Special notes from Transfusion Service

 

 

 

DERIVATIVES AVAILABLE

 

RHG300

RHiG (300ug)

                                               

 

 

COMPONENTS AVAILABLE

 

CRY

Cryoprecipitate

FFP

Fresh Frozen Plasma

FFPN

Fresh Frozen Plasma - (Neonatal Patients only)

PPHL

PlateletPheresis - Leukoreduced

PPHLI

PlateletPheresis - Leukoreduced & Irradiated

PPHLIV

PlateletPheresis - Leukoreduced/Irradiated & CMV Negative

PPHN

PlateletPheresis - (Neonatal Patients only)

RCAUTO

Red Blood Cells - (Autologous Donation only)

RCL

Red Blood Cells - Leukoreduced

RCLI

Red Blood Cells - Leukoreduced/Irradiated

RCLIV

Red Blood Cells - Leukoreduced/Irradiated & CMV Negative

RCLIWN

Red Blood Cells - Leukoreduced/Irradiated & CMV Negative Washed - (Neonatal Patients only)

RCLIVN

Red Blood Cells - Leukoreduced/Irradiated & CMV Negative - (Neonatal Patients only)

RCLV

Red Blood Cells – Leukoreduced & CMV Negative

 

 


AUTOLOGOUS BLOOD

1.   Donation criteria:

           Patient hemoglobin >11.5 gm/dl and can tolerate removal of 450 ml blood.

           No acute or chronic infections.

2.   Ordering information:

           Complete order form available from Transfusion Service.

           Schedule donations with ARC Blood Center (268-0824)

3.   Blood collection:

           Blood collection is performed by American Red Cross (ARC) Central Plains Region.

           Blood can be collected at ARC mobile collection sites by special arrangement.

           Patient must present physician's order to ARC personnel at time of first donation.

           Donations can be every week with last donation one week prior to surgery.  Iron supplementation may be prescribed to enhance red cell production.

4.   Blood storage:

           Blood is sent to WMC Transfusion Service for storage following collection and routine donor testing.

           Expiration of red blood cells 42 is days.

5.   Pretransfusion testing:

           Specify that autologous blood is available when writing surgical blood orders.

           Routine pretransfusion testing (crossmatching) is performed.

6.   Release of autologous blood:

           Unused liquid-stored blood is held for the patient until the unit expires.  It cannot be crossed over into the general blood inventory.

 

DIRECTED DONOR BLOOD

                        NOTE:  Directed donor blood is no safer than homologous blood.

1.   Donation criteria:

           Donors must meet same donor requirements as homologous donors.,

           Husbands should not donate for wives.

2.   Pre-donation testing:

           ABO and Rh typing of potential donors is required prior to donation to verify donor/recipient compatibility.  CMV antibody testing is required when recipient is less than 4 months old. Donor is sent to Business Office to see if insurance will cover cost of testing. If not, Business Office will request payment for "Blood Type" testing. Donor is sent to WMC outpatient lab for specimen collection.

3.   Ordering information:

           Complete physician order form available from WMC Transfusion Service.

           Schedule donations with ARC Blood Center (268-0824).

4.   Blood collection:

           Blood collection is performed by American Red Cross (ARC) Central Plains Region.

           Donation must occur at least three working days (excluding Saturdays, Sundays, and holidays) prior to date of intended use.

           Blood can be collected at ARC mobile collection sites by special arrangement.

           Donor must present physician's order to ARC personnel at time of first donation.

5.   Blood storage:

           Blood is sent to the WMC Transfusion Service for storage following collection and routine donor testing.

           Expiration of red blood cells is 42 days.

           Blood from first-degree relatives is irradiated to prevent graft versus host disease.  It then has an expiration date of 28 days.

6.   Pretransfusion testing:

           Specify that directed donor blood is available when writing surgical blood orders.

           Routine pretransfusion testing (crossmatching) is performed.

7.   Charges:

           Patients are charged for the unit if the blood is used.

8.   Release of directed donor blood:

     When a patient with directed donor units is discharged, the patient’s physician will be contacted for permission to cross the units over into the general inventory