1. Albumin - Pharmacy

2. Clotting Factor concentrates - Pharmacy

3. Rh Immune Globulin-intramusular - BB

4. Rh Immube Globulin-intravenous (WinRho) - Pharmacy

5. IVIg - Pharmacy

To those who have the pharmacy dispensing the rhig.....how do you handle the dospensing for out patients? 

All handled by Pharmacy.

How do outpatient's obtain it from the pharmacy?

The only product that our blood bank handles is the RhoGam  (Rh immune globulin-intramuscular)-all of the other products on the list are handled by pharmacy.

Blood Bank only handles Rhogam. All others by pharmacy.

All except Rh Ig (Rhophylac) is done by pharmacy.

We send RhoGAM to our clinics by courier for outpatients (pretty rare event). On our end, it is signed out as a transfer to the clinic. Once given, the clinic sends back a completed control form - we can then document which patient received that vial in case of recall. If a clinic patient needs RhoGAM on a weekend/holiday, the patient is seen in the ER (quick visit) for administration of the RhoGAM. Most patients in need of RhoGAM would be seen by the OB/Gyn clinic who makes their own arrangements for RhoGAM through a local pharmacy.

Everything from Pharmacy.

all from the pharmacy.

All from blood bank at one set of hospitals, onlt RHIG for the other. Years ago (before DRGs) when I tried to transfer the albumin to pharmacy I was told by lab administration that it was revenue for the lab. Not so any more.

It seems that years ago pharmacy did not track the products (lot numbers to whom given) very well. Now they all have the pharmacy systems so it should no longer be a problem.

RHOGAM was put in the BB(1968) because you had to crossmatch it. This was also before fetal cell screens were available.

Pharmacy handles all these

we were able to move all BUT the RhIg-IM to pharmacy....we're still trying, tho'.

My main question with this thread would be for the sites who do issue the clotting factors (not so much RhoGam), how does your computer system handle it? We are in the process of moving toward SoftBank and there are real issues with the inventory and issues of clotting factors. RhoGam does not seem to be an issue at all.

Thanks,

Laura

BTW,

1. Albumin - Pharmacy

2. Clotting Factor concentrates - Blood Bank

3. Rh Immune Globulin-intramusular - Blood Bank

4. Rh Immube Globulin-intravenous (WinRho) - Blood Bank

5. IVIg - Pharmacy

We use Sunquest and must use the volume billing function since most clotting factors must be billed by the international unit.. So, if a product contains 558 I.U. the billing code must be sent to the hospital system 558 times. We have to make sure when the product is entered that the number of I.U. is in the product volume field.

Hi, I need help. Our pharmacy about a year and a half ago said we could no long stock RhoPhylac in the Blood Bank as it was a drug. So they now buy and stock it. We do the testing, tell the floor how much to give then Pharmacy said they should bring it down to the lab to be issued and charged to the patient. We issue it as a product with a billing code and charge. Same set up as at our OB clinic, except there it is built as a test and charged that way. Now pharmacy says we need to associate that with a NDC code as it is a drug, which I thought they were doing.

We have MediTech 5.65 what do you charge and how do you set it up in blood bank for RhoPhylac. I would prefer Phamacey do this. Thanks

We do the testing, tell the nursing floor a recommended dose and then they order it from pharmacy.  Pharmacy takes care of everything from there.

pharmacy has all.

We still have Rhophylac here in the Blood Bank but we made it a "double order" in our HIS. It sends the real order to us so we can release it. It sends an "order" to Pharmacy so they can review and sign off on it as it is now considered a drug.

We dispense all RhIG (Rhophyllac) from BB.  The NDC is attached somehow in BAR.  We are Meditech Magic.  I can get details for this if you need it.

 

Linda

Differs depending on where I have worked.  Rhogam in Blood Bank, everywhere I have worked (note:  now a form that can be intramuscular or IV; so a little confusing to contrast that with WinRho).

Larger Facilities I worked at, also stored the Clotting Factors.

Brenda Hutson

Although they aren't happy about it, pharmacy handles it all.

Terri, you said "now that it is considered a drug"... I was unaware of that Rhophylac was considered a drug!  If this is in the standards, would you please share which one.  I am reading this from home and am off work for the weekend now.  I'll have to do some internet searches.

 

Rhophylac is the only product listed that we dispense from the blood bank, but ironically, a TJC inspector dragged blood bank into pharmacy's record keeping with albumin a few years ago!  Thankfully, pharmacy kept the albumin and we didn't have to take it over.

Getting back to looking at this topic again tonight and am remembering that someone from behind the scenes had called and asked for the NDC number off the Rhophyllac box not too long ago.  I'm going to have to make some phone calls tomorrow!

All RhIG products have a NDC number-rhogam, HyperRho, Winrho and Rhophylac.

1. Albumin - Blood Bank
2. Clotting Factor concentrates - Blood Bank
3. Rh Immune Globulin-intramuscular - Blood Bank so we can trace who has Rh prophyaxis
4. Rh Immune Globulin-intravenous (WinRho) - Blood Bank
5. IVIg - Blood Bank

 

Only product shared with Pharmacy is NovoSeven. Blood Bank keeps the bulk but Pharmacy has some too.

The FDA considers Rh Immune Globulin a drug that requires review by a Pharmacist. They have given it an FDA Pregnancy Category of C. I don't think the FDA cares who distributes it, as long as there is some type of Pharmacist approval.

Edited December 27, 201311 yr by tbostock