David Saikin

no reason you cannot store the vaccine w frozen components.

AWESOME! and well deserved

As an addendum, I would continue to make a paper backup record in case of downtime (unless you have a dedicated pc to maintain a patient record).

if you have a BBIS you should stop using a paper log and just enter your results directly into the system. Eventually you will miss something important. I've seen this multiple times when doing inspections, complete with errors due to back entry of data during the inspection.

i don't think there is a PDF free download for the Technical Manual.

ABORh

i stopped buying lewis antisera years ago. No sense.

That's the truth. As I recall, we did that every other night.

when i worked in a large BB (700+ beds) we did the same thing. Printout. One guy at the refrig and a 2nd with the list. we had about 600u in stock.

i agree with Cliff

What does the vendor of your apheresis instrument say about processing the product? I would think that would be a part of their instructions for use.

We always let them rest for an hour and then on the rotator. It's been a while for me also in dealing w plt donations. It would be interesting to see the procedure as written by the vendor or the collection device, as opposed to what the inhouse procedure is.

that's all i ever have are ABO incompatible plts (usually).

I would cite you if inspecting you. This is unacceptable. You need access to critical patient information whether downtime is scheduled or unscheduled.

Great point. I worked at a large facility. We had multiple users of Medicare IDs. Noticed when the "same" person came for prenatal work - but had different blood types. We knew they were sharing cards.

I would prefer a specimen/admission but I can live with a historical type.

Chloroprep

I always (and still am) under the impression that the pain would be at the infusion site if associated w a HTRX

My opinion - when the last of the blood is infused. If that includes the saline flush/tubing cleared, so be it.

Nursing has started documenting patient temperatures at one hour after final transfusion. The question they ask is: if the temp is elevated at that time should they call a transfusion reaction? I will look forward to your responses.

If your timers are digital I believe they are exempt from calibration due to the nature of digital timing. They work until the batteries run out of charge. The CAP requirement for timers does not apply to digital ones. TRM.31900. How could you calibrate a digital timer (compare it to the Naval clock?)

Even though computerized you should have a backup system that allows you to identify previously encountered patients. How will you know if there is a patient w special needs (irradiated, CMV=, etal). Some places have a dedicated laptop which updates w patient info; I use paper records. I'd worry more about the special needs than if I need another specimen. (if you used a barrier protection ID you wouldn't need a 2nd specimen).

Your remote monitor should document when an alarm sounds (along w the temperature that initiated the alarm). If it does that you should be all set. Do you routinely review your temperature documentation? I've worked in places where the facilities folks monitored such - doesn't cut it in my opinion unless they are on top of those situations w good documentation.

i sent you a message w the info you requested

we did also.