Feedback 2017-02-17

We brought the cart to the Blood Bank’s monthly staff meeting for feedback. Here are the notes:

 

Re-Acceptance Procedure

Criteria
- Red Blood Cells
    - Storage temp range: 1 to 6, inclusive
    - Discard if:
        - More than 30 minutes consecutively above 6
        - Immediately if temp is 0 or less
        - immediately if temp is 10 or greater
- Fresh Frozen Plasma (Thawed)
    - Storage temp range: 1 to 6, inclusive
    - Discard if:
        - More than 4 hours consecutively above 6
- Platelets
    - Storage temp range: 20 to 24, inclusive
    - Discard if:
        - Unknown

Enforcement
Staff strongly advocates that the lid lock closed when products expire. 
An electromagnet would allow secure holding, but not require moving parts or create a pinch hazard. Example electromagnets: small and large. Let’s consider including this feature on version 1 or 2.

 

Dividers

Compartments
Split cold well in half. One side for RBC and the other for Plasma.
There was some desire for lift-out pans that can be preloaded in large refrigerator. The downside is that container might be removed from cart.

Labels
Mark for RBCs and FFP.
Color code.


Safety

Wheel brakes may be required. 

 

Liver Transplant Testing

Steve Frank, and anesthesiologist who works on liver transplants, stopped by after the staff meeting. He's enthusiastically open to trying the cart on a liver transplant.

Blood required on a typical operation:

  • RBC: 10 to 12
  • Plasma: 10 to 12
  • Platelet: Ordered part-way through the procedure and stored in OR for 2 hours before administered

He suggested the cold well be split in half and the units be stacked rather than held upright. In this configuration, the capacity is 12 RBC and 12 Plasma units.

Surgery Dates

  • February 11, 12, 17, 20, 24
  • March 3, 7, 13, 15, 18, 19
  • April 3, 15, 16, 18

Usually there is 12 hours of notice before a procedure

 

Next Steps

  • Temp validation by blood bank staff, by end of Feb
  • Test on liver transplant with Dr. Steve Frank, in March