When RBC component (not issued in a cooler) is returned unused by Nursing, which temperature criteria do you use for re-issue, 1-6C or 1-10C?

1-6; the blood is not considered transported.

1-6 C as it was not issued in cooler.

same here

1-10 C.  I consider the units in "transport" to the patient care area and back to the blood bank.

1-10 C.  I consider the units in "transport" to the patient care area and back to the blood bank.

 

This is the interpretation here as well.

1-10  C

1-10 here

1-10 C here too. At 1-6 C I'm not sure many units would be acceptable for reissue.

Edited April 30, 201312 yr by jmphil4

1-10 C here too.

I actually require units issued in a cooler for the OR to be maintained at 1-6C, as I have been told that in that situation, the blood is being temporarily stored (in the OR) instead of transported. However, we also send blood to the dialysis units and to our outpatient oncology units in small coolers. These units are being transported and not stored, so the 1-10 C rule applies.

1- 10 here too.

1-10 C.

1-10C whenever I can get away with it!

We use 1-6 C.

 

The way an AABB surveyor explained it to us (but didn't cite us on it) was the 1-6 C was used if blood left refrigerator to go for transfusion...issued for patient tranfusion.  The 1-10 C was if blood left the refrigerator to go to another refrigerator...(transporting blood--if we shipped blood to another hospital)

 

Issuing in a cooler was considered temporary storage and fell under the 1-6 C for acceptable return.