GUIDELINES FOR THE TRANSPORT OF BLOOD COMPONENTS AND BLOOD PRODUCTS FROM FACILITY TO FACILITY. Provincial Blood Coordinating Program Guidelines for the Transport of Blood Components and Blood Products from Facility to Facility 1.0 Policy Statement 1.1 A policy shall be in place for the safe release, storage, packing and transportation of blood components and blood products. 1.2 A policy shall be in place for when blood components and/or blood products are transported with a patient. 1.3 A policy shall be in place for training personnel involved in the packing and the transportation of blood components and blood products. 1.4 A policy shall be in place to maintain traceability of blood components and blood products from the issuing facility to the final disposition at the receiving facility. 2.0 Definitions 2.1 Compatibility Label/Tag: label or tag attached to a blood component or product that has been designated for a specific recipient, specifying information that identifies the blood component or blood product for that recipient. 2.2 Shipping Containers: container used to transport blood components and products. 2.3 Transfusion Medicine Laboratory: Hospital Blood Bank 2.4 Transportation: the shipment of blood components and/or blood products from one facility to another. 3.0 General Information 3.1 Blood components and blood products with a specified storage temperature of 1-6˚ C shall be maintained during transport at a temperature of 1-10˚ C for no longer than 24 hours. _______________________________________________________________________ This document may be incorporated into each Regional Policy/Procedure Manual. NL2012-041 Version: 1.0 Effective Date: 2012-08-17 Page 2 of 5 Provincial Blood Coordinating Program Guidelines for the Transport of Blood Components and Blood Products from Facility to Facility 3.2 Blood components or blood products with a specified storage temperature of 20-24˚ C shall be transported at 20-24˚ C 3.3 Frozen blood components or blood products shall be maintained in the frozen state. 3.4 Each shipping container shall be labelled identifying the: 3.4.1 Shipping facility 3.4.2 Receiving facility 3.4.3 That the contents are blood components and/or blood products. 3.5 All blood components and blood products being transported shall include a packing slip which identifies: 3.5.1 The shipping facility 3.5.2 The receiving facility 3.5.3 Identification numbers and types of blood components and blood products being shipped 3.5.4 Status of any quarantined blood components and blood products being shipped 3.5.5 Total number of blood components or blood products 3.5.6 Date and time of shipping 3.5.7 Individual who packed the shipment 3.5.8 Unique number of the packing slip. 4.0 Quality Control 4.1 Regular assessments of the transportation process shall be completed to ensure compliance with established policies. 4.2 Blood components and blood products shall be shipped in validated shipping containers and transportation time shall not exceed the limit of validated shipping containers. 4.3 The shipping containers are sealed with a security seal to ensure blood components and/or blood products are secure during transport. _______________________________________________________________________ This document may be incorporated into each Regional Policy/Procedure Manual. NL2012-041 Version: 1.0 Effective Date: 2012-08-17 Page 3 of 5 Provincial Blood Coordinating Program 4.4 Guidelines for the Transport of Blood Components and Blood Products from Facility to Facility When blood components and/or blood products accompany a patient the shipping facility shall notify the receiving facility of the transport of blood components and or blood products. 5.0 Process or Procedure 5.1 Do not open the shipping container until a blood component and/or blood product is required for transfusion. 5.2 Break the shipping container seal by cutting the seal using heavy duty scissors. 5.3 Remove only what is needed for transfusion. 5.4 Do not disturb the packing configuration (ice/gel packs, cardboard inserts) of the remaining blood components and/or blood products. 5.5 Re-close the shipping container immediately. Ensure the shipping container lid is on, flaps are closed and secure strap depending on the shipping container used. 5.6 Complete the compatibility label/tag as each unit is transfused. 5.7 Once the shipping container seal is broken, there is no guarantee that the remaining blood components and or products will remain within the specified storage temperature for transportation. 5.8 Immediately upon arrival at the receiving facility, if the blood components and or products are not required in the emergency room or other care area send the shipping container of blood components and/or blood products to the Transfusion Medicine Laboratory as per facility policy. 5.9 When transfusion is complete place a copy of the compatibility label/tag in the recipient’s medical record and return a copy to the Transfusion Medicine Laboratory. _______________________________________________________________________ This document may be incorporated into each Regional Policy/Procedure Manual. NL2012-041 Version: 1.0 Effective Date: 2012-08-17 Page 4 of 5 Provincial Blood Coordinating Program Guidelines for the Transport of Blood Components and Blood Products from Facility to Facility 6.0 Records Management 6.1 All transfusion records in the recipient’s medical chart shall be retained in accordance with health care facility’s retention policy for medical records. 6.2 Records of the final distribution of blood components and blood products shall be retained indefinitely. 7.0 References 7.1 Canadian Society for Transfusion Medicine. CSTM standards for hospital transfusion service. Version 3.0. Ottawa: Canadian Society for Transfusion Medicine; 2011. 7.2 Canadian Standards Association. Blood and blood components, Z90210.Mississauga (ON): Canadian Standards Association; 2010. 7.3 Manitoba Provincial Blood Programs Coordinating Office. Manitoba transfusion medicine best practice resource manual for nursing. Version 1.Winnipeg (MB): Manitoba Provincial Blood Programs Coordinating Office; June 2007. _______________________________________________________________________ This document may be incorporated into each Regional Policy/Procedure Manual. NL2012-041 Version: 1.0 Effective Date: 2012-08-17 Page 5 of 5
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