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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.