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Thread: Cell Saver Guidelines

  1. #1

    Cell Saver Guidelines

    The Blood Management (Bloodless) Program at our hospital has been asked to oversee implementation of the new AABB guidelines for cell savers. The goal is to consistently ensure a high hematocrit product returned to the patient. Have any of you had any experience with developing the testing procedures? Also, who operates your cell savers during a procedure? Are they "certified"? If so, by whom? How often are your cell saver units tested for quality in the return product?
    We appreciate any suggestions and information.

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  3. #2
    jvarisco
    Guest

    cell-saver

    Quote Originally Posted by lori-carlson
    The Blood Management (Bloodless) Program at our hospital has been asked to oversee implementation of the new AABB guidelines for cell savers. The goal is to consistently ensure a high hematocrit product returned to the patient. Have any of you had any experience with developing the testing procedures? Also, who operates your cell savers during a procedure? Are they "certified"? If so, by whom? How often are your cell saver units tested for quality in the return product?
    We appreciate any suggestions and information.
    Lori,
    Do you have a perfusion team or are you contracted with a perfusion group that operates you cell-salvage equipment or heart-lung machine?
    If you are contracted with a group-they are certified and have a protocol with procedures supplied to the hospital (in the OR). If you run perfusion equipment in-house email me and I'll figure out the best way to send guidelines.
    Jessica Varisco
    jessica.varisco@christushealth.org

  4. #3

    Cell salvage management

    Quote Originally Posted by lori-carlson
    The Blood Management (Bloodless) Program at our hospital has been asked to oversee implementation of the new AABB guidelines for cell savers. The goal is to consistently ensure a high hematocrit product returned to the patient. Have any of you had any experience with developing the testing procedures? Also, who operates your cell savers during a procedure? Are they "certified"? If so, by whom? How often are your cell saver units tested for quality in the return product?
    We appreciate any suggestions and information.
    Lori:
    We have the COBE cardiovascular machines and we have 2 machines in house in the main OR and 2 Medtronic cell salvage machines in our CVOR. The nurses in the OR run the COBE machines and are responsible for testing, etc to make sure the product is good or high hematocrit content. The guidelines came from COBE including the guidelines from the AABB on salvage. The perfusionists run the MEdtronic machine in CVOR and are responsible for the quality of product. I don't know if they are certified particularly but I will find out.
    Elora Thorpe RN
    Elora Thorpe RN BSN
    Coordinator
    Blood Conservation Program
    St. Luke's Hospital of Kansas City
    Kansas City, MO. 64111
    816-932-6183

  5. #4
    Healthcare Professional
    Join Date
    Mar 2003
    Posts
    67
    We brought the quality of the product to the Blood Utilization/Conservation Committee. Our cell saver technicians did a correlation analysis using the recommendations I received at a conference (Multiple modalities yield model outcomes) These were recommended as a point of specialty in Blood Conservation. The manufacturers will give you indicators like visual inspection etc. Some indicators like current rate of processing so you can determine do we have a 1.3% discard rate - put in blood bank not used. Competency was an internal assessment by our Quality Care Management dept. that I work out of and we looked at certification opportunities for our techs. There is a National Registry forming that we learned of. This process also gave us the opportunity for Performance Improvement and the ability to go to a superior machine that will give us more capabilities and a superior product while reducing cost!
    As far as the quality of the red cell product - we did a correlation analysis for three months...
    Procedure for Validating Crit-Line
    There will be twenty samples taken from each cell saver machine and a correlation analysis will be done with the lab to validate crit-line on each machine.
    Supplies Needed:
    Cell Saver processing kit
    Cuvette which will read your crit from the processor
    3cc syringe
    3ml sampling tube from the lab which contains Hemogard
    Analysis chart to record data
    Process:
    1. Start processing a case
    2. When the first bowl empties, write down what the crit reading is from the cell saver machine and take a 5cc syringe and fill up a 3ml test tube which contains hemogard with a sample to take to the lab, (the test tubes will be pre labeled with the machine number and the bowl size).
    3. Take sample to the lab as soon as possible
    4. A lab tech will run the sample and write down the results on the chart provided by the cell saver technicians.
    5. You must take 10 samples from a 135 bowl and 10 samples from a 250 bowl.
    6. After you have taken 20 samples from the cell saver machine, the crit-line is then validated unless you have failure with the crit-line and the line has to be changed out by the manufacturer.

    (we did both cell cytometry and spun hct.)

    Johnean Hansen

  6. #5
    Managing Editor Jan B. Wade's Avatar
    Join Date
    Apr 1996
    Location
    Bellingham, Washington, United States
    Posts
    1,592

    Posting Guidlines

    Quote Originally Posted by jvarisco
    Lori,
    Do you have a perfusion team or are you contracted with a perfusion group that operates you cell-salvage equipment or heart-lung machine?
    If you are contracted with a group-they are certified and have a protocol with procedures supplied to the hospital (in the OR). If you run perfusion equipment in-house email me and I'll figure out the best way to send guidelines.
    Jessica Varisco
    jessica.varisco@christushealth.org
    Jessica - Can you post the guidlines without stepping on your policy?
    Mr. Jan B. Wade
    Admin
    Email

    Click here for the Best Questions and Answers regarding Transfusion Alternatives and Patient Blood Management.




  7. #6

    AABB Guidelines for Cell Savers

    Lori,

    Hi, my company, Hemo Concepts, is an Auto Transfusion Company that offers consulting for Blood Conservation. We have developed a fully accredited (by the AABB) quality system available to our client hospitals as well as a comprehensive turnkey solution for hospitals who may need assistance in championing the Bloodless Medicine and Surgery program.
    I've enclosed a sell sheet that describes the document. Any questions, please give me a call at 1-888-759-3000 or you can speak to Maggie Demers, RN at the same number on Tuesday of next week.

    Tony


    Link added by Editor - http://www.hemoconcepts.com/

  8. #7
    Jeannie
    Guest

    AABB guidelines for perioperative autologous collection

    Quote Originally Posted by lori-carlson
    The Blood Management (Bloodless) Program at our hospital has been asked to oversee implementation of the new AABB guidelines for cell savers. The goal is to consistently ensure a high hematocrit product returned to the patient. Have any of you had any experience with developing the testing procedures? Also, who operates your cell savers during a procedure? Are they "certified"? If so, by whom? How often are your cell saver units tested for quality in the return product?
    We appreciate any suggestions and information.
    [COLOR=darkred]

    I have just read your posting regarding the AABB guidelines and the quality of blood from the cell saver. As I am sure you know Cell Saver is the brand name for Haemonetics. Is your equipment truly Haemonetics CS? If so, I may be able to help you. What model is it? Jeannie

  9. #8
    Quote Originally Posted by Jeannie
    [COLOR=darkred]

    I have just read your posting regarding the AABB guidelines and the quality of blood from the cell saver. As I am sure you know Cell Saver is the brand name for Haemonetics. Is your equipment truly Haemonetics CS? If so, I may be able to help you. What model is it? Jeannie
    Jeannie,
    We are interested in the information you have. Would you please contact Karen Stewart, RN at stewark@shmc.org?

    Thank you,
    Karen

  10. #9
    Healthcare Professional
    Join Date
    Aug 2007
    Posts
    28

    Cell Saver QC

    Hi Lori,
    My name is Mark Lucas, I am a Perfusionist and an independent consultant for Blood Management. Perfusionists are the most didactically and clinically trained specialists for the operation of cell salvage devices in the operating room. I set up the quality program at my institution and as a member of the Transfusion Committee, help to oversee and educate the process for all users. The American Society of Extracorporeal Technology (AmSECT - American Society of Extra-Corporeal Technology, Inc.) is offering a knowledge base and certification exam for autotransfusionists, called the PBMT, Perioperative Blood Management Technician. This is truely a certification process, soon to be recognized by the AABB. Most operators of autotransfusion devices call themselves certified if they've had a sales representative give them a four hour inservice on the operation of the device. This is not a certification and only an inservice. If you are interested, and this is not a commercial, my fee is extremely reasonable. I can get you up and running in one day with a complete package to implement a quality program for your intraoperative autotransfusion devices. I can also start your operators on the path toward clinical competency in this area, to take and pass the AmSECT PBMT exam and truely become certified autotransfusionists.
    Mark Lucas, MPS, CCP
    Blood Management Consultant
    303-550-7885

  11. #10
    Healthcare Professional
    Join Date
    Aug 2007
    Posts
    28

    Cell Saver Guidelines

    Hey Lori,
    Just realized I already replied to this thread.
    Mark Lucas, MPS, CCP
    Chief of Perfusion
    Denver Cardiovascular Perfusionists

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