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We have Meditech and TAR and it is a problem. The transfusion report gives minimal information. My staff spends hours on  auditing for compliance. TAR was suppose to eliminate incomplete transfusion charts, consent, vitals ,outcome. The implementation of TAR requires checking in EMR for transfusion data . IF the data is not present we have to  search for documentation in the nursing notes. I would like a NPR report specific for TAR documentation. IF the information is not documented then it is an incomplete document. Unfortunately we do not have access to a  NPR writer and Meditech has limited options. If you manage to get a transfusion report to please can you share it.
 
 

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Is there a computer work around to create an aliquot in Meditech without the aliquot (i.e A, B) adding to the DIN number? The IT card prints the DIN number with this aliquot "A".
and it does not match the ISBT label. My protocol references  the  ISBT product code designates the aliquot (i.e AO) but an inspector indicated that this does not represent a closed system and the DIN number can not change.  Looking for a protocol to address this issue?
 
 

We also weigh the bags as we do the confirmation testing. The form the military uses requires that the volume infused be put on there in the post transfusion data section. Most of the time it is wrong as the nurses don't pay attention to the volume written on the form and use the volume from the pump which includes the saline to prime the line or the put 1 unit there.
Kristine

Hello All,
I passed the test last week. Thanks to all the board members. I learned a lot from all the topics discussed here as well as the educational material.

We just added a required customer defined screen that asks if we verified all labeling.  Being able to scan it as a double check would be WONDERFUL!

Is anyone performing label verification with Meditech 5.67? Does Meditech have a labeling verification program

Here's the setup I did recently for putting hemacytometers into meditech and have meditech do all of the calculating for the staff.
Here's the RBC or WBC count average formula. R and S are the labels assigned to Side 1 and Side 2 of the hemacytometer
[f qc spec],                     -------This makes it use the calculation for the qc test as well. (I'm a one man paper eliminating machine.)
S!R^H,                           -------This evaluates side 1 and side 2 and assigns H to the higher number.
S&R^L,                          -------This evaluates side 1 and side 2 and assigns L to the lower number.
((H-L):2D/L:2D)^P,          -------H-L (up to 2 decimal places) divided by L. This is the percent difference in the two sides expressed as a decimal.
IF{P*100>10 ">10%";     -------This multiplies the decimal from above by 100 to make the percentage, then looks to see if it's greater than                                        10%. If it is greater, it displays ">10%" which is an unacceptable result and indicates a recount is required.
P*100'>10 (H+L)/2};       -------If the percentage is less than 10% then it calculates the average count of the two sides.
A separate calculation performs the hemacytometer count for RBC and WBC when the number of fields counted is entered. Much simpler than the above one.
(L/F)*10;        -------L is the the average count from above. F is the number of fields counted. If there is a dilution the staff have to multiply this result by the dilution factor manually.

We use flowcharts if the electronic P/P is not available.

First of all, TAR is great once all of the nurses are trained and up to speed. One thing I have on my to-do list is to get rid of our paper transfusion records and switch to stickers.
 
Verification information is captured via the use of the electronic barcoding system. They have to enter their electronic signature/PIN.
They could always choose to neglect to do vitals but for us it was better that it was on the TAR because a) it matched their current mode of documenting vitals into the EMR critical care units have the option of transmitting data from monitors.
The volume transfused is captured when they electronically stop the transfusion.
Everything is auditable in lab module and EMR. Depending on how your team decides to set things up, all data are editable for up to 99 hours by nursing personnel.

I agree with Terri. For years, AABB indirectly endorsed the 30 minute rule in the Tech Manual with a passage that read something like "Many facilities use a 30 minute limit....." but they dropped that a few editions ago and now want you to take the unit's temp. The 30 minute rule has to date back from the whole blood bloated bag days; if you try this yourself with a mock or outdated unit of packed cells you'll find it's more of a 15 minute rule at best. An inspection or two ago, I asked about the no-win situation with FFP, and they basically said you're screwed, it has to come back <10o, which is rather tough when you issue it straight from the waterbath.