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Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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Blood and blood productsBlood Cool BoxesBlood issued from the Blood Bank can be transported in approvedcool boxes. Blood must not be allowed to stay in a cool box for longerthan four hours. When cool boxes are packed with blood/componentsfor delivery, the time and d<strong>at</strong>e packed will be indic<strong>at</strong>ed on the coolbox.In which fridge will I find the Blood for my p<strong>at</strong>ient?For the vast majority of wards (exceptions are dealt with below) bloodissued by the labor<strong>at</strong>ory will be placed into the main Blood Bankissue fridge on 4th floor. Black copy reports (ward copies) will be filedalphabetically in a box beside the fridge labelled cross m<strong>at</strong>ch reports.Red copies (lab copies) will be filed in a box labelled Red copies indrawer order i.e. A to GWhen blood is required clinical areas are to send a member of staff tocollect blood following the procedure laid out in ‘Collecting blood fortransfusion’. Normally only one unit <strong>at</strong> a time is to be taken. Wherestaff are requested to collect more than one unit <strong>at</strong> a time they MUSTtransport the blood in a cool box. These can be obtained from BloodBank.FFP must be administered as soon as possible after defrosting, andalways within 4 hours. FFP is always issued defrosted from BloodBank. The time the product was thawed is printed on the blacklabor<strong>at</strong>ory ‘cross m<strong>at</strong>ch’ form.Cryoprecipit<strong>at</strong>e must be administered as soon as possible followingreceipt.All blood products are entered on the AUTOFATE system to keeptrack of the chain from donor to recipient. This is a legal requirementof the European Union Directive on Blood Safety.When products are delivered to the clinical area and the p<strong>at</strong>ient isunlikely to be transfused then advice must be sought from BloodBank<strong>Anaesthetists</strong> <strong>Handbook</strong> January 2010 183

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