Posted November 19, 20213 yr comment_82660 Anyone have any experience with OCTAPLAS - Pooled Plasma S/D (Human) ? Our hospital pharmacy is inquiring as to whether it should be handled by them (pharmacy) or by the transfusion service/blood bank. If you handle it in the blood bank do you have it set up in your computer systems same as an FFP and do you know the Product code for it? The example unit (see attachment) that I saw had a face label "similar" to an FFP but without the corresponding product codes so would we have to reprint a face label and relabel the stored frozen product? What about the thawed product? TIA
November 22, 20213 yr comment_82663 We have this product built in our computer system. It is setup as a separate product. We use pre printed thawed labels but Hemotrax standalone should be able to print them. What system do you have?
November 23, 20213 yr comment_82665 Unless the pharmacy is going to pay attention to ABO and Rh, I would think this belongs in the transfusion service. Their computer system probably isn't set up to worry about such things :). And please do not give AB plasma to everyone. This is one of the oldest but most dangerous concepts in transfusion medicine. AB plasma is associated with increased bleeding, sepsis, lung injury and mortality when given to group O patients, for example. ABO identical is by far the most effective and safest when plasma must be transfused. Happy to provide references. There is no universal plasma, contrary to dogma and long practice.
November 23, 20213 yr comment_82666 At my facility, the pharmacy and the Blood Bank collaborated in obtaining, storing, thawing, labeling and issuing the product. We did not have a standalone printer to create modification labels and our BB LIS considered it to be a pharmaceutical product. Pharmacy ordered the product after the patient's ABO type was available, shipped it to the BB for storage and thawing. Once thawed, the pharmacy picked up the product(s) and labeled the modified product and issued it to the patient infusion area. Fortunately, this has only come up twice in the last 8 years.
November 24, 20213 yr comment_82667 We've had it for a couple of studies, but we don't routinely stock it. We have SafeTrace Tx. I built a new product type for solvent detergent treated plasma. That prevents anyone from filling an octaplas order with regular plasma and vice versa. The product code for the pictured product is X0003. It will change to X0007 when it is thawed.
December 11, 20213 yr comment_82743 In our hospital, it is the blood transfusion laboratory that handles Octaplas, since pharmacy does not have a plasma thawer. It is somewhat issued out similar to FFP, but our LIMS has been set-up to recognise Octopus as a "Batched Product", similar to Human Albumin Solution or Prophylactic Anti-D, but it recognises the need to be compatible with patient's blood group.
May 8, 20223 yr comment_83413 I am having a hard time understanding why the pharmacy has to play any part in storing, labeling, issuing this plasma product. Are they doing the same for other products we modify in the BB? I am ok with the albumin, coag factors, even RHIg, but don't get the Pharm as middle man for handling/distribution of any products we thaw/modify in our BB/TS.
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