Carrie Easley Posted May 15, 2016 Share Posted May 15, 2016 Do any of your facilities transfer charges for improper handling of blood products (not following storage guidelines, spiking through side of bag, taking to floor and not transfusing, etc...) to nursing units or services such as Surgery/Trauma? Does the Lab/Blood Bank just continue to educate and see it as a cost of doing business? Link to comment Share on other sites More sharing options...
SMILLER Posted May 15, 2016 Share Posted May 15, 2016 No. Scott Link to comment Share on other sites More sharing options...
R1R2 Posted May 15, 2016 Share Posted May 15, 2016 Yes and we charge for autologous no used too. Carrie Easley 1 Link to comment Share on other sites More sharing options...
amym1586 Posted May 15, 2016 Share Posted May 15, 2016 No, I wish we did. Carrie Easley 1 Link to comment Share on other sites More sharing options...
ANORRIS Posted May 16, 2016 Share Posted May 16, 2016 Yes, we charge the floor/unit responsible for the waste. amym1586 and Carrie Easley 2 Link to comment Share on other sites More sharing options...
AMcCord Posted May 16, 2016 Share Posted May 16, 2016 We report it as a quality issue - which gets the attention of people who can sink some teeth into the problems on the other end. As a result, we have very few cases of these kinds of issues over the course of a year. We don't charge patient care units for the wasted/destroyed products - my lab director points out that the money all comes from the same pot in the end, i.e. the hospital budget, so he's not interested in taking that route. From a practical standpoint, the person who did something dumb to waste the product or the doctor who cancelled the order would never know about or care about the charge, so it doesn't address cause and prevention. The money is small in the overall scheme of things, so pushing a charge through does not provide much of motivator for nursing management to fix problems or educate staff. (If you need to bill for enough wasted products that it IS a financial issue, you've got major problems.) That's why we choose to use the quality route. That's something that management notices here. Carrie Easley and Ensis01 2 Link to comment Share on other sites More sharing options...
ANORRIS Posted May 16, 2016 Share Posted May 16, 2016 We also enter it as an event wasting blood/blood components so it can be reviewed by the appropriate people. amym1586 and Carrie Easley 2 Link to comment Share on other sites More sharing options...
David Saikin Posted May 16, 2016 Share Posted May 16, 2016 We do not charge for wastage . . . some is acceptable, but if it is not we refer the incident to quality amym1586 1 Link to comment Share on other sites More sharing options...
hcjaz Posted May 16, 2016 Share Posted May 16, 2016 In addition to being a financial and quality issue, I've tried using the ethical approach (donors giving up their blood as well as time, etc.) I can't say it's been successful but I suppose it can't hurt to throw that in to the discussion at each facility. Carrie Easley, exlimey and amym1586 3 Link to comment Share on other sites More sharing options...
AMcCord Posted May 16, 2016 Share Posted May 16, 2016 4 hours ago, hcjaz said: In addition to being a financial and quality issue, I've tried using the ethical approach (donors giving up their blood as well as time, etc.) I can't say it's been successful but I suppose it can't hurt to throw that in to the discussion at each facility. Excellent point! We also make that point in some discussions and it does seem to have at least a little impact. My hospital prides itself on hosting successful blood drives, so seeing the problem from a donor perspective can hit home with some staff. hcjaz and Carrie Easley 2 Link to comment Share on other sites More sharing options...
pinktoptube Posted May 18, 2016 Share Posted May 18, 2016 On 5/16/2016 at 9:49 AM, David Saikin said: We do not charge for wastage . . . some is acceptable, but if it is not we refer the incident to quality Ditto Link to comment Share on other sites More sharing options...
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