Platelet products out of blood bank

[sebrof]

I would like feedback from others on the length of time a platelet product can be out of the blood bank and still be returned to inventory.

Our 30 min maximum time out of the blood bank is very difficult when dealing with OR orders.

Thanks

[zz243]

My concern is focused on temperature rather than time. 23rd edition to Standards say the maximum time without agitation for platelets is 24 hours. During transportation they must remain as close as possible to 20-24C.

Your Medical Director could make a decision if they are returned beyond the time limit. Making sure they were kept at required temperature range is just as important. (Not accidently placed in the RBC cooler).

I have seen a one hour time limit used in many hospitals.

[Likewine99]

We stick with the 30 minute rule to keep it standard for all products so that the nsg staff doesn't get confused.

We are especially picky with the OR since we have have had plts come back in the portable refrig!

[Franklyn]

We permit up to 4 hours for platelets and plasma under normal issue scenarios. Platelets and plasma issued to surgery can be out much longer because we have remote storage, including rotators.

[sgoertzen]

We have also assigned a 4 hour rule for platelets and when issuing them to a surgery patient that also has RBCs issued in a cold igloo, we place them in their own room temp platelet igloo (i.e. an igloo with room temp gel packs with the word "Platelets" on the outside) and we also attach a bright blue sticker on the bag that says "STORE AT ROOM TEMP". We haven't had any problems with platelets getting dumped into the cold igloo along with the plasma and RBCs since we've starting using the stickers.

[jamato]

I like the idea of the platelets being sent in a container. What kind of container do you use and how was it validated?