James Spears

I would say as long as the rule out was done per policy and appropriately then there is nothing to report.

When we were performing electronic crossmatches and had Cerner there was an 'additional units' field built into the product request order. The provider was free to write whatever they wanted in that box but we were never going to look at it.
The nurses would sometimes come down with 'doc wants to make sure we have additional units available', if I was feeling particularly sassy I'd get up, walk over to the fridge, pull out a shelf, make a big production of looking at the units, and say 'yep.'

We use un-validated lunch coolers just so that visitors/patients don't see someone walking through the halls with a bag of blood. OSHA reg is 1910.1030(g)(1)(i)(F) blood components issued for transfusion do not require a biohazard label.

When we were performing electronic crossmatches and had Cerner there was an 'additional units' field built into the product request order. The provider was free to write whatever they wanted in that box but we were never going to look at it.
The nurses would sometimes come down with 'doc wants to make sure we have additional units available', if I was feeling particularly sassy I'd get up, walk over to the fridge, pull out a shelf, make a big production of looking at the units, and say 'yep.'

We use un-validated lunch coolers just so that visitors/patients don't see someone walking through the halls with a bag of blood. OSHA reg is 1910.1030(g)(1)(i)(F) blood components issued for transfusion do not require a biohazard label.

We use un-validated lunch coolers just so that visitors/patients don't see someone walking through the halls with a bag of blood. OSHA reg is 1910.1030(g)(1)(i)(F) blood components issued for transfusion do not require a biohazard label.

:Raises hand:
Yep, I'm the Blood Bank and Coag supervisor at my facility, assist with POC and charge entry, plus spend ~50% of my time in Chemistry. The reality is I'm less knowledgeable than a Blood Bank bench tech at a medium sized facility just due to the lack of volumes we see. The majority of my 'supervisor' time is spent making sure we're CAP compliant and trying to put out the small fires that arise from having a staff that just doesn't do blood banking very often. At a small facility you end up with your hand in as many pies as you want, but there's just no way to be as proficient at each as you could if you were able to devote 40 hours per week to one thing.
 
For reference we transfuse about 300 units yearly, don't do any antibody ID's, and a simple cold agglutinin was enough to upend one of our Tech's whole routine for a day. It's just the reality when your entire staff is 7 or 8 people, half of whom are MLT's that graduated in the last few years.