GOSBB

I have noticed that we have a few more when either the platelet count or white blood cell count is increased (large buffy coat), with the room temperature maybe a little cooler than usual. Saline replacement is always negative. Just some observations made this past year.

Fellow Blood Bankers,
 
I am a SBB student working on my research project and was hoping you could help me by taking this short survey. 
Due to the nature of this survey, donor services are unable to participate.
 
 https://www.surveymonkey.com/s/ZMDFSLB
 
Molecular testing has introduced a massive amount of information to Blood Banks, especially in regards to the D antigen and its associated variants.  New research has led to many recommendations on how to interpret Rh(D) statuses with different populations.  The goal of this survey is to obtain a consensus on how Transfusion Services are handling this information, and if they’ve changed their practices due to these findings.  This information will help us understand what Transfusion Services are doing across the US, and to see if these processes can be standardized.
 
Thank you in advance for your time. 
 
Please feel free to forward this survey to other Transfusion Services so that we can get as much feedback as possible.  Upon completion of the survey, you will be able to review the results of those that have completed the survey before you. 

Done; please post results when you have them. We would all be interested.

We are going LIVE with 6.0 on June 1 and have TAR set up with nursing.  It is working very well and we are very excited to finally hand transfusion administration documentation back to nursing where it belongs (no more issue/transfusion forms that have to be entered by us).  The vitals signs are calculated from the initial set and alert the nurse to when the next set is due. Transfusion reaction symptoms can be documented and the information sent back to BB as a SUSPECT reaction.  Then if the physician wants a workup, a reflex order is entered.

We have been using TAR for awhile now. Nursing does have to document vitals in TAR not nursing notes or other documentation or it can not be viewed in Blood Bank History. They are scanning all unit barcodes, patient wristbands, ect at the bedside. The only downfall we have is nursing actually taking vitals at the correct times. Meditech prompts on the status board when the next vitals are due, but sometimes they are not taken at the appropriate times. this creates an incomplete tranfusuion record for Blood Bank when each transfusion is being monitored.
Otherwise TAR has worked great.

I am delighted to say that there is an absolutely fantastic obituary, written by Lawrence Petz, in Transfusion 2014; 54: 1686-1687.

Attached is the checklist I borrowed from another institution.
BB Competency Check List.pdf