We are currently trying to redesign a process to track when blood is released to clinical staff or transporters during emergent events.  We are an Epic EHR and SoftBank LIS.H ow are you currently tracking the releasing of blood to the clinical staff or transport in emergent or Massive Transfusion situations? Do you use an electronic release by the nurse like routine blood? A log? A paper slip? Employee badge swipe? Also, what are your current EHR and Blood Bank LIS vendors?

TIA!

 

Blu

I do not use either of those computer programs, but we do have a procedure for emergency issue without patient ID that we use when a trauma is called that is likely to use blood...and w do not know who it is.  Basically we send 2 uncrossmatched units to the ER, and find out who they went to when the specimen is received. 

Once we have patient ID we always emergency issue through the computer and label the units.  A paper request slip is received each time products needed.

However with an MTP we require only 1 initial paper request form for product then we auto fill the coolers with product...also all emergency issued with patient ID.  MTP's can get pretty confusing, so we use a checklist to keep track of what we have sent out the door.

 

 

Thank you! So you don't require someone to check out the units in each round of products? DOes the staff taking the units have to sign the log or is that the BB only that is completing it?

The Trauma patients are assigned MR# when they arrive and banded. Usually the request is for what we call a R-Pack(resuscitation) which includes 6 O red cells, 4 A liquid plasma and a platelet pheresis. Either a OR runner or ED Tech comes to pick up the blood product bringing a ADT label which has the patient's MR# , Doe name, and generic dob. The blood is issued in millennium documenting location, reason, transporter's employee number. The same log for issuing regular old blood products is use which has the patient's identifier, the two Techs issuing(reader and listener), the transporter's number(or full name) and the number of each product that is issued.  

There is also a refrigerator between the 2 trauma bays that has 4 O+ red cells and 2 liquid plasmas. The nurses have to scan their badges(employee id) and enter the Patient's MR# to get access. There is a huge computer screen in the BB that shows that the refrigerator has been opened and we can see what got removed, who removed it and who it went to. However, I don't recommend this feature it is a pain in the behind ):