We keep 4 thawed A plasma at all time for emergent adult population transfusion. We use these for daily transfusion and replenish them with new batch immediately. They are not strictly for emergent need only.
There is no limit to the # of plasma. Recently, we had a level 1 gsw and they used over 15+ emergent plasma so we provide as much as needed until they can send us a type&screen.
If the patient end up typing as a B, we ask the careteam if they can wait 20-25min for the thawing. If they cannot wait, we will give them the A plasma regardless. Usually, they require more of RBC and can hold off on plasma but there were case that they transfuse B patient with group A.
If there is no current sample or blood typing; for us, all emergency plasma dispense require provider to sign an Emergency Release form and return the form whenever possible. We will not stop them for getting plasma if there is no signature and often time we just tube the form along with the plasma. These product does get issue in the LIS for tracking purpose, otherwise it document on the Emergency Release form. The form does need to be sign within the shift or in a 24 hours period. There were case where the provider left and does not come sign the form days later and required our Medical Director intervention.
We only need 1 signature and keep track of all emergent product they use. Provider does not have to sign a sheet for every product. We used to require signature on every sheet, and trust me, it require a lot of effort to track the provider down.