DHarts

If all units are the SAME blood type, you can label with same ABO/Rh. Example: Pooling of 4 A POS platelets, use A POS to label pooled product. The ABO/Rh pooled barcodes are available when units of different ABO and/or different Rh types are pooled. Using one of these "pooled" codes replaces using a separate barcode label for each blood group contained in the pool. Please be aware that the barcode H0 (Pooled ABO, Rh not specified) is only used for Cryoprecipitate. The Intended use for pooled ABO/Rh barcodes is "not specified."

Using pre-printed labels can indeed be complicated and there are many considerations. First you need to consider if the size of your syringes can accommodate a full face label. If so, you will need to order base labels with your supplier name, address, and FDA reg. number. You will also need three identical copies of the DIN barcode. Check to be sure your supplier will be attaching these to the parent units in the quantity you need. If you can limit the number of different product codes that you will be using for neonates, I would focus on ordering only those product codes that you know you always have in inventory. It sounds as if you always have E0311 available. You did not mention if you used an irradiated product for neonates and whether or not you irradiated on site. This will determine the correct product code. E0311 is not an irradiated product, so be sure you have the correct code of the parent unit. Once that is determined you can order product code labels as Mabel described above, A0, B0, Aa, and Ab. If you only use O Negative, then you only need to order one ABO/Rh type label. If not, you will need to order all ABO/Rh types you will be using. You are not required to have a barcoded Expiration Date/Time label so that can be hand written. CMV negative labels are also available. Incidently E0291, mentioned in your post is not an leuko reduced product. Hope this helps. Dawn

Hi Terri, We use 4 random donor platelets as our standard order for adult pools. I am not exactly sure how that was derived but it had something to do with the average platelet concentration per bag. I can tell you that we use Apheresis platelets, random donor pools, and 5 day pre-pooled (bacterial tested) interchangably when platelet transfusion of whole blood platelets are ordered. The Blood Bank uses their discretion which product is issued based on availability. On average, the patients platelet count will be raised by 50-70 thousand by each standard platelet transfusion. Dawn

Does anyone have an update on where ARC is going with ISBT. I just spoke to one supplier today and they claim they still don't know when the conversion to ISBT will take place. Last I knew, they had an AABB variance until January 2009. This date is soon approaching. Will ARC's variance be extended? Dawn

Okay, I will throw my hat in the ring! Has the patient received an Immune globulin injection??? Check the medical record. I have seen this in the past numerous times. Dawn

John, I'm not sure what you mean by "dealing" with CMVN. For ISBT, you can simply scan the CMVN barcode when you enter units into inventory. This will put the CMVN attribute on units as they go in. Be sure however to have both the 1aaaa and the N0008 CMVN barcodes defined in your system. Your digitrax printer may only have the 1aaaa defined depending what version of software you are using. You can add the other if needed. I assume you are placing a CMVN special need on patients who require it as well. Dawn

To cut down use of more common antisera like K, C, E, FYa etc, we use patient serum to screen units if antibody is strong enough to do so. We perform an IgG crossmatch first and only antigen test the crossmatch compatible units. In most cases we can cut the number of units antigen typed by at least half. Dawn

I was first to answer poll!! The truth is, I am not live on ISBT yet. I just help others get ready for ISBT. In a perfect world, I would divide product (changing to "open" code unless sterile docked) making parent unit A0 and each division B0, C0, etc. If I divide a second time, lets say unit A0 is to be divided in syringes, A0 would remain as such as long as it has volume. Each syringe pulled from A0 would then become Aa, Ab, Ac, etc. Most computer systems can not do this in one fell swoop if they can do it at all. Some have to develop work arounds whereas first you modifiy the unit from a 'closed' to an 'open' system, then divide the 'open' code. Other systems are still caught up in appending the DIN instead of creating divisions in the product code. And then there are still others who can not make more than 2 divisions at a time.

Here is the path I think you are looking for: E4519-Deglycerolized RED BLOOD CELLS|None/XX/refg|Open|ResLeu:<5log6 -->>> modification Irradiate -->>> E4521-Deglycerolized RED BLOOD CELLS|None/XX/refg|Open|Irradiated|ResLeu:<5log6 Hope this helps Dawn

Please share the fix to change the default to "V." I would love to change that.

It is my understanding that the Intended use code "0" is not being used in the United States. This has been an issue with HemaTrax for those who use the Stand Alone printer software. The default is "0" and you have to remember to change to V. The ABO/Rh barcode is the same for both non-specified and Volunteer, so either will work.

Most facilites that are interfaced with HemaTrax are using Intended Use "1" Autologous Use Only Biohazardous for Untested Auto units. Although it sounds misleading, wouldn't you consider any tissue or blood specimen biohazardous unless otherwise tested?

By ICCBBA standards, the product code for division does change if going from a "closed" to an "open" system. It only stays the same if using a sterile docking device. In both cases, the division characters would apply.

Does anyone know what the expiration of a Thawed Pooled Cryo unit would be if the frozen pool was prepared in a "closed" system? Open prepreparations would surely expire in 4 hours when thawed. But would that be extended to 6 hours if the Frozen Pooled Cryo was prepared by sterile procedure? ICCBBA defines a code for this product. I can't find a reference for this protocol.

The system I have seen this in is Meditech CS 5.5. Initially the system did not recognize the Intended Use characters. When the client called the vendor, they were able to populate the Donation Types into the system. I don't know if it is done in a DTS that is accessed by the client. However, now that it was "fixed" by Meditech, we are able to scan in Autologous and Directed units that are recognized as such from the bar code. Perhaps this is not a feature of Magic.