mobea

Hello Reviewing our Blood Donor program staffing model - specifically RN's. Do you have RN's working in your Blood Donor Program? If so, do you require BSN for those RN's? Thanks!

I would issue the unit and get the new specimen later - nothing good happens after midnight, especially collecting a properly labeled sample! I'd also have a policy that addresses this, and the circumstances under which such an override is allowed.

Any one out there - who is NOT a vendor - that is working with the El Dorado Donor/eDonor IS? All help appreciated!

Hi - wondering if anyone has a policy for when they will cancel a mobile drive due to the weather? Got a 40 ft bus, anticipating the snow that will surely come to the Northeast shortly, and would like to get an idea about what others do in this situation.

Hi We will be converting our Donor LIS from Cerner Classic to El Dorado Donor, and will also be implementing the Donor Doc (electronic questionnaire) and eDonor modules. The kickoff is currently planned for early Dec. Has anyone out there converted to any (or all) of these? Do you have any advice, tips, pitfalls to avoid (or even praise for the products) that you could share with me as we begin this project? Thanks!

Hi We will be converting our Donor LIS from Cerner Classic to El Dorado Donor, and will also be implementing the Donor Doc (electronic questionnaire) and eDonor modules. The kickoff is currently planned for early Dec. Has anyone out there converted to any (or all) of these? Do you have any advice, tips, pitfalls to avoid (or even praise for the products) that you could share with me as we begin this project? Thanks!

Hi Does anyone have a donor:staff ratio that they use for pheresis platelet collections? Thanks!

Hi I'm at a Childrens Hospital also. For ECMO we are providing blood <7 days old, or washed if < 7 day is not available. As for blood to OR, we did away with the refrigerator in the OR a few years back. (There was a Joint Commission Sentinel event alert published August 1999 identifying the practice of storing multiple patients blood in OR refrigerators as a source of error. The interpretation was "JC does not approve of this method"). We now issue patient specific coolers to each OR case, these are picked up before the start of the case and delivered to the OR room.

Hi I attended the Assessor training, have checked in with some others who were there as well, and we did not take away this same message. During the session, a member of the Accreditation staff discussed the use of coolers and explained that validated coolers could be used for temporary storage without the 4 hour temperature monitoring requirement. At the "Ask the FDA" session on Monday 10/6, an FDA representative concurred with this understanding. I'll add the qualifying statement - - - that is how it is for now! I understand that, as has been the case for some time, the issue of 'storage vs. transport' is being reviewed.

Hi all, My hospital has a satellite location approximately 25 miles away, where some (minor) OP/day surgery is currently being performed. This location does not have a Blood Bank or lab on site, nor are there plans for one at this time. There is currently a small blood refrig out there with 2 O- in it in case of emergency. A decision has been made to expand the number and kinds of surgeries performed at this location, and this will include surgeries for which blood will need to be available/crossmatched. Theoretically what this means is that the samples will be sent to main hospital for T & X, units packed in patient specific coolers which will (all) be picked up by a courier in the morning and delivered to OR for disbursement to each room. The coolers would then have to be shipped back at the end of the case/day/whatever. (if there was an icon available showing someone freaking out, I would put it here!) And what about the potential need for FFP/platelets etc??!! Is there anyone out there who has an arrangement like this in place? If so, how do you do it? Or, if you had an arrangement like this that failed please tell me the details. Thanks to all!

Hi I am 'shopping' for a system to replace our Cerner Classic Donor system. Could you recommend anyone over another, or provide some feedback on your experiences (good, bad or indifferent) with the different vendors? I will be cruising the vendors at the AABB meeting, but the best info always comes from the end user! Is there a perfect system out there, just waiting for me to find it? Thanks!

Hi Working in a pedi hospital with a blood donor center, we get a fair amount of directed donors. As you can imagine, it is complex and sometimes emotional..... Is there anyone out there in a hospital based donor center collecting directed donors for their patients? If so, I have a couple of questions for you! - Do you charge the family and/or donors for this service? If you do, do you charge for the program or by unit collected? - Do you require doctor's order for the number of units he/she wants collected? - If no doctor's order is required, do you allow an unlimited number of directed donations for a patient? (for example, 20 donors for a tonsillectomy?) - Do you crossover unused units into general inventory? Any and all input is appreciated!! (I should add that eliminating the directed program is NOT an option {sigh})

We give either Rh pos or Rh neg platelets in this situation depending on inventory.

To branch off a little - - we'll be using exm soon. How did you decide what the cost for this should be in setting up your billing?

Thanks Cliff. I really just need a form right now, so if anyone is willing to share I'd be appreciative (even if you've moved to electronic tracking, I'd love to see what you used to use)

Hi I'll share an SOP - send me an email and I'll attach it to my reply.

Hi I am revising the form we currently use for this purpose - does anyone have a form for tracking/calculating that they'd be willing to share? I need some 'fresh' ideas, and there is always someone out there whose form is much better than my imagination. thanks!

Here is what we do: The Blood Bank receives a report called the BB Review Que when a merge takes place. A supervisor investigates the information on the report by checking in Order Result Viewer, with the new record number, for blood typing results. If results are found then an ABORH History Update is ordered in DOE and the blood type is entered in Result Entry. All print screens are attached to the BB Review Que report. Hope this helps

Recently a blood drive had to be cancelled after staff had arrived at the site - technical problems, the detail too much to include here. The drive sponsor and the scheduled donors were upset, and the end result was less than optimal to say the least. The 'discussions' that occurred between staff and the sponsor group left the staff feeling intimidated and harassed. To address staff safety concerns, we plan to conduct staff training in dealing with diffcult situations/behaviors and de-escalating violence in the workplace, which includes calling 911 when staff are working offsite and a situation arises. Do any of you who conduct blood drives at 'remote' location offer any other training or resources to staff who may run into difficult or threatening situations during the drive?

Pall BDS