saralm88 13 Posted March 26 Share Posted March 26 Hi everyone! I am writing a procedure for making aliquots from platelet pheresis units - I had done this a lot at my prior institution and I need a policy/procedure for my current hospital since we have a rather large NICU. Does anyone have any references/CFRs/CGMP that can help me or procedures they can share? Thank you!! And have a great weekend! S Link to post Share on other sites
John C. Staley 1,193 Posted March 27 Share Posted March 27 Interesting topic, we had a 32 bed NICU and I don't remember ever transfusing platelets. I'll be interested in any responses. Link to post Share on other sites
Baby Banker 85 Posted March 30 Share Posted March 30 There is a section in the most recent Technical Manual (20th Edition from 2020) on platelet transfusions in neonates and children. It begins on page 685. Link to post Share on other sites
L.C.H. 8 Posted March 31 Share Posted March 31 "Interesting topic, we had a 32 bed NICU and I don't remember ever transfusing platelets." we have a larger NICU, but have transfused plts to babies twice already this week, so it's not uncommon from where I sit. we have NAIT babies very frequently, as well as babies that bleed, drop their plts, need to go to surgery, and we bump their platelets first. Link to post Share on other sites
Sonya Martinez 42 Posted April 1 Share Posted April 1 I've attached our policies for preparing aliquots in general and our platelet policy. Hope this helps. Oh, we decided all aliquots in syringes expire 4 hours after being made to make it easier for both blood bank and nursing staff to remember. We used to let the RBC and FFP syringes expire in 24 hours but nursing in particular would think all syringes expire 24 hours and we wasted a lot of syringe aliquots until I changed it. BBI0015 Preparation of Aliquots.04.03.2020.doc BBI0017 Platelets 04.03.2020.doc L.C.H. and Melanie Tokessy 2 Link to post Share on other sites
slsmith 68 Posted April 5 Share Posted April 5 Here is our aliquoting procedure, hope it opens okay. I may be a good Banker but when it comes to computer uploads, downloads or whatever not so much. Sheri SKM_C55821040507520.pdf Melanie Tokessy and L.C.H. 2 Link to post Share on other sites
lalamb 66 Posted April 9 Share Posted April 9 On 4/1/2021 at 11:08 AM, Sonya Martinez said: I've attached our policies for preparing aliquots in general and our platelet policy. Hope this helps. Oh, we decided all aliquots in syringes expire 4 hours after being made to make it easier for both blood bank and nursing staff to remember. We used to let the RBC and FFP syringes expire in 24 hours but nursing in particular would think all syringes expire 24 hours and we wasted a lot of syringe aliquots until I changed it. BBI0015 Preparation of Aliquots.04.03.2020.doc 256 kB · 7 downloads BBI0017 Platelets 04.03.2020.doc 486 kB · 7 downloads 2.2.1 Pathogen Reduced Platelets and Cold Storage Platelets are not to be accepted and must be returned to the supplier. Why do you not accept Pathogen reduced plts? We are switching over to Psoralen treated plts, but have never transfused plt to any baby. L.C.H. 1 Link to post Share on other sites
Sonya Martinez 42 Posted April 26 Share Posted April 26 lalamb: Sorry for the delayed response I'm going live with a computer upgrade this week and I've been neglecting everything else!! We will be accepting pathogen reduced platelets starting May 1. Mostly it's because our physicians on the transfusion committee are extremely conservative (and rather dated) and wanted more data. But we don't really have a choice since our secondary vendor for platelets is ARC and they are going 100% PRT later this year. Besides most of the other area hospitals that have NICUs and PICUs in SD county are run by Rady Children's Hospital and they use PRT now anyway. Lastly, our primary vendor collects more apheresis and just started their PRT collections recently. It will be interesting starting this weekend when we can accept them. I'm not looking forward to all the calls from nursing since the label doesn't actually state pathogen reduced. We'll see who reads their education and emails!! Link to post Share on other sites
AMcCord 1,296 Posted April 27 Share Posted April 27 18 hours ago, Sonya Martinez said: It will be interesting starting this weekend when we can accept them. I'm not looking forward to all the calls from nursing since the label doesn't actually state pathogen reduced. We'll see who reads their education and emails!! We are going to put a hang tag with a fluorescent green label on our pathogen reduced platelets using the language suggested by Cerus - FDA approved as a substitute for irradiated product, meets AABB requirements for CMV neg, etc. etc. I'm not optimistic about many people actually reading the education materials. Sonya Martinez, Marilyn Plett and Ensis01 3 Link to post Share on other sites
sgoertzen 43 Posted April 27 Share Posted April 27 We apply this custom label to all PR platelets and PR platelet aliquots (see attached picture). We're a children's hospital and we've been giving PR platelets to neonates since March 2017 with no problems. PR Platelets.docx AMcCord 1 Link to post Share on other sites
Sonya Martinez 42 Posted April 29 Share Posted April 29 On 4/27/2021 at 1:00 PM, sgoertzen said: We apply this custom label to all PR platelets and PR platelet aliquots (see attached picture). We're a children's hospital and we've been giving PR platelets to neonates since March 2017 with no problems. PR Platelets.docx 114.1 kB · 6 downloads That's a great idea. Do you print the labels yourself or did you have them made by a printing company (like Shamrock)? Link to post Share on other sites
sgoertzen 43 Posted April 30 Share Posted April 30 Hi Sonya - yes, it's a custom label we had them make for us at Shamrock. If you like it, they may just let you order ours rather than create your own! Hope you are all well and happy in San Diego! Link to post Share on other sites
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