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Found 7 results

  1. Would anyone be willing to share their SOP's for "tubing" blood products? I am trying to get this started at my facility (even though it seems like everyone else has been doing it for years!) and am already getting lots of questions. I figure being able to explain what others do might help! Thank you in advance! Edit: we do not have the capability of "secure send" or scanning units/badges with our tube system
  2. We are going to begin running Mock Massive Transfusion Protocols in our facility. We need to "manufacture" some blood products to use in these drills. Do any of you have "recipes" for making up packed cells, FFP, Platelets, and Cryo products to use for practice? Thank you
  3. I am looking for the answer to this question posed by one of our physicians. Can FFP and RBC's be administered through the same line at the same time in a trauma situation? This has never been the practice where I have worked however when I checked for standards that might apply I could only find AABB 5.28.9 Addition of Drugs and Solutions which really did not seem to answer the question. Looking for any input with regard to this question and making the assumption the FFP and the RBC's would have to be compatible.
  4. I was wondering, I work a level one trauma center. We have kept O= units in a monitored refrigerator in our emergency for some time now and recently began storing liquid plasma for our patients in the ER too. Can these liquid plasma units be used in place of FFP when they near their expiration date? Does anyone do this?
  5. Our pharmacy and therapeutics committee is reviewing their guidelines for use of 4 factor PCC. They would like me to provide cost and risks of plasma transfusion. Does anyone have data on the costs of transfusion besides the product itself? Most of my data on transfusion risks is not specific to plasma. Better yet, maybe you have done this whole project and would like to share what you found? Or please direct me to a good, recent article on the topic.
  6. Our blood supplier has just sent a letter that we can expect a worsening supply of AB plasma as the new AABB standard to prevent TRALI goes into effect April 1. They recommend various tactics to reduce use of AB plasma including the use of PCC in warfarin reversal of bleeding patients. Does anyone have a good flowchart, algorithm or other chart of how drs should approach these patients besides filling them with FFP? They should use vitamin K if there's time, PCC rather than emergency release plasma if there is not enough time (and the cost can be justified) and FFP in some cases. For invasive procedures sometimes they don't even need to correct the INR. I am looking for a simple way for ED docs to do the right thing in various situations.
  7. I need to predict how much plasma would go to waste if we kept some thawed at all times for traumas. We would probably have to use A's since AB's are in such short supply and we would convert all our non-pediatric plasma to a 5 day outdate. We are a 250 bed hospital in a rural area, level II trauma center and we get around 2 massive transfusions called on traumas per month (not all turn out to be true massives). We transfuse about 90 FFP a month currently to all patients. We do some open heart surgery but they don't use much plasma. We do occasional plasma exchanges via apheresis which might drive up our totals when we have such a patient. I just need a ballpark idea whether we will waste 20%, 50% or 80% of the plasma we keep thawed so I can estimate the financial and supply impact. Thanks for any input on how to make this estimate.
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