[nyschp.dop] Re: Blood Product Documentation
- From: "Luke Probst" <ProbstL@xxxxxxxxxxx>
- To: "nyschp.dop@xxxxxxxxxxxxx" <nyschp.dop@xxxxxxxxxxxxx>
- Date: Mon, 26 Jun 2017 14:01:18 -0400
A
Luke A. Probst, Pharm.D., BCPS
Executive Director of Pharmacy Services
Upstate University Hospital
Clinical Assistant Professor - Departments of Pediatrics and Medicine
Vice-Chair, Institutional Review Board for the Protection of Human
Subjects
SUNY Upstate Medical University
750 East Adams Street
Syracuse, NY 13210
315-464-2804 phone
315-464-2805 fax
probstl@xxxxxxxxxxx
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"Tibi-Scherl, Leila" <LTibi-Scherl@xxxxxxxxx> 11:32 AM 6/26/17 >>>
Good day, NYSCHP members,
A member hospital would like to know how other NYS hospitals are
handling blood products as NYS DOH regulations (
https://regs.health.ny.gov/content/section-58-219-records-be-kept-when-derivatives-are-infused
) state when human blood derivatives (IVIG, Albumin, etc) are
administered, certain items must be documented in the patients chart or
in records maintained in the dispensing location (blood bank/pharmacy).
They include:
· Product name, manufacturer, lot number, and expiration date
· Documentation of visual inspection prior to infusion
(clarity)
· Name of person administering the product
· Documentation of identification of the recipient
· Date of infusion and quantity of material infused
· Description of any adverse reaction and the results of
related investigation
In your facility, please respond A-E:
A. These items are exclusively documented by Nursing staff prior
to/upon administration; records are kept in the patient’s chart (either
paper or electronically)
B. For blood-derived items dispensed by Pharmacy, Pharmacy
documents some of these items (e.g. lot number, expiration, clarity) but
not all
C. Pharmacy documents some of these items for some items, but not
all (e.g. for albumin, but not for IVIG)
D. Pharmacy stocks some (e.g. albumin) in automated dispensing
cabinets, where some of the above information is captured upon removal
(lot number, expiration); the other required information is captured
elsewhere (e.g. patient’s chart)
E. Other means of documentation (explain)
Please respond accordingly, your response is greatly appreciated! Thank
you for your time!
Sincerely,
Leila
--
Leila M. Tibi-Scherl, Pharm.D.
VP, Pharmacy Practice
GNYHA Services, Inc. | 555 W. 57th Street, Suite 1156 | New York, NY
10019
( 212.259.0775 |È646.483.3333 |7 212.541.9032 |* tibi@xxxxxxxxx
www.pharmacy.gnyhaservices.com
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