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Rhogam/rhophylac must be under pharmacy control

BUGGIE
in Transfusion Services

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comment_74880

Our pharmacy runs a daily report looking for Rh neg moms or diagnosis of preg/*** bleed to ensure RhIg was dispensed.

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  • kmt
    kmt

    When Rh Immune globulin is ordered in our institution's campuses: 1. The order is placed as a TS order in our computer system and is sent to the TS. 2. We do the required testing that is neces

  • Ann Viernes
    Ann Viernes

    I'm reviewing the proposed revisions to the TJC Standards for Blood Transfusion Service and Donor Center. There is no current standard addressing Rh Immune Globulin Administration. The new proposed st

  • Kimster
    Kimster

    I posed the question to JCAHO online and this is their response: No, this is not a mandatory practice. Rho Immune Globulin is a "blood derivative". Our practice is to survey blood derivatives (album

comment_74955

We just finished with our JCAHO inspection Oct 2018 and nothing was said about how we handled Rhogam. Our pharmacy orders the Rhogam inventory since Rhogam is given in the MAR (has a NDC #) and pharmacy gets the revenue when administered. Blood Bank stores the Rhogam and determines who is a candidate. Blood Bank calls the pharmacy when we need them to order more inventory.

    comment_74966

    What state are you in? When I was working in NYS (which has super stringent rules and regulations) the pharmacy dispensed the Rhogam. In my lab here in AZ, The Blood Bank issues it. My current lab is JCAHO accredited, and we have never ever had an issue! Are you sure it is not a state thing?

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