Does any one have comments on following issues?

 

1. Blood received at Hospital 1, confirmed, removed segments of 10 units and transferred to sister facility Hospital 2 (same LIS/HIS), stored at Hospital 2.

2. Specimen collected at Hospital 2, transported to 1 for testing. Hospital 1 performs Electronic Crossmatches.

3. If request for red blood cells received for patient at Hospital 2, Hospital 1 will ELXM and select RBC.

4. Hospital 2 will obtain RBC from storage, reprint compatibility label and issue in their computer.

 

Can this be done? Any problem with regulation? Does it have tobe under same CLIA licence?

Any reference? Any one is doing such protocol? Like to share?

Will appreciate the response. workflow.vsdworkflow.vsd

There is a Centralized Transfusion Service in Pittsburg, PA.  Also Puget Sound Donor Center in Washingon state did operate a centralized transfusion service.

 Is there some reason the techs at hospital 2 cannot perform the electronic crossmatch after the type and screen is performed at hospital 1? We have multiple hospitals that receive confiermed RBCs from the main hospital and the techs perform electronic crossmatch at their site.

Can your computer system print the transfusion tag at hospital 2 after the crossmatch is completed at hospital 1, or, is there some reason you want to have a copy of the tag at hospital 1? If the tag prints at hospital 2 they will know immediately when the product is ready. I can't see any CLIA issues unless there is something about who puts the transfusion tag on the unit at hospital 2. Can a clerk do it?

The reports(not the tag) have to say the location at which the crossmatch was performed.