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Curious how RNs are documenting their blood products for MTPs at other sites. We use Epic for our HIS and our documentation is currently downtime - the RNs fill out a paper flowsheet that gets scanned into the chart and then they manually add the total volumes on their blood flowsheet. Leads to a lot of work for the MTP committee in cleaning up documentation, particularly for MTPs that get continued in other units - initials are missing, units are unaccounted for, volumes have to be cleaned up. Our trauma team saw the Arcos Blood Navigator at a trauma conference and we had a demo of it yesterday. Does anyone else have experience with it? Most of the RNs liked it better than the option Epic has for documenting MTPs in a narrator - they said it would require an extra computer at the bedside which they don't want. If anyone has a nice clean process that keeps the RNs happy during an MTP I'd love to know! -
Is anyone performing their patient testing as described in the attached paper? Uses a lower concentration of DTT in gel that does not denature Kell, Lutheran, Cartwright, and JMH antigens but yet still eliminates the panagglutination due to anti-CD38. DTT gel testing (DARA) New Method.pdf
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I read this as washing with room temp saline is sufficient to remove reactivity from cold-reactive antibodies. Some strong ones may require washing with warmed saline, but you risk losing some clinically significant antibodies. In practice, most of our cold antibodies picked up in gel do not require pre-warm and it's unnecessary extra time. Our current procedure is to go straight from our most sensitive method (gel) to our least sensitive method (PW PBS-IAT) and I'd like to change that! Thank you @snance for the references!
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Does anyone have a policy for returning freshly thawed plasma to inventory after issuing in one of these MTP coolers? We apply Safe-T-Vue irreversible temp monitors to each unit of RBCs and thawed refrigerated plasma, but are unable to apply those to plasma that's still warm.