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Expiration of the PAT Type and screen sample


JEANESBB

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We are currently having a discussion regarding the" expiration" of the PAT T/S. We expire the sample at midnight(2359) on the the day of the surgery (unless the sample is already within 72 hours and would not expire until a later date OR there is a special circumstance postop that would allow the tube to be used until "AM" routine collection"). Does anyones else have an opinion on this subject? We like to collect a new sample the morning following the procedure for easier record keeping and consistency with "the other patients" rules. All opinions are welcomed. Thanks for your input!

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Hi, We do the same thing as you....have a 7 day PAT and expire the specimen at midnight the day of surgery (unless the patient has been pregnant or transfused w/in the last 3 months or have an antibody etc etc) This has been causing a lot of confusion for the physicians and nurses. They don't understand why the specimen has to expire at midnight...I will likely be changing the policy to day of surgery +3. :D

At a previous hospital....all the patients had to be banded and come in no sooner than 3 days before their surgery. The specimen was only good for a total of 72 hours no matter what the patient history was. This was kind of a pain for the patient plus if there was some sort of confounding serological problem...it could potentially result in a delay of surgery (rare but still...)

Hope this helps!

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