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Prior to requesting the transport of blood products, the person administering the product should ensure:
Transfusion Medicine arranges for the transport of blood components and products to patient/acute care units. The Distribution Services department provides portering services. Products may also be issued to and transported by PCU staff and volunteer personnel. Components/products may also be transported through the pneumatic tube system at SHC.
To request the dispense of a blood component or product, enter a dispense request in SCM or complete a Dispense of Blood Component/Product form (TM1763) with the following:
On receipt of the request, TM staff will advise PCU/ACU staff if preparation of the product will require more than 30 minutes to prepare. Otherwise the component/product will arrive within 30 minutes.
It is of critical importance that the proper steps be followed when issuing blood components and products. It is the responsibility of the Transfusion Medicine staff to ensure that the requested blood product is issued to the proper recipient and that only components or products for which there is a physcian order are dispensed.
- Patient’s last name, first name
- Patient’s health record number (medical record number, PHN, Medipatient number or TBCC number)
- Product type
- Product unique unit number, pooled unit number or lot number
- ABO and Rh of the patient for blood components
- ABO and Rh of the product for components containing red cells and platelets
- ABO of plasma units
- Interpretation of compatibility tests for red cell components
- RTSIS number for red cell components
- Date and time of issue
Information on transfusion tags may differ as follows:
Emergency units issued before the patient’s identification is known
Patient’s name will be the trauma patient name as defined by site ER procedures.
Plasma protein products issued to stock locations
|Patients with antibodies/ special requirements||Specific antibodies will be listed, e.g. Fya, K|
|Pooled products||Number of units in the pool|
|Crossmatched products||Cancellation date|
1. One unit of red cells is issued at a time with exceptions for:
Blood must NOT be stored in PCU/ACU unit refrigerators except those intended and controlled for this purpose.
2. Blood transfusions should be completed within 4 hours of removal from a controlled blood product storage refrigerator.
3. Platelets are stored at room temperature and MUST NOT be placed in any refrigerator.
4. Products that have reached their expiry date and/or time will not be issued. Short dated products (such as platelets) may be issued past their expiration time provided the physician has been notified that the product is expired and has agreed to the issue of the product. This notification and agreement shall be documented.
5. Products received from the supplier before the completion of donor testing may be issued with the knowledge and approval of the ordering physician. This shall be documented. Following completion of testing, any abnormal testing results shall be reported to the attending physician or designate. This shall be documented.
6. Components/products selected for dispense will match the product order, or be approved substitutes. TM staff will contact PCU/ACU staff if the ordered product is not available or if further information or clarification of the order is required.
Autologous and directed units shall be issued before issuing other homologous units matched for the patient. A reasonable attempt will be made to ensure that autologous and directed units that have been issued to the OR have been transfused prior to issuing other homologous units.
Autologous units may be issued after the specimen outdate as long as the patient is still wearing the appropriate RTSIS band. If the RTSIS band has been removed, the pretransfusion testing must be repeated prior to issuing the autologous units.
|ACH||ER||Unmatched O Neg only|
|Unmatched units only|
|FMC||7th Floor PARR|
|FMC||McCaig Tower OR|
|FMC||PCU 151-TBCC Out Patient Clinic|
|PLC||PCU 18-Specialty Clinic||Units must be returned by the end of the day|
|RGH||Day Medicine||Units must be returned by the end of the day|
|SHC||Day Medicine||Units must be returned by the end of the day|
|SHC||ER||Unmatched units only|