BB: Inspection, Shipping, and Receiving Blood Components

What are the 3 points documented, upon a unit inspection?

Date, donor number, description of any abnormalities (includes action taken and identity of person inspecting)

What are the criteria of quarantining a unit?

Segments different from primary bag

RBC color

clots

debris and matter

lipemia

open ports or growth in ports

gas in bag

What are the 4 main components you can get from whole blood?

RBCs, platelets, FFP, cryo

What are the temperature requirements for shipping of blood products?

WBC/RBC

Platelets, thawed cryo, granulocytes

frozen components (FFP, PF24, cyro, FRBCs)

WBC/RBC: shipped at 1-10, six or less bags need a gel pack

Platelets, thawed cryo, granulocytes: shipped at 20-24

frozen components (FFP, PF24, cyro, FRBCs): shipped on dry ice

Before WB or RBCs can be placed into general inventory of the receiving facility, the transfusion service must reconfirm what testing?

ABO must be retyped, if Rh negative then retype D (don't have to repeat Rh +, don't have to do weak D)

What is the difference between regular platelets and PR platelets?

PR platelets are treated with UV light and psoralen. This reduces transfusion transmission risk of a broad spectrum of pathogen, replaces the need for bacterial testing, and eliminates the need for gamma irradiation for prevention of TA-GVHD.

Bag is 2.8 inches longer than conventional bags which allows for greater surface area for platelet gas exchange.

What are the advantages of PR platelets

- Substantially reduce risk of bacterial and other pathogenic contamination

- No need for irradiation or CMV testing

- Longer shelf life than conventional or LVDS platelets (1 day)

- Ready to use with no secondary testing required

PR platelets are also known as what?

Psoralen treated platelets, pathogen reduced (PR) platelets, pathogen reduced treated (PRT) platelets

Platelets can be without agitation for up to ____ hours during shipping.

24 hours