suhu Posted February 15, 2012 Share Posted February 15, 2012 May platelet pools be issued if taken directly out of a supplier's shipping box, or do they need to be rotated for a period of time? If so, how long?We receive platelet pools that may have been packed up the afternoon before we receive them. Should we require them to rotate for some amount of time before being acceptable for issue, or are they good as long as they swirl? Link to comment Share on other sites More sharing options...
JOANBALONE Posted February 15, 2012 Share Posted February 15, 2012 You do not have to rotate before issue. Link to comment Share on other sites More sharing options...
David Saikin Posted February 15, 2012 Share Posted February 15, 2012 I concur - they usually get well-mixed in transit. Link to comment Share on other sites More sharing options...
CM2 Posted February 16, 2012 Share Posted February 16, 2012 There is a set resting period immediately after collection, and a set requirement to Store on a rotator, but no requirement that they be rotated some amt of time before issue. I always wondered though, why it's ok for platelets to sit unrotated in a box thats packed up for transport, but not ok if they were out on the counter for the same amount of time. Although I probably shouldnt bring it up! Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted February 16, 2012 Share Posted February 16, 2012 There is a set resting period immediately after collection, and a set requirement to Store on a rotator, but no requirement that they be rotated some amt of time before issue. I always wondered though, why it's ok for platelets to sit unrotated in a box thats packed up for transport, but not ok if they were out on the counter for the same amount of time. Although I probably shouldnt bring it up!If you don't bring it up, who is going to give you the answer????????????????!!!!!!!!!!!!!!!!!!!!!!!!!!By the way, it isn't going to be me, because I don't know the answer!!!!!!!!!!!!!! Link to comment Share on other sites More sharing options...
CM2 Posted February 16, 2012 Share Posted February 16, 2012 [/quote=Malcolm Needs;43626]If you don't bring it up, who is going to give you the answer????????????????!!!!!!!!!!!!!!!!!!!!!!!!!!/QUOTE]Im terribly afraid the answer will be from a regulatory agency that says "We'll be sure to address that in the next issue of standards" and then I'd be marked for death by anyone in the real world who has to ship or receive products. Link to comment Share on other sites More sharing options...
Mabel Adams Posted February 17, 2012 Share Posted February 17, 2012 There is a limit on non-rotation of 24 hrs, I believe--at least for ARC. But fortunately they don't define that as how many times in the plt's life they can spend 23 hrs 59 min sitting in a shipping box. Next year at "ask the FDA" no doubt... Link to comment Share on other sites More sharing options...
Eagle Eye Posted February 17, 2012 Share Posted February 17, 2012 AABB Standard........ Maximum timewithout agitation24 hours Link to comment Share on other sites More sharing options...
Annadele Posted February 18, 2012 Share Posted February 18, 2012 We require platelets to be on the rotator for 15 minutes after bringing them into inventory before we issue them but I'm not sure where that requirement originated from.May platelet pools be issued if taken directly out of a supplier's shipping box, or do they need to be rotated for a period of time? If so, how long?We receive platelet pools that may have been packed up the afternoon before we receive them. Should we require them to rotate for some amount of time before being acceptable for issue, or are they good as long as they swirl? Link to comment Share on other sites More sharing options...
Mabel Adams Posted February 22, 2012 Share Posted February 22, 2012 I've heard of places requiring a period of rotating but I have always thought it just made someone feel better, without any real scientific basis. Link to comment Share on other sites More sharing options...
Justina Posted February 22, 2012 Share Posted February 22, 2012 Blood Banking and Transfusion Medicine, 2nd Ed. by Hillyer, et al : " In the late 1970's, it was found that platelets stored with gentle agitation maintained better morphology and in vitro functionality than platelets undisturbed." But then it goes on to say in the same paragraph "Agitation is also associated with discharge of cytosolic lactate dehydrogenase, suggesting that some degree of platelet lysis occurs during agitation." Link to comment Share on other sites More sharing options...
AMcCord Posted February 28, 2012 Share Posted February 28, 2012 The 'feel good thing' is why we put them on the rotator for 15 min before we issue, but I've never seen anything in writing that requires it. In reality, if we plop them on the rotator immediately after they arrive, then do the necessary paperwork for tagging and issuing, 15 minutes has elapsed, so it doesn't really slow us down. Even for extremely urgent cases, it does take a few minutes to be ready for issue and get someone from nursing service down to collect the unit. Link to comment Share on other sites More sharing options...
EDibble Posted March 3, 2012 Share Posted March 3, 2012 Exactly how we do it. The 'feel good thing' is why we put them on the rotator for 15 min before we issue, but I've never seen anything in writing that requires it. In reality, if we plop them on the rotator immediately after they arrive, then do the necessary paperwork for tagging and issuing, 15 minutes has elapsed, so it doesn't really slow us down. Even for extremely urgent cases, it does take a few minutes to be ready for issue and get someone from nursing service down to collect the unit. Link to comment Share on other sites More sharing options...
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