HN327

Same.  Everyone who is not bound down is all going travel tech.   Even our new hire is looking into it.  It just a big gap with how much travel tech are getting, like almost double.  Except no insurance and all the perks.  So our FTE who are working, seeing travel tech making more than them for the same work are causing this crisis.  One of my shift FTE went into travel tech and were getting paid 3.5k per week in Portland.  Heard same crisis with travel nursing too. 

Not sure what flying squad is but we have something similar at our hospital  We call them Emergency Uncrossmatched RBC and have it located in the ED Trauma Bay and a few Surgical area.  These units are stored in a constant temperature monitor system CimScan and also have a door alarm  function that alert Blood Bank whenever it is open.  RN are require to notified Blood Bank of any product usage and what blood type  (O+ vs O=) based on gender.  Like O= for female of child bearing age.  If we do not receive any call within a few minute, we are require to call the charge RN to check in on the situation.
Each of these prepared units have an Emergency Uncrossmatch allocation label along with a transfusion report form to chart the vital and and 2 FDA ply sheet that require the Physician signature acknowledging the risk/need for transfuse outweigh the risk of waiting for a type&screen completion.  1 sheet for patient chart and other sheet send back to Blood Bank for crossmatch later when T&S receive before sending it to medical director review.    

For our procedure, we would perform a Cold Antibody Screen. If it is panreactive, then the patient is suspect to have a Cold Auto Antibody.  We would only give electronic crossmatch. If it is selectively reactive, we would perform a cold panel to identify the cold antibody and give antigen negative for the clinically significant antibody.
 
We used to do immediate spin crossmatch a few years back but it almost always positive due to the cold auto, which would reflex to full crossmatch.  Our medical director changed the process.