I hear you... Thanks!

How is this done in the computer? Does it separate them from other patients that do not fit into this catagory? We have Meditech and it will give ALL BB pateints the chance to have no 72 limit, even those transfued in the past 3 months.

Do you keep the specimen for that long and XM at the time of surgery or XM it that far in advance?

Can anyone help me here???

How is this done in the computer? Does it separate them from other patients that do not fit into this catagory? We have Meditech and it will give ALL BB pateints the chance to have no 72 limit, even those transfued in the past 3 months.

Do you keep the specimen for that long and XM at the time of surgery or XM it that far in advance?

Can anyone help me here???

We have Meditech and this is what we do. In Meditech, we have autorelease set to release a crossmatch at 2359 on the 3rd day after the date of phlebotomy. So everyone falls in the 72 hour limit. We use a spec up to 14 days with no history of pregnancy or transfusion. We crossmatch the day before surgery, but not on the original type and screen specimen number. Regardless of issues of ordering on the wrong account, if you do crossmatches on a sample that's past the 72 hours Meditech will autorelease them at midnight anyway

So we make a new specimen and order the XMs and RBC on the surgical acct # (not the outpaient acct # that the preop testing was originally done on). We add a test "SPEC USED" where we record the original spec # of the sample used (helps with tracking). If you order this with the collecrtion date of T-1, T-2 etc, you can get them to autorelease at midnight the day of surgery, midnight the first day post-op etc, whatever your policy is.

You can use this mechanism with any sample that's past the 72 hours. If the sample can still be used according to your P&P, just order your XMs on a new specimen number and start the 72 hour clock ticking again.

We allow patients to have a pre-surgical specimen drawn up to 30 days ahead of surgery. The question about transfusions and pregnancy is asked and documented. This has been a great patient and physician satisfier.

This is all "OK" per AABB? Changing the specimen date too?

This is all "OK" per AABB? Even changing the specimen draw date to a false one?

We have Meditech and this is what we do. In Meditech, we have autorelease set to release a crossmatch at 2359 on the 3rd day after the date of phlebotomy. So everyone falls in the 72 hour limit. We use a spec up to 14 days with no history of pregnancy or transfusion. We crossmatch the day before surgery, but not on the original type and screen specimen number. Regardless of issues of ordering on the wrong account, if you do crossmatches on a sample that's past the 72 hours Meditech will autorelease them at midnight anyway

So we make a new specimen and order the XMs and RBC on the surgical acct # (not the outpaient acct # that the preop testing was originally done on). We add a test "SPEC USED" where we record the original spec # of the sample used (helps with tracking). If you order this with the collecrtion date of T-1, T-2 etc, you can get them to autorelease at midnight the day of surgery, midnight the first day post-op etc, whatever your policy is.

You can use this mechanism with any sample that's past the 72 hours. If the sample can still be used according to your P&P, just order your XMs on a new specimen number and start the 72 hour clock ticking again.