rachel Posted November 2, 2006 Share Posted November 2, 2006 I have been reviewing some patient charts to decide whether transfusions were justified by diagnosis, lab values, etc. There are several charts in which the patients had labs done at a doctor's office or clinic and then were admitted to our hospital and transfused based on those labs. Does CAP or JHACO mandate this practice or is it left up to the institution on how to handle it? I would be interested in finding out how others are handling this situation. Link to comment Share on other sites More sharing options...
Lcsmrz Posted November 3, 2006 Share Posted November 3, 2006 Our facility has a policy regarding the posting of off-site lab results to the chart. The CLIA number of the lab is required to be on the report. It seems to be used mostly with PreNatal results drawn at physician offices and performed at big commercial labs, but is also used for Paramedic reports from ambulance runs.If the clinician is comfortable with the lab results and is willing to treat the patient based on them, it's his/her behind. Personally, I would want all lab results collated together in a consistent format and with the same reference ranges, so no inadvertant errors are made. Link to comment Share on other sites More sharing options...
Sandy Jo Posted November 4, 2006 Share Posted November 4, 2006 We require a HGB value be done in-house. It has been approved by MEC and added to the lab's list of reflex testing. If the HGB is >/= 9.0 the pathologist reviews the request and may consult with the ordering physician about the transfusion.Sandy Rothenberger Link to comment Share on other sites More sharing options...
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