AB123

I have also reached out to our blood supplier who gave this responce; "Hi Steven I checked in the ISBT 128 table and didn’t find the RBC in SAGM with plasma added, the additive solutions are AS1/AS2.. It’s not only a problem of volume but also the additive solution. These are the only codes for RBC SAGM 450ml" So it would appear currently there is no code that is suitable for the products we have available? Product Description Codes PRODDESCRIPCODE Class Identifier Modifier Identifier PRODDESCRIP0 E0429 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg E0430 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|For mnf:injectable E0431 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|For mnf:noninjectable E0432 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Not for tx or mnf E0433 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Open E0434 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Open|Irradiated E0435 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Open|Irradiated|ResLeu:<5E6 E0436 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Open|ResLeu:<5E6 E0437 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Irradiated E0438 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|Irradiated|ResLeu:<5E6 E0439 C0002 M0000 RED BLOOD CELLS|SAGM/450mL/refg|ResLeu:<5E6

Hi Kaytee Thank you for the information and the offer to help identify the correct code and description. After further reading, the closest description I have come up with is as shown below, however donations here are only 450ml not 500ml. Can the same code be used but the description altered to account for this? Or is the description attached to the code fixed? (I presume it is) E8989 RED BLOOD CELLS|CPD>AS1/500mL/refg|RBC irradiated|ResLeu:NS|Supernat rem/Plasma added. The original code I posted above (E5529) would not be allowed as we do not have irradiated plasma out here, and we have no irradiator to irradiate the final prepared unit on site so we are limited to irradiated PRBC only. The units we use here are irradiated PRBC's from a 450ml donation in CPD-SAGM (E0438), we then centrifuge the unit and remove as much additive and residual plasma as possible to give an Hct of >.9. The requisite volume of AB plasma (E0701) is then added to the unit to give a final target Hct of .55. Also the plasma is not leukocyte reduced but the PRBC's are. Regards Steve

Following the ICCBBA document it would appear this is the correct label;

And this is before getting into additions such as irradiated and leucodepleted.

Thanks for that but after reading it and googling the descriptions for a better understanding of the product, this has muddied the water further. I found the below document which has various different descriptions but not sure which would be most appropriate between supernatant removed plasma added and plasma reduced plasma added? IF The product is made by first removing additive from the Red Blood Cells and then adding blood group-compatible plasma Product is encoded as Red Blood Cells with the Attribute “Supernatant removed/Plasma added” IF The product is made by removing some of the plasma from Red Blood Cells and then adding blood group-compatible plasma Product is encoded as Red Blood Cells with the Attribute “Plasma reduced/Plasma added Would the latter be referring to whole blood and the former to PRBC? https://www.iccbba.org/uploads/bc/26/bc268d3ab8e8533579768db2e3c9e40e/Reconstituted-Red-Blood-Cells.pdf As in PRBC its mainly additive but still some residual plasma so before are relevant. Thanks

Hello Everyone, this is my first post on Pathlabtalk but I have been loitering for a while reading past posts and topics. I've been working in the filed of Haematology and Blood transfusion for the past 17 years, the last 10 of which have been in Blood Bank management. I'm originally from the UK but for the last year have been working out in UAE where the systems are closely aligned with the US, following AABB and CAP standards. Previously I dont have any experience of blood pack modifications, as in the UK we are quite spoilt with an exceptional national transfusion service that provides hospital blood banks with pretty much everything they need ready prepared and ready to use. On top of this, although we follow ISBT standards for unit number bar code format, the UK has its own format for product codes. Out here in the UAE we are using ISBT standards for product codes. What I want to know is when a unit is prepared for neonatal exchange transfusion by diluting PRBC's with AB plasma, what product code is assigned to the newly prepared unit under ISBT product code standards? Thanks and sorry for the long winded post. Steve