Antrita Posted November 4, 2010 Share Posted November 4, 2010 Do any of you require a second draw by a different phlebotomist on patients that do not have a historical blood type? We have been working towards an electronic crossmatch and have the staffing to redraw them. Our sister hospitals are much smaller and frequently have just one person drawing blood. I have been told we all have to do the same procedure so I can not ask for a second specimen by a different phleobotomist. I think this is asking for trouble. To me it's like proof reading your own workAntrita Link to comment Share on other sites More sharing options...
David Saikin Posted November 4, 2010 Share Posted November 4, 2010 I don't see the need for a 2nd phlebotomist. I understand why you like it, but . . . your policy will make it tough on your smaller associates. Link to comment Share on other sites More sharing options...
spookyshaw Posted November 5, 2010 Share Posted November 5, 2010 Our lab has been using electronic crossmatch system for a few years now. At this point we do not require a second blood sample drawn by a different phlebotomist when a patient comes in without any ABO/Rh history in our LIS. We just have another tech perform a confirmation ABO/Rh on these patients. Link to comment Share on other sites More sharing options...
Byfaith Posted November 6, 2010 Share Posted November 6, 2010 Could you perhaps have a witness to the second draw recorded when the same phlebotomist is used? Our system records the Computer sign-in ID for each draw (written on the tube label at bedside). On the rare occasion that the same phleb. or IV nurse draws, a witness ID can be recorded instead. We do not currently use E-crossmatch but do use a second draw for unknown patients. Link to comment Share on other sites More sharing options...
mjshepherd Posted November 8, 2010 Share Posted November 8, 2010 We have two people verify the identity of the patient at the time of draw for patients who do not have a historical type on record, they each initial on the lables confimring patient ID. Anyone can be the second person for verification, nurse tech, nurse, other phleb or tech. Link to comment Share on other sites More sharing options...
adiescast Posted November 10, 2010 Share Posted November 10, 2010 We do a second draw at a different time. This can be any recent sample, so we fish in Hematology and Chemistry before we make the phlebotomist go back. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 10, 2010 Share Posted November 10, 2010 Why is it called "electronic cross-match", when there is no cross-match involved?Sorry to be pedantic (I know it's not like me to be pedantic!), but should it not be called "electronic issue"? Link to comment Share on other sites More sharing options...
Antrita Posted November 10, 2010 Author Share Posted November 10, 2010 The computer gets to decide what unit the patient is going to get. Though I do not believe the computer will accept any blame if there is an error. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 10, 2010 Share Posted November 10, 2010 True, the computer "makes the decision" (based on a program written by a human) - but the computer does NOT perform a cross-match. Link to comment Share on other sites More sharing options...
Antrita Posted November 12, 2010 Author Share Posted November 12, 2010 I think it is just to save time, as calling it " a computer asigned blood when there are negative antibody screen results" is too long. Now that we are trying to adopt the "LEAN' system, I can say that we are saving time and not just being a bit lazy. Link to comment Share on other sites More sharing options...
David Saikin Posted November 12, 2010 Share Posted November 12, 2010 The computer verified ABO compatibility between unit and patient. Link to comment Share on other sites More sharing options...
COTTONBALL Posted November 13, 2010 Share Posted November 13, 2010 Why is it called "electronic cross-match", when there is no cross-match involved?Sorry to be pedantic (I know it's not like me to be pedantic!), but should it not be called "electronic issue"?"Electronic issue" = logic, but ya gotta let some things go Mr. Malcolm:) Link to comment Share on other sites More sharing options...
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