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Ar <br />Transfusion Service - Storage and Di al of Blood Components Page'2 <br />R <br />the Transfusion Service refrigerators at a temperature between 1-6 degrees <br />centigrade, which is continuously monitored. <br />B. Fresh frozen plasma and cryoprecipitate will be stored frozen, at - 30 degrees <br />centigrade or below but not above - 18 degrees centigrade. The temperature will <br />be continuously monitored. <br />1. The - 40 degree centigrade freezer is used as a backup <br />freezer for fresh frozen plasma and cryoprecipitate. It is <br />regularly monitored by the laboratory temperature monitoring <br />system but when these products are stored in this freezer, it is <br />monitored every four (4) hours and recorded on the " Freezer <br />Temperature Monitoring Log". (see attachments). <br />C. Platelet concentrates are stored at room temperature (20-24 degrees <br />centigrade) in the platelet cabinet. Temperatures are monitored. The platelet <br />rotator supplies continuous gentle agitation throughout the storage period <br />which is limited to 120 hours. If the temperature cannot be maintained, call <br />Delta Blood Bank to store platelets until temperature problems are solved. <br />D. If agitation of platelets is interrupted, platelets may still be used. To <br />determine if the platelets are acceptable, look for the following: <br />1. No visible aggregates or clumps in unit. <br />2. When held to the light, the unit consistency will be swirly, <br />"pearly" in appearance. When rocked, no clear plasma. <br />3. Temperature must be within limits. <br />4. Document all units involved in the interruption: Date, time, <br />temperature and action taken. <br />E. All storage areas will be labeled to facilitate identification/inspection of <br />blood and components (i.e., blood types, groups, crossmatch, rejected or <br />quarantined., etc.). <br />F. All specimen tubes will be stoppered for storage purposes. Storage of <br />recipient samples is maintained for fourteen (14) days following transfusion. <br />G. Refrigerator, freezer and platelet storage temperatures will be monitored, <br />maintained and documented daily. <br />H. Blood that has been issued and returned unopened within 30 minutes, <br />maintaining a temperature of less than 10 degrees, and not returning from an <br />isolation room can be accepted for storage. <br />I. It is not necessary to retain blood bags. Two segments of donor blood <br />samples are removed from the bag when blood is released for transfusion. <br />These segments are placed in a labeled tube which is stored in a designated <br />rack in the refrigerator for seven (7) days. <br />J. Blood storage for surgery, cardiovascular and other surgery cases which have <br />an increased likelihood of extensive bleeding and/or subsequent massive <br />transfixsion may be requested by the anesthesiologist and is delivered to the <br />Operating Room in an ice chest using ice blocks to maintain temperature. The <br />ice chest must be labeled in accordance with labeling policies (patient name, <br />date of surgery, blood type) and the TSIS (Transfusion Service Identification <br />System) identification number prominently displayed on the outside of the <br />http://172.16.0.51policy/policy.nsf/7db0ebfd3e2l O600872571470079e3a4/cca53a4079c6d355882574170054... 4/8/2010 <br />