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[traumanurses] Re: Crossmatch for Trauma Patients

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Subject: [traumanurses] Re: Crossmatch for Trauma Patients
From: "Mitchell, Tony" <tmitchel@stj.com>
Date: Tue, 16 Dec 2003 10:42:26 -0600
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Thread-topic: [traumanurses] Crossmatch for Trauma Patients
Heidi,
We have discussed this same concern with the blood bank because we felt there 
was a delay in getting the results/blood. What we have started doing in the 
past few months is drawing 2 pink tubes at the same time we draw our initial 
rainbow. This allows one to be used for labs and the other for type and cross. 
This seems to be working very well. I don't understand the need for 2 specimens 
at different times????

Tony Mitchell,  RN, TNC
St. John's Regional Medical Center
Joplin, MO


-----Original Message-----
From: traumanurses-bounce@mailman.listserve.com
[mailto:traumanurses-bounce@mailman.listserve.com]On Behalf Of Hotz,
Heidi, RN
Sent: Tuesday, December 16, 2003 10:33 AM
To: 'traumanurses@mailman.listserve.com'
Subject: [traumanurses] Crossmatch for Trauma Patients


Hello All!

I would like to know what other trauma centers policy and procedure is for
crossmatching for trauma patients, e.g., are you required to draw 2 blood
specimens on one trauma patient at 2 different times? Would you be willing
to share your P&P? Please share you comments on the effectiveness of your
P&P. 

We are being asked to draw 2 specimens at 2 separate intervals on the same
patient. Our concern is that this will delay the administration of
crossmatched blood as well as deplete our stores of O negative/positive
blood. 

I appreciate your feedback.

Thanks,

Heidi Hotz, RN, Trauma Program Manager
Department of Surgery
Cedars-Sinai Medical Center
Los Angeles


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