stu

http://www.wadsworth.org/labcert/blood_tissue/forms/transfusion_committees.pdf These are the guidlines put out by the New York State Department of Health. You may want to check with your DOH to see if there is something similar. Hope this helps

Thanks: I am looking for something I can do in-house and a little less formal. The Hospital does the lab and blood draw as part of their overall plan, I am looking to justify our staffing that the patients are happy with our wait times and overall service.

Hi all: I have been given a new responsibility...... The out patient blood drawing area. One of the things I want/need to do is customer service survey. Does anyone have one they could share? Thanks Stu Rosenhaus Brooklyn, NY

Okay - These things are very old, I don't think they are from the age of computer, let alone the internet. I'll look around and see what I can find.

I'm not sure if I have the manual, but we still have a unit taking up space in the closet. Is there a specific question?

We do about 80-100 a year and have not done this ever. If you are drawing 10ml tubes that would be about 40-45 tubes. On the one patient that needed a tube draw, we had one of the residents do it (in the clinic not the donor area) because we did not have a written procedure.

Hi all: How do you determine what is a mild reaction? Moderate? Severe? I am looking to update some SOP's for our donor program and would like to see what everyone else is doing. Also, If anyone has a good form for documenting reactions that they would like to share.......... Thanks

Hi: A question was raised (again) today on what temperature whole blood units should be stored at the blood drive and during transport to the BB for processing. I am in recruitment and collections so can use the BBers help on this one My understanding is that we are supposed to "start the cooling process" toward the 1-6c range and there is (and can not be) any specific temperature. If I place blood collected at 37c into the cooler and check it in 30 minutes it may be 30c or 25c. If I constantly place warm blood into the cooler, then it may never reach that 1-10c range. I think collected blood, pre processed, is different from storage 1-6c or transport of blood 1-10c. Thanks.

HI: If we collect more than 100ml from the donor they are defered for the for the full 8 weeks. Under 100 we will attemp to collect from the other arm or have them come back after 1 week. We typically collect 450ml, so this keeps us under the max volume numbers

Hi all: I have been given a mission by my Blood bank Director. We are looking for the small, round plastic or laminated discs that are used to balance the blood donor centrifuge. I do not know what the official name for these is, or who manufactures them. It seems to be something that they bought once 20 or 30 years ago and have been around from then As always, any help is appreciated. Thanks

Here is our consent - a little long winded but seems to cover everything. They get it from the referring Physician. I consent to the procedure known as Therapeutic Phlebotomy for the treatment of a condition explained to me as _________________________ by Dr. __________________, who also explained the benefits and alternative treatments. I understand that in the phlebotomy procedure one pint (or less) of blood is removed as directed by Dr. __________________. I understand that I may have pain, discomfort, bruising, clotting and rarely infection at the site of the blood drawing. Symptoms such as sweating, nausea, or even fainting may sometimes occur. In addition, there may be unforeseen risks. However, I still willing to accept responsibility of these. I understand that if I have any questions regarding the purpose of the phlebotomy procedure and its usefulness, the hazards involved in it, or any related questions, I am free to ask them at any time and have them answered to my full and complete satisfaction. Print Name_______________ Signgnature__________________ Witness______________ Date______________

Hi: No changes in the criteria. Just added expenses of the NAT test. That said; with MSM in the news so much and the shorter window periods associated with NAT, I would not be surprised if things change soon

Hi: We are using the chloroprep 1 step for about 3 years now. Works great. Donor's love it, less messy. Staff likes it. And best of all FDA likes it.

Hi all Just wondering how people are handling the deferral period for donors who received the h1n1 vaccine. Are you treating it just like the seasonal flu shot? Do you have different criteria for vaccine if it is injected vs. the nasal mist? Thanks

How long should one keep donor registration/health history forms before they can be destroyed? I know AABB says 10 years, but I thought that FDA had a different number. Can you point me to the FDA and or New York State DOH standards? Thanks

QUOTE=csjuarez;2359]Our donor center will be acquiring new software in the next few months and with its implementation will also implement ISBT 128 labeling. As we're preparing for this, we have some questions: 1) What are other donor centers doing to differentiate the various collection sites that were formerly designated by various 1 or 2 alpha characters? Will you use separate FINs, special numeric designations in the unit number flag field, designating certain sequences of numbers to the various sites, or something else/nothing. We have only one site 2) Do you order commercially printed Donation ID labels, print them in advance on site, or print them on demand? We get pre printed labels from Shamrock - We get an overlay, label for the bottom right (RBC, FFP) a little sticker that says expiration date and isbt bar codes that also have just the unit number without the bar code. We found that this was easier because we needed the numbers for the pilot tubes and donor forms anyway. 3) Do you get your collection bags pre-labeled or do all the labeling yourself? We use the terumo bags and they are not pre-set for ISBT so we use an overlay label. We have it pre-printed with our FDA information.

Hi: What are the best/worst/funniest excuses that people use not to donate blood? I just love when the person with multiple piercings and tattoos tells me they are afraid of needles

We use Chloraprep also 30second scrub/30second dry doing. When we switched over (at the last place I worked) we did an arm culture for each staff member using both the old method and the chloraprep. At the time I had 12 people in the department so we did a combined validation and competency. All cultures passed the QC so we switched to this method. Also: We had the chloraprep in our SOP to use in case any of our donors had an iodine allergy, so all we really did was make this our primary method. Contact me off line if you need any further information

Wow: One set of Doctors want "this" and nothing else. Sounds like the discussions at our transfusion committee meetings. If they want fresh donor blood. How about line up a bunch of Directed donors (yes, that has other problems) so they can have what ever they want. I am sure the Ortho, OBGYN, Hemo and all the other Docs want fresh blood too. Lets not forget the money people who don't want us expiring blood, so we do inventory management, the lousy public relations that would occur if we started to throw out blood after 14 days, and the facts that we collect what we can, when we can and expiration dates tend to come in clumps. There is only one way to accoplish this. Have enough blood that you can turn over your entire blood supply every 14 days and not worry about inventory. Until we can do that they we can only do what's best for all our patients.

Here is a starting spot from the U.S. Occupational Safety and Health Administration. (OSHA). It will give you an outline on what should be included in a blood borne pathogens plan. I would do a disaster plan seperatly as this would contain more information than just workers safety. http://www.osha.gov/SLTC/bloodbornepathogens/recognition.html good luck.

David: AABB www.aabb.org puts out a technical manual as well as a set of standards. This woulld be a great place to start. They also have a consulting service.

I have been toying with the idea of using a (semi) transparent overlay with the expected punched out. By placing it over the sheet I can quickly scan for missed boxes, and questions with both yes and no marked. I guess I would have to have 2, because of teh gender specific questions. My problem so far is the inability of finding legal size transparencies to make the templates.

HI: On the first unit collected, we do same testing as we do one the voluntary donor units. If more than one unit is collected iin a 30 day window, we only test ABO/RH. We do not cross autologous blood over into the general supply

Thanks fort the heads-up. Always good to see recruitment articles. Stu

Hi: We work in a very similar fashion to Grace at New York Methodist: No fee. Doctor's request for blood with the number of units requested. If no Doctor's request then we treat them as regular units but call them replacement or honorary donations.