never going to look at it. The nurses would sometimes come down with 'doc wants to make sure we have additional units available', if I was feeling particularly sassy I'd get up, walk over to the fridge, pull out a shelf, make a big production of looking at the units, and say 'yep.' John C. Staley 1 Link to comment Share on other sites More sharing options...
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