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Return of used blood


Kandahlawi

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I want to do a survey regarding the practice of return used blood bags to blood bank. Currently my hospital make it compulsory to return all transfused blood bags to blood bank. Then we’ll keep it in a dedicated fridge before discard. The main reason is for investigation of delayed hemolytic transfusion reaction should it occur. But it is a very rare incidence, where we need to retrieve the segment from used blood bag for investigation (actually never encounter before). What is your hospitals practice? TQ in advance.

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We also have empty blood bags returned to the blood bank. We keep them for 7 days following transfusion. We keep the bags in the morgue where there is room for storage. We decided this was the easiest way to keep what we needed in case of delayed reactions, especially since we don't have many of these called. We thought this was easier than having to pull segments off of the units and store.  We have a special door below the Blood Bank window where the nurses or volunteer can drop of the units into a biohazard bag. We just fill up the bag, label with in and out dates, and take to the morgue. Pretty painless!

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13 hours ago, amym1586 said:

We remove a segment at issue with a unit number sticker.  The nurse disposes of the bag after transfusion.  We store the segments with the daily specimens and dispose of them when the samples are disposed.  

Our only difference was that we cut off 2 segments.  We stopped getting bags back over 25 years ago.  Hated the mess and getting them back served no real purpose.

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We take 2 segments when each unit is checked out. The empty bags come back so we can verify compliance for hangtags left on unit, FinalCheck lock unlocked/bio-bag not cut open and grab pigtails if someone forgets to grab them at checkout. The empties come back sealed in the bags they were issued in so any mess is contained in the bag. Usually the only ones that come back with a mess in the bag are the ones you end up fishing into for the pigtails :raincloud:. We toss them in a really big plastic tote with a lid. When the lid is popping off, we dump them. We only issue about 900 units of red cells a year, so it's workable.

 

 

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We keep segments only too.  This is a new change for us because until recently every bag was returned.  It was really handy if a unit needed to be cultured.  I'm not sure we will always get the bag back when needed for culturing in the future (depending on the timing).

 

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