MAGNUM

Another tech and myself were discussing the possibility of insuring that a patient that was sent to the OR prior to any pre-OP testing was done. It just so happens that this patient is a known patient that has a known Jka. We were discussing what would be the outcome if they suddenly had to have units on the patient. The Micro supervisor was sitting close by, and remarked "Well cant you just give them some O Negs?" We nearly broke our necks swinging them around to see who had uttered such a ignorant comment. She even went so far to say that the O Negs would be best because they did not have any antibodies in them. Now, I could have expected a nurse to come up with a comment such as this, but a Med Tech with over 50 years of experience. Any other "ignorance" going on out in BB world?

I like the check digit part.

Yes it may very well be noted that the scanner can be used as the second signature, but there is relief on my part in knowing that besides myself and the nurse reviewing the unit in the blood bank prior to issue, there are two others reviewing at the bedside.

If mine expire prior to receiving the new cells, we would not test for complement, or maybe even send to our reference lab.

RPMS are supposed to be done on centrifuges twice a year, we use every 6 months. Timers are done quarterly, and thermometers are done semi-annually.

not to sound too dense, but what is the SCARF site?

pharmacy has all.

when we make a product ready for transfusion, we print what we call a pickup slip that the nurses bring back to the lab, plus we require them to bring either a copy of the order or the original order. We review the order, and initial the chart that we have reviewed the order. This goes back into the chart and becomes a permanent part of the file. We also require them to bring the order each time.

same as Auntie-D.

Here is my letter that I use. I insert the appropriate data in the blanks, plus I send a copy of our criteria as well. hgb-hct letter.docx

lysol works, but bleach is best used to use phenol, but too many rats developed cancer from it, soooooooooooo had to get rid of it.

We still allow them in house, but the patients are usually not willing to collect them since our blood supplier only draws them at certain locations, and even then they limit the hours of collection. Plus they charge the patient for the cost of the unit before they will draw.

annually by both myself and the medical director.

We have a specific code called a holdclot, that only the laboratory has access to order. When we order the holdclot, we insert the phlebotomists initials, the date and the time into the computer. We go ahead and spin and separate the specimen. Then if the floor decides to order products we have a sample already in house and the floor order attaches to the holdclot order keeping the same 72 hour dating as the holdclot.

When we transfuse a baby here, we use O Negative, Sickle Negative, CMV Negative, and Irradiated units. That is for all babies.

That should go without saying, if you have a history of ab then you would give Ag negative units.

If the patient exhibits signs and symptoms of a transfusion reaction, it does not matter what the type, the transfusion must be stopped. We use BCTA and should the patient exhibit symptoms, the nurse charts in BCTA the symptoms and the computer prompts her/him to stop the transfusion, and if they do not stop it, they must give a legitimate reason why not, and because the physician said to continue is not a legitimate reason. As to receiveing more products, until the reaction investigation is completed, the patient will not receive anything unless it is life and death.

No experience with this instrument, but 30-40 minutes to thaw a unit of ffp is a bit excessive in my opinion. I use a helmer dh8, it thaws 8 units in about 20 minutes.

In Meditech: 1. enter the pool units routine 2. scan your units to pool 3. press enter until you get to the product field 4. enter the ISBT product (ie CRYO.E3592) 5. at the source field you will need to enter your ISBT number. 6. press enter until you get to the unit number field. 7. in capital letters type the letters ISBT then press enter. 8. from there on out it is the same as if you were using Codabar. hopefully this helps.

Actually I do if you are using Meditech that is

I agree whole heartedly. We only do an auto if we do a manual screen in tubes, otherwise we do not perform autos on the echo. scott

Nope, therapeutic phlebotomy is considered a clinical procedure.

We perform a second ABO/Rh on ALL patients that do not have a historical type on file. We also use a second tube from a different collection. If the patient has had a CBC or a chemistry test requiring a plain red top, we can usually grab those and do our testing, otherwise, the phlebotomist is sent back to the patient to redraw the specimen. The only time that we do not do this is if the patient only has a ABO/Rh ordered. When we report a Type and Screen, Crossmatch, etc., we have a test that must be answered called a previous history test (nonchargable), and depending on the answer that the tech enters into that box (no history, prev history with no antibodies, previous history with antibodies) determines if a second type is needed, if no history is entered, then a second type is reflexed, where by the same token if a previous history is entered we do not get a second type reflexed. This repeat testing is called a confirmatory type, and IS NOT a chargable test since it is a part of the testing required.

Seems like a waste of reagent and time. I have the day shift QC the Echo, and the evenings/night tech QC the tube reagents. Plus we do rotate the racks, and the same reagents are used for both the Echo and the tubes (manual).

We only do Cord workups on O moms, Rh neg moms, and moms with atypical antibodies. The workup includes the ABO/Rh and the DAT. We still collect a cord specimen on all babies, and the workup can be ordered at the physicians discretion, all others are cancelled. The cords are spun, separated, and stored for 7 days after the baby has been discharged (hospital rule, not mine).