kcayson

My blood bank has implemented the Tango. For our workflow, the Tango would be the perfect instrument. It does essential all the type and screens that come into our blood bank, the unit confirmations, and eventually we will use it for antigen typing and antibody identifications. It also performs cord blood testing, but our facility still washes cord bloods before perform the testing. The Tango would not was the sample for us, so we chose to just keep those on the bench. It is a true stat interrupt instrument. You can load specimens onto the instrument at any time. You have the option to select Stat or ASAP/Expedite for your specimens to move them up in the lineup of testing. We have been pleased with the instrument. We looked at the Echo/Galileo and Provue as well. We were skeptical about Immucor products because we had the ABS 2000 manufactured by Immucor and had a problems with the instrument but customer service and tech support was not very good at all. We had a hard time getting anyone to help us with our problems, which played a big role in us not wanting to get another Immucor instrument.

We have the same problem here. The lab has a different system from the HIS. We have name changes and etc all the time. We have a printer in our BB department that is in the print queue for the HIS so that when patient's are merged together, names are changed, etc in the HIS system, tht information prints on the printer in the BB. It provides patient demographics including the new name and the old name. If there is a discrepancy at time of testing or dispense of unit to floor, we make a copy of the name change form and attached to the specimen or units as need be. This provides the name the department has and the new name the HIS will have. This paper explains the difference b/t the names. That is only done when the change doesn't update our system before the specimen is drawn.

I was searching the internet for information on an issue and ended up on this site.

House apparently has a lot of no-nos because I remember the one episode where the pateint needed an emergency transfusion, and they requested 4 units of ABPos STAT. I guess that patient would not have made it long in the real world.

I agree with reidhospbb. If the type and screen qualifies the patient to receive electronic crossmatches, there is no need to perform a serological just because it was emergency released. The only difference is the type and screen was done after the units were already released to the patient. The serological work should be the same as if the crossmatch was done before.