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Yes it is acceptable as I just had AABB inspection and had no deficiencies. Also it was the AABB inspector that found on the chart that the informed consent was not signed by the physician. She said this was a Nursing issue -
we have nothing to do with informed consent. It is up to Nursing and the physician to sign the form and then have the patient sign it. We do check the chart to see if it is filled out when we do audits.
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we use computer labels and they must have pt. name. MR#, date and phlebotomist initials on them. we coordinate this with Hollister Blood bank bands.
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OUR HOSPITAL -AABB, JCAHO Rhophylac is kept in the Blood Bank
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Why were you told to do this by joint commission? How do you handle the Rhogam ? How are you monitoring the patient is getting a work up and not just the drug?
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We only do babies as we do not collect donors.
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We had our Rhophylac stored in Pharmacy as we thought this was a JCAHO requirement. We had nothing but problems. The OB floor would bypass us and call the pharmacy for Rhophylac along with the ED department. It was causing havoc for us. After 3 years when a new pharmacy director came along we finally got our Rhophylac back in the blood bank. We just had AABB and JCAHO inspections and nothing was said about us stocking Rhophylac in our department.
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We only do weak D testing on Newborns up to 4 months old. We had an issue where a Du positive mother did not get RHIG and produced Anti D. She was a partial D. (She lost the baby) Ever since that happened 3 years ago we decided to call all Rh negative ( on immediate spin) prenatals Negative. Better to be safe then sorry.
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we just had AABB inspection and that qustion came up. If you are only changing the expiration date and not the product code you do not need a second check.That according to our inspector.
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"?" is an equivocal result so we re rerun the screen. If it still comes up "?'" then we will visually look at the plate. Normally it is a weak reaction and will do a panel but most times repeating it it comes up negative. Can't figure that one out!
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when was the last time she was transfused? Are you planning on doing an eluate to rule out alloantibodies? Do you normally have such discrepancy with gel and tube? I don't think I would transfuse her until I did some kind of workup.
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we do not use select plates anymore. We have had our Echo for 3 1/2 years. The select plates were always a pain for us. We always had to repeat crossmatches so I decided we would no longer use them and do an extended crossmatch in tube on bench if need be.Takes less time and we have no problems doing it this way.
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We do a DAt in tube. We used to do it on Echo but found it easier to go back and do it in tube.
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The Echo most certainly picks up Cold Antibodies as we have seen alot of this in the past. Our screens will be all 3-4+ and same with the panels. We then take it to the bench and do a full panel IS, 37 AHG, 4C. Most of the time it is a cold. We were told by Immucor that the Echo did not pick up Cold Antibodies. Don't believe them!
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We have had the Echo since january 2008. Our waste sensor quit on us this week for the first time. Immucor sent us a new one for free. Ohter than that we have not had to replace any parts. The syringes we change yearly just as a PM. Maybe you got a lemon!
