#and the MLS is the person who ultimatley decides which blood to use (with consideration of course)

[traitormithos]

Example of me taking some things too seriously such as the wording of processes I know extremely well 😅 sorry in advanced:

I found my first real gripe in Midnight Sun, and it has to do with the medical field.

So, when deciding the best way to go about getting Bella to the hospital post-James, they're working on how to get blood for the staging of Bella-falling-down-the-stairs. And they refer to it as "the emergency wing's blood storage room" which is incorrect.

Now, I know some hospitals do have a blood bank near or inside the ER, but most do not. And either way, the blood is accessible to nurses and doctors but they're not allowed to just come in and get it as they please ON THEIR OWN. Instead, the nurse usually, or a clerk or somebody, would go into the blood bank where they will request what they need from the blood banker (an MLS specifically trained in this field), and based on the information about the patient they can get emergency released O Pos for males and females over 55, or emergency released O Neg for females of child-bearing age. And if they're a fancy trauma center (as is what I'm used to) they can get whole blood for their level one traumas. Or they can get blood they previously ordered which has been crossmatched by an experienced blood banker (through various techniques which vary from hospital to hospital. For example mine does an immediate spin crossmatch for blood as we do not rely on computers for that)

Anyway, it just bothers me because I KNOW if a doctor or nurse had unlimited access to blood products with just their education alone, we would have many many sentinel events. (Example driving this home, I have had a nurse come and get blood for patient A but had patient Bs information on them and verified everything for patient B even though it was for patient A and thankfully even though he had the blood ready to infuse which he did this process completely wrong, he still waited on the computer to verify everything before starting. And the computer said nope! Wrong patient. So he didn't start the transfusion. If he had, that patient probably would have died because he had patient Bs A positive blood that he was trying to give to O positive patient A. Needless to say I wrote up that entire event and submitted to the higher ups and he probably went through some serious retraining)