For our highest level of activation (Level 1) we draw a type and cross.
For the next level (Level 2) we draw a type and screen. This consists
of one tube of blood. There are two reasons another specimen would be
requested 1) if the medical record number changes. We wait 24 hours to
do this however, just for this reason. By then hopefully the "dust has
settled". 2) If the massive transfusion protocol is initiated, which
occurs after 15 units are administered. Then another sample would be
requested about 12 hours after the protocol has been initiated. The
Blood Bank does this automatically and the Medical Director of the Blood
Bank gets involved.
Initially, on the Level 1's, we get a cooler with 4 units of O Neg or O
Pos depending on age of patient. That cooler keeps getting refilled
until the Trauma Team calls the code.
Merry Christmas,
Dianne Wheaton, RN, BSN, MBA
Trauma Service Line Coordinator
Wake Forest University Baptist Medical Center
Medical Center Blvd.
Winston-Salem, NC 27157
336-716-2038
336-716-7188 (FAX)
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-----Original Message-----
From: Hotz, Heidi, RN [mailto:Heidi.Hotz@cshs.org]
Sent: Tuesday, December 16, 2003 11:33 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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