Transfusion Products
From online ordering of routine blood products to highly specialized transfusion services and STAT deliveries, we are committed to serving our partners well.
Red Blood Cells
100% Leukoreduced stored in additive solution (AS)
Available:
Irradiated
CMV Negative
Hemoglobin S Negative
Volume Reduced
Washed
Deglycerolized
Antigen Negative
Split for Pediatric Use
Also available by request:
Stored in CPD only (no additive solution added)
21-day shelf-life maximum
Platelets
We provide healthcare facilities with a variety of platelet products to meet the unique needs of their patients.
Apheresis, leukocyte reduced
Whole blood derived platelets, pooled for storage (4 or 5-unit pool)
HLA-matched
HPA-1a negative
Crossmatched
Cold-stored platelets
In compliance with AABB standards, platelets supplied by Carter BloodCare have been screened for bacterial contamination prior to distribution.
Plasma
We offer plasma products for patients who require multiple plasma coagulation factors.
Fresh Frozen Plasma (FFP) frozen within 8 hours of collection
Plasma frozen with 24 hours of collection (PF24)
Plasma, cryoprecipitate reduced
Thawed Plasma
Cryoprecipitated AHF*, single unit
Cryoprecipitated AHF*, pre-pooled unit
*AHF = Antihemophilic factor
Granulocytes
Our Clinical Apheresis collects granulocytes, which are indicated for a very limited use. We communicate directly with the transfusion facility in order to efficiently and accurately coordinate collection. Granulocytes expire 24 hours after collection.
Call (817) 412-5740 and ask to speak to the medical director on call or page directly (817) 482-9446.
Whole Blood Products
Whole Blood
This product includes CPD anticoagulant and has a 21-day shelf life.
Available by special request:
Fresh
Irradiated
CMV negative
Hemoglobin S negative
Reconstituted Whole Blood
Used for neonatal exchange transfusions and for specific pediatric surgical cases.
Fresh
CMV negative
Hemoglobin S negative
Irradiated
Washed
Antigen negative
Low Titer O Whole Blood (LTOWB)
LTOWB produced by Carter BloodCare will possess the listed attributes:
Collected in CPD anticoagulant/preservative solution
21 day shelf life and stored at 1-6°C
Non-leukoreduced
Titers <200 are considered “low titer”
O positive volunteer donors
Non-returnable
Standing order required and 48 hour lead time to fill order
Buffy Coats
Buffy coats, or Leukocytes, are used in manufacturing transfer factor and research. After the plasma is expressed, a “white line” of concentrated white blood cells is left behind. Those concentrated white blood cells are expressed into a separate bag and labeled “For Manufacturing Use Only.”
Specialty Processed Products
Manipulation services are ordered through the Distribution department.
Irradiated Blood Products
Patients at risk for developing graft-versus-host disease should receive irradiated cellular components. These patients include severely immunocompromised patients, hematopoietic progenitor cell transplant candidates and recipients, patients undergoing intrauterine transfusions, recipients of donor directed components from a blood relative of the recipient, and donors selected for HLA compatibility by typing or crossmatching.
Volume Reduction
Removal of excess donor plasma from cellular components (RBCs & platelets) is indicated in selected patients who cannot tolerate the full volume or in patients with a history of some transfusion reactions. Approximately 10% of cells are lost in this process and the extra centrifugation step may cause some platelet activation and loss of function. Volume reduced platelets expire within 4 hours and volume reduced RBCs expire within 24hrs.
Deglycerolized Red Blood Cells
RBCs may be frozen for up to 10 years if their antigen makeup is considered ‘rare’ or for other special reasons. When a transfusion service requests antigen negative blood not found in liquid units, frozen units may be available. Through a process of deglycerolization, the cells are thawed and suspended in saline for transfusion. Deglycerolized RBCs expire within 24 hours.
CMV Seronegative
CMV seronegative cellular components are provided upon request. Both leukoreduced blood and CMV sero-negative blood have a reduced risk of transmitting CMV infection through transfusion.
Hemoglobin S Negative
Hemoglobin S negative red blood cells are provided upon request. The primary use of Hemoglobin S negative RBCs is to provide blood for transfusion to patients with abnormal hemoglobins without increasing their risk for sickling.
Washed Products
Patients with severe life-threatening plasma allergies uncontrolled by medications or volume reduction may require use of washed RBCs and platelets. Washed RBC and Platelet units are suspended in saline, with very little plasma proteins remaining. Washed RBCs expire within 24 hours. The washing process severely impairs the recovery and function of platelets. Washed platelets expire within 4 hours.
Other Available Manipulations
Leukoreduction – for those products not already leukocyte reduced
Product freezing – red blood cells (special circumstances apply)
Pooling – cryoprecipitate AHF
Thawing - fresh frozen plasma or cryoprecipitate AHF
Aliquots (pediatric satellite bags)
Sickle cell negative
Any combination of the above services
ISBT 128 Information
Product E codes with descriptions are provided as a resources for our customers. This information is updated periodically with a last updated date on the chart. Please contact Hospital Relations if you are needing a product code not listed.