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					Lab Nursing Manual


            BLOOD UNITS TO BE PLACED “ON HOLD AT ALL TIMES”

Crossmatched blood units are held until early a.m. (6-7 a.m.) of the second day
and then are automatically released by the Blood Bank Division, unless the Blood
Bank Division is notified to do otherwise.

If the doctor wants units placed on hold for an extended length of time, the
following is necessary:

1.      The doctor’s orders placed through Hospital Information System to the
        Blood Bank Division stating how many units to “keep on hold at all times.”
        It is necessary for the doctor to say “at all times” for the units to be placed
        on hold. “___ units to be on hold at all times” needs to be put in the
        Comment Field on the order.

2.      By regulatory standards, a blood specimen must be drawn from the
        patient every 3 days for recrossmatching. This is necessary for the
        detection of unexpected antibodies the patient may produce due to
        previous transfusions.

3.      After the patient has been “ON HOLD AT ALL TIMES” for 10 days and has
        not used any units since being put “on hold”, Blood Bank personnel will
        contact the floor nurse. Upon notification, “ON HOLD AT ALL TIMES”
        should be re-evaluated by the attending physician. Should the physician
        request to continue “ON HOLD AT ALL TIMES” status, new orders should
        be placed through HIS by the nursing unit.




N:05, 8/19/03                                                              Page 1 of 1

				
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