Neonatal Transfusion Using Cerner

[monroe]

We are currently on Sunquest. Our BB policy is to perform Type, Screen, and DAT on new admits. If there are no abnormal findings we will issue Oneg without further testing until the neonate reaches 120 days old. We assign the Oneg units as needed and keep the infant on the same unit until the unit expires or is used up. Since not every baby requires transfusion we do not assign a unit to each baby at the time testing is performed. We will be converting to Cerner Millenium and we have been told there is no way to assign units to the baby more than 3 days after the original testing. I know you can extend the xm date of a unit that is already assigned, but is there any way the system will allow the assignment of units at a later date? How are other Cerner BBs handling NICU transfusion?

[nmpoupard]

We have a second order separate from the type,screen,DAT order that is specific to transfusion. As red cell transfusions are needed, the Dr. must place the transfusion order. There is no expiration on the transfusion order, so the same unit can be used for multiple transfusions until it expires or is used up.

[Abdulhameed Al-Attas]

Our BB policy is to perform Type,Screen and Dat only once untill 4 month old.

If Red cell Transfusion are needed,the Dr.must place the transfusion order,indicating the volume or if Irradiation is required incase of pre-terms.

Small volum(Top up)Transfusion is used.

1-Dedicate one unit of fresh (< 5 days from draw date)group O AS-Red cells(RC1) Rh (D) type selected,must be the same as Neonate's.

RC1 UNIT SELECTION MUST BE:

a-< 5 days old from draw date.

b-HBS Screen Negative.

c-Not G6PD deficient

d-Leukocyte reduced by filtration.

e-Irradiated NOT more than 24 hours to time of transfusion.

f-Hematocrit 65-85%