| NUMBER __________
DATE _________ WASHED FOR ____________ |
| THAW: TIME
_______ TEMP_______ C WATER BATH_______ THERMOGENESIS _______ |
| POSTTHAW RBC
SURFACE TEMP _________ C |
| PROCESSING
TIME <2HRS? _______ |
| OUT OF FREEZER
AT _______ HRS PLACED AT 4C_______ HRS |
| |
| WASH INSTRUMENT: |
| HAEM 115 ____
HAEM ACP215 ____ OTHER ____ SERIAL # ______________ |
| |
12%
NACL |
0.9%
NACL |
WASH
DISP |
AS-3
SOLUTION |
| MFR:
|
Fenwal
|
Fenwal
|
Haemonetics
|
______________
|
| Lot
#: |
______________
|
______________
|
______________
|
______________
|
| Exp.
Date |
______________
|
______________
|
______________
|
______________
|
|
| |
| II.
PRE FREEZE |
| NET WEIGHT
OF RED BLOOD CELL CONCENTRATE: _______ g. |
| GLYCEROLIZATION
METHOD: MANUAL _______ |
HAEMONETICS
ACP215 ______________
GLYC
DISP LOT # __________________ |
|
| |
| III.
POST THAW AND WASH |
| BREAKAGE:
__________ |
| HEMOLYSIS
DURING WASH--COLOR COMPARATOR AT END: __________ |
| NET WT OF
WASHED RBC: __________ g VOLUME __________ ml (WT/DENSITY) |
| HEMATOCRIT
(HCT) __________ V% |
| DENSITY= (0.0693
X HCT AS DECIMAL) + 1.005 |
| TOTAL RED
CELL VOLUME __________ mL = VOLUME/HCT (as decimal) |
| |
| NOTE:
Additional quality control measurements should be performed if units were
glycerolized and/or deglycerolized as part of student training or facility
validation studies (see attached Quality Control record). |