OR returns of Thawed Plasma

[Christiane]

Our lab policy is to place temp dots on cooler issued PRBC, but not on Plasma units. 

We do not currently have a policy on returns of thawed plasma after it was issued to OR

we place temp dots on PRBC s but not on thawed plasma

i am interested on what your policies are regarding placing thawed plasma back into inventory after having been issued to OR

[SMILLER]

The problem with issuing thawed plasma in a cooler is that often the FFP has just been thawed, so when you try to monitor it in the cooler, you are fighting a loosing battle, whether you use "temp dots" or a coller thermometer.

When we have this situation, we use a thermometer and set it next to one of the ice packs (as opposed to in between units).  If the thermometer is off when the cooler is returned, we would check the unit with a digital thermometer before discarding it.

Scott

[Christiane]

Thank youScott

ourvthawrd plasmavhaf been in the refrig for an hour before being issued 

i am thinking that in a case like this we could apply the Temp Dots at issue and the plasmas could be placed back into inventory until their five days expiration instead of being wasted. 

[Dansket]

3 hours ago, SMILLER said:

When we have this situation, we use a thermometer and set it next to one of the ice packs (as opposed to in between units).  If the thermometer is off when the cooler is returned, we would check the unit with a digital thermometer before discarding it.

Scott

What temperature of the ice packs do you consider unaccepatable?  What temperature of the unit do you consider unacceptable? 

In the United States, holding Thawed FFP in a cooler is considered storage by the FDA.  So whatever is the acceptable storage temperature of Thawed FFP would apply.

[SMILLER]

Right.  That's what an inspector told us once -- you are monitoring the temp of the storage.  They were the ones who suggested we put the thermometer next to an ice pack (we use wet ice).  So if it comes back at 1-6 C, we are good. 

This in no way verifies that the people on the other end have left the TFP out on a counter or something.  That's what the temp dots would be for--except that you cannot use the dots when the FFP is freshly made into TFP.

Scott

(Now-- how do we make sure that when platelets or cryo is released that it is being continuously being held at 20-24 C?)

[CSP0102]

Our current policy is to return plasma to inventory if it has been issued for less than 2 hours even if it was issued to an ice chest. I'm not sure that makes any sense but it is the policy of our BB