Issuing to OR

[pbaker]

We currently have a system where we take 2-3 units of blood to the OR in a transporter (cooler). When we arrive in the OR we take all the units out and do the entire issuing process with each unit with the nursing staff who picks up the blood. This means a lot of time that my staff is out of the blood bank. The nursing staff still has to do the bedside check prior to transfusion.

For those of you that take blood to OR in boxes/coolers/transporters, what is your system?

[JOANBALONE]

We issue units in the LIS in the blood bank. We tube or transport via cooler to the OR. The nursing personnel place units in the OR refrigerator. There is no requirement that you must read back or issue with the person picking up/accepting the blood.

[Likewine99]

The OR comes to the BB to pick up the blood. They do the callback procedure and we capture it in the BB computer system at time of sign out.

They take the units to the OR in a monitored refrigerator on wheels and we keep the paperwork off to the side so we will know there is a refrig out.

The OR has much more staffing than the BB and usually the pickup person is non-technical. On occasion an RN will come to the BB to pick up the blood, usually when the pt is in the recover room.

Hope this helps!

[KKidd]

THe OR will call us and ask us to bring down the blood on Patient Smith, MR#123456. Using the 2 identifiers we issue the blood in the computer and take a cooler to the OR. The OR/PACU staff is responsible to perform all of the identification checks prior to transfusion. When the procedure is over, the cooler is returned to the BB.

:sprint::sprint:

Edited March 31, 2011 by KKidd
I can't spel!

[adiescast]

An OR transporter (various positions) comes to get the blood from blood bank. We go through the issue process and mark the units as in the OR refrigerator. They take the blood to the OR and call us to release the lock. We record the time the blood was placed in the refrigerator. When they want to use the blood, they call us to release the lock and we go through the issue process again (name of patient, medical record number, BB bracelet number, identity of unit, identity of person taking, time taken). If the blood is not taken from the refrigerator, it is returned to us at the end of the case.

FDA inspectors have told me that they consider it an issue point when blood is stored in a remote refrigerator and removed by non-BB personel. They expect to see documentation of that issue process.