Liz

Oxtail, what made you pursue the sample and test it with other reagents? Was it a donor, a patient, what was your first result?

I thought the point was to have the patient bleed anemic blood during surgery and give back the PAD post op.

Sounds like we work in the same place Terri. But thanks for the info, I wanted to start the BBID, but always worried it would be too much. Wanted to get the Blood Loc but did hear that it gets torn open. Hmm what else, yes I am still debating on the label. I have all the info on a 3 non-carbon copy tag, ALL. We handwrite and the Transfuionist and Witness sign. There is also a Tx Rx section on it that will change and be separate. It is small. Wondering if it should all be changed. I do not label the bag with an adhesive label. Maybe I should.

Mabel, I see that your label is not adhered to the bag but rather to the tag, ok. Can you tell me more about the sticker in "putting a sticker from the bag". Is it a barcoded sticker or is there written info and how was it generated initially. Thanks

I like this concept. Nurses' form is a regular Chart record sheet and I assume your labels have the pt and unit id. Can you remove the label in case the unit is returned? Do you not want to check any part of the trasnfusion record after the transfusion or do you run audits?

The draws are also: Phlebotomy, Nursing and MDs. They are trained 2 people must id the patient. The draws are good, I think what I get is the wrong Charge card being attached (yes for the BB we still use those), thats the clerks' mistakes. Once it was perfect as it should be and the tube was empty!! ICU is a problem at administration, as they dont want to take the tag in so I made an extra copy (total of 3 cabon copies)that can be discarded in the room. Any ideas on this?

Jeanne, he was asked to type for Jka.

Is the full page form size A4?

Is all the information on the Tag? do you send an accompanying form and if so how does it stay WITH the unit? Thanks

I like your observation SMiller, we see the same. How is the transfusion administration at the ER and ICU, are you satisfied? Are they following policies as closely as other units?

hahahahaha Malcolm nooo!:disbelief About my post I wrote only "a forward.". hmm no I meant only "a type and not an AbSc".

A Note: we are CAP and TJC accredited.

oh a picture would be great! Thank you!

Yes a reference would be great.

So the pink printed crossmatch autoadhesive label with 2 parts is no longer used??

I over-kill. Definitely. New sample every 72 hours. etc.. The thing is we have many techs (dedicated to BB but many) so if the Blood group is archived and the patient needs RBCs suddenly ... then what? If its an evening shift why give them more worries to order a new sample. What if I only do a forward.. what should I enter it as? and if RBCs are later needed and I dont have an AbSc.. why burden the next shift......etc..etc. So I do over-kill and I am at peace :meditate:and happy :cuddle:and I go home with less worries . Has anyone ever used this emoticon: hahahhaha how embarrassing!!!

Wow, I am impressed Deny. I am more like Dave. It would be nice if the Phlebolomy team rounded more often though.

Hi, What kind of form is sent with the blood unit how is it attached to the blood unit? or is it? What is the crossmatch label like and is it tagged or adhered? Where do the transfusionist and witness sign? We have everything on the attached tag in 3 copies even the signatures are there and this must change. Thanks, Liz

Maybe they have a historic anti- Jka that didn't show on this sample. Yes I understand Malcolm. I had difficlty finding a (one) compatible unit for a patient with multiple allos, so I called to ask them to delay the surgery, the sureon said its ok I dont really need the 5 units that I requested just send me three... WHAT!!!??!!!! Did he not understand me??!!! so I guess they really do not get weak / partial D stuff either.

5.16 Special Considerations for Neonates 5.16.1 An initial pretransfusion sample shall be tested to determine ABO group and Rh type. For ABO, only anti-A and anti-B reagents are required. The Rh type shall be determined as in Standard 5.13.2. The serum or plasma of either the neonate or the mother may be used to perform the test for unexpected antibodies as in Standard 5.13.3. 5.16.1.1 Repeat ABO grouping and Rh typing may be omitted for the remainder of the neonate’s hospital admission or until the neonate reaches the age of 4 months, whichever is sooner. Neonate's blood for forward blood group. Mom can be used for unexpected Abs.

Sound advice, Mabel.

Basically to prevent any mishaps as mentioned in Michele's post and because anyhow they get drawn for routine neonatal screening.

I agree with Michele and Joan. The newborn gets stuck once for Blood group and after that if the sample is not enough we can work on the mom's serum for the abs as written by one of the agencies, cannot remember where.

If the "unknown" keeps the same MR # once he gets a name how would you proceed? And: How is a new born without a name identified by name other than the MR #? and when he gets a name how do you proceed?