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Sample acceptability on discharged then re-admitted patient.


acrolabgeek
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So I was wondering if anyone else could chime in on this.

I have a few different scenarios, so if it wouldn't be to much to ask, please specify which one is being responded to.  :)

 

A.) If a patient comes in for pre-op labs to be done; how is the patient re-identified/verified when they come back the next day for admission?

 

B.) A patient comes in for same-day surgery with blood on hold for OR; the patient is discharged that evening. The patient comes back in 2 days and the MD is requesting RBCs (still within 72 hr acceptability) Is the original sample still valid, or is a new sample required?

 

C.) How is patient ID verified for patients that have multiple reoccurring transfusions on an outpatient basis?

 

Thanks much!!

Edited by acrolabgeek
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A) Preadmission ID for blood bank: We have them wear the same BB armband from the time they are drawn untill discharge after the proceedure.

 

B) Discharged and returns for TXN: They would have to be redrawn as they would have removed thier armband.

 

C) Multiple recurring TXNs as an outpatient:  Patient checks in with a registration associate just like any outpatient.

 

Scott

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a.) The patient is identifed by their blood band.

b.) I don't think we have gone two days, but if a patient is scheduled for OP transfusion and goes to the ER instead, or the next day, and still has their band on, we would use that same band.

c.)Our OP transfusion patients need a separate armband for each transfusion, unless it is within the 3 days and they are still wearing it.

Edited by mollyredone
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A. We stopped using seperate blood bands this last January. Our admissions department will identify the patient and band them with their pre-op wristband. Once we have drawn our pre-op sample and labeled it with the name, date of birth,account number for that admission and medical record number, we cut that wristband off. They are rebanded the next day by admissions following the facility policy of always asking for the patients name and date of birth.

B. If the patient still has crossmatched units available and the patient is identified again by asking their name and date of birth and have a matching medical record number we would transfuse those units.

C. Our recurring transfusion patients have a card they are given to present to the lab when a sample for crossmatching is to be drawn. We ask them to verify their name and date of birth with every draw. The registration is usually used from 1-3 months and includes their medical record number and account number.

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We have the patient verbally verifiy their name, DOB and their hospital number (they are given it in the patient information leaflets) - much less chance of error that a wrist band anyway (the patient knows the correct spelling and is less likely to get digits transposed in their DOB). I believe that in the UK, for a conscious patient, the ID must always be verified with them rather than a wristband primarily, and the wristband is used as a second check.

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