labail Posted January 29, 2010 Share Posted January 29, 2010 We are a 400 bed hospital level 1 Trauma Hospital and occasionally have patients that require "massive transfusions"We have a massive transfusion protocol that seems to be working BUT.... The nursing staff now wants us to send all blood products (RBCs, FFP, cryo, and platelets) together in some type of transportation "system". We of course put RBCs in a cooler 1-6 and send the FFP, cryo and platelets seperately.My question is.... DOES ANYONE HAVE ANY IDEA AS TO HOW I CAN CREATE A TRANSPORTATION "SYSTEM" THAT SOMEHOW WOULD HAVE ALL PRODUCTS, KEPT AT DIFFERENT TEMPS. IN ONE CARRIER.My thought was to have plastic carrier bags to attach to the outside of the cooler for the platelets and cryo... Any creative ideas would be welcome. Link to comment Share on other sites More sharing options...
L106 Posted January 29, 2010 Share Posted January 29, 2010 No, I would not recommend the plastic carrier bags on the outside of the cooler for platelets & cryo. You would have no way to control or document the temperature of the products. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted January 29, 2010 Share Posted January 29, 2010 The nursing staff now wants us to send all blood products (RBCs, FFP, cryo, and platelets) together in some type of transportation "system". We of course put RBCs in a cooler 1-6 and send the FFP, cryo and platelets seperately.Any creative ideas would be welcome.I have two alternative creative ideas.Either tell the nurses to get educated about how blood components need to be stored if they are to be effective, or (my favourite), shoot the nurses!:eek::eek: amym1586 1 Link to comment Share on other sites More sharing options...
L106 Posted January 29, 2010 Share Posted January 29, 2010 YEAH!!!!! I VOTE FOR MALCOLM'S SECOND SUGGESTION!!! (Malcom for president!!) Link to comment Share on other sites More sharing options...
adiescast Posted January 29, 2010 Share Posted January 29, 2010 I have seen information on coolers (not necessarily designed for blood banks) that have two separate chambers for maintaining temperature in two different ranges. It was on the internet, but I don't have the site to hand. You could probably Google (notice the verb use!) to find it if you are interested. We just send the red cells and plasma in a cooler and the platelets and cryo in a padded envelope. The problem is the same one you always face: how do you know the users will keep the products in the correct location and leave them there until they are needed so that temperature is maintained? No really good answers here...train and re-train. If you do choose to shoot the nurses, be sure to be thorough. I do not wish to have to run a massive protocol for a shooting you messed up! Link to comment Share on other sites More sharing options...
labsmb@msj.org Posted February 8, 2010 Share Posted February 8, 2010 I work in a level 2 trauma center where we have "Trauma Trays." This is a 1x1.5 feet and 6 inch deep tray that has a divider in the middle. We put cold packs with the cold products on one side and room temp packs with the room temperature products on the other side. We have a timer that we set when the tray leaves the department so that whoever has the tray knows that the products have to be returned to be stored at proper temperature. We also have a tray check off list to keep track ofwhat products need to be in the next tray. So, we are constantly feeling up one tray while the other is being used and the person picking up is usually back by the time we get it full. Michaele 1 Link to comment Share on other sites More sharing options...
L106 Posted February 8, 2010 Share Posted February 8, 2010 labsmb - Can you tell us the brand name and where you purchased the trays? (Preferably, a website???) Thanks! Link to comment Share on other sites More sharing options...
labsmb@msj.org Posted February 8, 2010 Share Posted February 8, 2010 Hey, the website is http://www.marketlabinc.com/prodtype.asp?s=zlo58d14539&strParents=1329,1330,1331,1344&CAT_ID=1940&numRecordPosition=1. This link should take you right to the correct page. If not, the "trays" I referred to are in the Organization section and under boxes on the Market Lab (Unique and Hard to Find Products). There are all different sizes and you can choose which one is best for you. I hope this works for you. Link to comment Share on other sites More sharing options...
Shaundrey Posted February 9, 2010 Share Posted February 9, 2010 We are a level 1 Trauma Center with over 800 beds and our MTP process continually changes. We currently only send 5 RBC's and 5 Liquid Plasma or FFP/Thawed Plasma products up on each batch. We send platelets up with every third batch and place a sticker on them that says "Do Not Refrigerate". We don't do any cryo until they tell us (this helps with wastage). The biggest problem is always going to be nursing compliance with products at different temperatures. I file an incident report for every product wasted due to nursing errors and now I put the dollar amount that is lost due to the wastage. I only wish I could charge that wasted product to the nursing unit instead of BB eating the cost. Link to comment Share on other sites More sharing options...
ABQ bloodbanker Posted February 17, 2010 Share Posted February 17, 2010 I still like the "shoot the nurses" response! Link to comment Share on other sites More sharing options...
ANORRIS Posted April 18, 2014 Share Posted April 18, 2014 Are there any NON trauma hospitals out there with a Massive Transfusion Pack protocol? Link to comment Share on other sites More sharing options...
estiner Posted April 18, 2014 Share Posted April 18, 2014 Shaundrey - why do you not charge nursing for wasted products where they did not follow established protocol? You should. Link to comment Share on other sites More sharing options...
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