1 / 44

Contingency Blood Collections

Contingency Blood Collections. MSgt Rick Berg TSgt Magdalena Trujillo Lackland Air Force Base Blood Donor Center. Contingency Blood Collections. Getting started Collection of Acceptable Unit of blood. Getting started. What do I need to do, how do I begin!. Getting Started.

seth
Download Presentation

Contingency Blood Collections

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Contingency Blood Collections MSgt Rick Berg TSgt Magdalena Trujillo Lackland Air Force Base Blood Donor Center

  2. Contingency Blood Collections • Getting started • Collection of Acceptable Unit of blood

  3. Getting started • What do I need to do, how do I begin!

  4. Getting Started • What else will I need to begin a blood drive?

  5. Conducting the drive! • Donor Prep • Prescreen, DD 572 • Vitals • Interview • Whole Blood collection • Processing • Infectious Disease Testing

  6. Donor Prep • Use your list!

  7. Pre-screen, DD 572 • Quick Pre-screen

  8. Vitals • WEIGHT: • > 110 lbs, (50Kg) • APPEARANCE: • Generally healthy • ARM INSPECTION • No skin lesions at site of venipuncture (Leishmaniasis) • Small Pox • TEMP: < 37.5 C (< 99.50 F) • PULSE: 50-100 BPM 40-49 If athletic • BP: < 180 mm Hg systolic < 100 mm Hg diastolic **Know Manual B/P** • HGB: >12.5 g/dL . • HCT: >38%

  9. Interview • Private Interview • Ensure all questions are properly answered/documented to ensure donor is eligible

  10. Whole Blood Collection – Arm Prep • ARM PREP • Place tourniquet or BP cuff on arm & inflate to 40-60 mmHg • Select a vein • Donor is allergic to iodine – Choraprep • Scrub site vigorously 30 seconds

  11. Whole Blood Collection – Arm Prep • Second iodine prep • Begin in center of phlebotomy site • Move outward in a circular manner • Never overlap • Allow to stand for at least 30 seconds prior to phlebotomy • Do not retouch area, if so, MUST repeat arm prep

  12. Whole Blood Collection - Venipuncture • Hemostat the tubing near the needle or use clamp on auto scale • Perform venipuncture • Once the needle is in the arm remove the hemostat or clamp • Blood should flow freely

  13. Whole Blood Collection Inadequate blood flow: • Gently reposition needle • If unable to establish adequate blood flow, discontinue Adequate blood flow: • Once blood flow is established, secure: • Tape needle down at the hub • Tape tubing to arm

  14. Whole Blood Collection • Collect pilot tubes • Strip the tubing at donor bed • Take unit to Lab • Confirm Blood type • Major & Minor Crossmatch • HEP/HIV/RPR screening tests

  15. Unit Collection • Monitor blood volume: 450 + 45 ml • Max collection-20 min • Correct amount reached, place hemostat on line after the Y-connection • Use metal clamp to seal line (to stop flow into bag)

  16. Unit Collection • Collect pilot tubes • Strip the tubing at donor bed • Take unit to Laboratory • Confirm Blood type • Major & Minor Crossmatch • HEP/HIV screening tests • Complete paperwork to issue unit to OR/ER

  17. Post Donation Care • Record: • There is always time for documentation • Monitor the donor for any delayed reactions • Recovery

  18. Unit Processing • Blood can be kept at room temperature for up to 8 hours from time of collection - NOTE: Do NOT use ice if whole blood is to be used in emergency situation during contingency operations. Ice will destroy platelets. - If unit is not used within 8 hours- Keep unit in fridge for 24 hrs until it expires

  19. Unit Testing • Test each unit for: - ABO / Rh • Pilot tube or Unit Segment • Infectious Disease Testing - Normally, screening tests MUST be done prior to issuing the blood - Refrigerate serum or plasma & ship to FDA licensed testing facility/Lackland Blood Donor Center

  20. QUESTIONS?

  21. Sample submission requirements for sending samples to Lackland BDC Administrative requirements for shipping & Collecting sample requirements for testing per CENTCOM

  22. Sample submission requirements • For each blood/platelet donor, submit 3 bar-code labeled plastic transfer tubes, capped, then Para-filmed, containing: • 3 ml plasma • 3 ml plasma • 3 ml serum • Attach a small ISBT barcode label to each transfer tube. Place lengthwise near the top of the tube. • Label each transfer tube as “serum” or “plasma”.

  23. Sample submission requirements • Storage requirements: • All samples must be shipped frozen • Plasma/serum must be removed from the cells within 3 days of collection • Samples may be stored at 1-10 C for up to 8 days before freezing • Samples must be frozen within 8 days of collection • Do not freeze PPT/SST tubes. When freezing samples, freeze the serum/plasma portion only – and only after centrifugation and separation

  24. Sample submission requirements • Shipping requirements • Ship in a Collins box • Ship on fresh dry ice - using as much dry ice as will fit in the box, leaving as little air in the box as possible. Frozen samples should arrive at <-20 C • Follow up with your shipping company to make sure the shipment has left the terminal

  25. Sample submission requirements • Notification • E-mail and fax notification of shipments to LBDC the day of the shipment departure • Attach the shipping invoice listing each sample number to the e-mail, as per current practice

  26. Sample submission requirements

  27. Sample submission requirements • Rejection Criteria • If less than 3 tubes submitted, or less than 3 ml submitted per tube, the sample will be rejected for all testing • Non-frozen samples >8 days old will be rejected for NAT testing. All other tests will be performed • Non-frozen samples >14 days old will be rejected for all testing

  28. Sample submission requirements • Rejection criteria • Frozen samples >60 days old will be rejected for all testing • Samples must have been separated from cells within 3 days of collection and frozen within 8 days of collection and remained frozen throughout transit and arrive frozen • If samples are shipped via Landstuhl Regional Medical Center (LRMC), LRMC should denote sample acceptability on arrival at their facility and relay that information to LBDC

  29. Sample submission requirements • Rejection criteria • Grossly hemolyzed, contaminated or broken samples will be rejected • Samples in glass will be rejected. PPT/SST tubes will be rejected

  30. Sample submission requirements Shipment arrival Taking temperature

  31. Sample submission requirements Specimen shipment Sorting out tubes

  32. Sample submission requirements Putting specimens in order Waiting for testing

  33. Sample submission requirements Shipment Paperwork

  34. Sample submission requirements • Rejection criteria • Responsibility • LBDC will notify submitting site of rejected samples via e-mail within one duty day of receipt of samples. The COLLECTION SITE is responsible to re-collect the donors ASAP and re-submit proper samples to LBDC

  35. Testing requirements for CENTCOM regulations • No ABO/Rh and CMV will be completed • Antibody screens performed on Galileo • HBsAg, HBcAb, HTLV 1/2, HIV 1/2, and HCV on Prism • WNV and Ultrio (HIV, HCV, HBV) done on Tigris • RPR performed on Olympus (PK 7300)

  36. LBDC Testing area Olympus Galileo

  37. LBDC Testing area Prism Tigris

  38. 332 EMDG Aerial View of 332 EMDG

  39. 332 EMDG Trauma Bay Blood Bank/Trauma Bay

  40. 332 EMDG Aphaeresis Collection Blood Bank

  41. 332 EMDG Chemistry Microbiology

  42. 332 EMDG Main Lab Main Lab

  43. 332 EMDG Emergency Room Shipping Department

  44. QUESTIONS?

More Related