Posted January 18, 20187 yr comment_72188 How are you handling the labeling of two units with the same DIN when nursing is using TAR in Meditech? We now manually add an "A" to one of the units but nursing doesn't want to have to override the scanning of labels at the patient's bedside when TAR goes into use.
January 18, 20187 yr comment_72189 Yikes. We don't use Meditech but how do you get DINs with same unit number? Unless they have different product codes because of divides or component manufacture (double red/red cell + FFP). If that is the case...e.g. an FFP with an RBC, then they should also be scanning the product code.
January 18, 20187 yr comment_72192 Our nurses use TAR. They scan all four barcodes, so they also scan the product code. We try not to crossmatch units that have the same DIN to the same patient.
January 18, 20187 yr comment_72195 Those units, from double red cells, have different product numbers. That is the easiest way to track those, esp if you have a BBIS.
January 18, 20187 yr comment_72196 One of the advantages of double red cells is giving them both to the same patient to reduce donor exposure.
January 19, 20187 yr comment_72207 7 hours ago, pbaker said: One of the advantages of double red cells is giving them both to the same patient to reduce donor exposure. That’s the whole point I agree with pbaker. We try to use double reds whenever possible.. It’s too bad that our own processes and convenience takes precedence over what’s best for the patient.
January 19, 20187 yr Author comment_72210 We can't enter these units into inventory without differentiating the DIN somehow - even with scanning the product barcode (which is obviously different) first. Meditech is not that smart or I missed a setting in the product dictionary (and am not that smart either). Is there a TAR consultant for hire out there?
January 21, 20187 yr comment_72230 We use pack number if it is same product for e.g paediatric pack we have same DIN but also add pack more 1 to 6 in bracket. If product is differentthen we scan product code.
January 21, 20187 yr comment_72240 On 1/19/2018 at 8:12 AM, jnadeau said: We can't enter these units into inventory without differentiating the DIN somehow - even with scanning the product barcode (which is obviously different) first. Meditech is not that smart or I missed a setting in the product dictionary (and am not that smart either). Is there a TAR consultant for hire out there? The way to handle this is to create a separate product for the pheresis units in the product dictionary. We have them set as RCLK (whole blood derived), and RCLKP (Pheresis derived) and RCLK2 (pheresis second container). This way they do not appear as duplicate units in Meditech and scan correctly in both LAB and TAR.
January 22, 20187 yr Author comment_72245 22 hours ago, BankerGirl said: The way to handle this is to create a separate product for the pheresis units in the product dictionary. We have them set as RCLK (whole blood derived), and RCLKP (Pheresis derived) and RCLK2 (pheresis second container). This way they do not appear as duplicate units in Meditech and scan correctly in both LAB and TAR. Thank you BankerGirl- it worked! What do I owe you?
January 24, 20187 yr comment_72274 On 1/22/2018 at 12:39 PM, jnadeau said: Thank you BankerGirl- it worked! What do I owe you? Beer is what the going currency is around here. Seriously, though, you are welcome.
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