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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

ALPHABETICAL LISTING

IPP NUMBER TITLE OF IPP VOL PAGE


771 6% ALBUMIN PREPARATION 4 103
702 ABO GROUPING DISCREPANCIES RESOLUTION 1 13
739 ABO RH CONFIRMATION 1 11
701 ABO/Rh AND WEAK D TYPING 1 12
747 ABO/RH RECHECK 3 64
703 ADSORPTION TECHNIQUE 2 42
705 ALIQUOT PREPARATION C 9
707 ANTIBODY IDENTIFICATION - BASIC PANEL 1 15
708 ANTIBODY IDENTIFICATION - FICIN PANEL 1 16
706 ANTIBODY SCREEN 1 14
709 ANTIBODY TITRATION 1 18
710 ANTIGEN TYPING 1 20
915 APPROVAL OF DEVIATIONS FROM POLICIES AND PROCDURES 4 110
711 AUTOLOGOUS/DIRECTED DONATIONS 1 22
511 BACTERIAL DETECTION IN PLATELET COMPONENTS 4 114
742 BLOOD / FLUID WARMERS 4 108
712 BONE BANK SPECIMENS 1 7
713 BONE MARROW RED CELL DEPLETION AND VOLUME REDUCTION C 12
105 CAPITAL EQUIPMENT 3 79a
716 CELL SEPARATION TECHNIQUES 2 52
609 CELLWASHERS/CENTRIFUGES - PM 4 87
911 CHANGE CONTROL 3 71
718 CIRCULAR OF INFORMATION 2 49
COLLECTION OF RARE DONOR BLOOD PRODUCTS FOR
570 4 94
REFERENCE REAGENTS
39 COMPUTER EQUIPMENT ROUTINE MAINTENANCE 4 109
724 CORD BLOOD TESTING 2 32
722 CROSSMATCH 1 23
726 CRYOPRECIPITATE: STORAGE, THAWING AND POOLING C 7
DETECTION OF ANTIBOIDIES TO PENICILLIN OR
795 2 53
CEPHALOSPORINS BY TESTING DRUG-TREATED RED CELLS
728 DIRECT ANTIGLOBULIN TEST (DAT) 2 30
106 DISASTER PLAN 1 3
746 DISPENSING BLOOD COMPONENTS 1 25
796 DONATH - LANDSTEINER TEST 2 45a
757 EGA KIT (EDTA GLYCINE-ACID) 4 116
704 ELUTION - ACID (ELUKIT) 2 31
730 EMERGENCY TRANSFUSION 1 2
913 EMPLOYEE TRAINING AND COMPETENCY ASSESSMENT 3 77

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL


902 EQUIPMENT QUALITY ASSURANCE 4 81
922 ERROR CORRECTION 3 74
731 EXCHANGE TRANSFUSION OF THE NEONATE 2 40
912 EXPIRED REAGENTS / PRODUCTS CERTIFICATION 3 66
733 FETAL BLEED SCREEN (ROSETTE) 2 35
732 FETAL BLOOD SPECIMENS 2 38
524 FILTRATION OF RED CELLS C 20
514 FREEZER QUALITY CONTROL 4 82
736 FRESH FROZEN PLASMA - STORAGE & THAWING C 6
727 FROZEN RED CELL DEGLYCEROLIZATION C 11
715 GLASSWARE CLEANSING 4 112
624 GRADING OF AGGLUTINATION REACTIONS 1 10
HANDLING, STORAGE, DISTRIBUTION AND TRANSPORTATION OF
554 4 102
CRITICAL MATERIALS
101 HEARSAY INFORMATION 3 67
714 HEMATOPOETIC PROGENITOR CELL TRANSPLANTS 1 8
919 HPC STEM CELL TRANSPLANTATION AGREEMENT 4 98
725 HUMAN PLATELET CONCENTRATE (HPC) ADSORPTION 2 44
717 ICIS DOWNTIME PROCEDURES 1 4
737 INCMPATIBLE UNITS - CROSSMATCH AND DISPENSE 1 26
INCOMING RECEIPT, INSPECTION AND TESTING OF CRITICAL
735 3 65
MATERIALS
775 INTERNAL RECORDS REVIEW 4 117
743 INTRAUTERINE TRANSFUSION 2 36
750 INVENTORY MANAGEMENT 3 55
112 IPP REVIEW AND DISSEMINATION 3 70
744 IRRADIATION OF BLOOD PRODUCTS 1 24
908 LABEL CONTROL 3 59
749 LABEL VERIFICATION FOR MODIFIED COMPONENTS 4 101
791 LABELING OF BLOOD PRODUCTS 3 60
LABELING, LABEL VERIFICATION, SIGNING OUT OF LIFELINE AND
770 3 63
ENTRY INTO CERNER
LABORATORY MANAGEMENT OF APARENT PLATELET
798 2 50
TRANSFUSION REFRACTORINESS DUE TO ALL0-IMMUNIZATION
510 LEUKAPHERESIS PRODUCTS (LPP) C 13
723 LIFELINE - ANTIGEN / SICKLEDEX RESULT ENTRY 3 61
774 LIFELINE - ANTIGEN SEARCHES 3 62
38 LIFELINE REPORTS 3 62a
799 LIVER TRANSPLANT PROTOCOL 4 97
745 MAINTENANCE OF THE DIAMED ID-GELSTATION 2 51
MANAGEMENT OF NONCONFORMING BLOOD COMPONENTS
924 4 99
SENT TO OTHER FACILITIES
MANAGEMENT OF SURGICAL BLOOD ORDERS AND REQUESTS
721 4 111
FOR BLOOD ON HOLD
790 MICROSCOPE CLEANING 4 83

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL


752 NEONATAL TRANSFUSION 2 39
753 NEUTRALIZATION WITH GROUP SPECIFIC SUBSTANCES 2 43
786 NIGHT SHIFT DUTIES N 1
925 NONCONFORMING PRODUCTS AND RECALLS 4 100
109 NON-STOCK ITEMS PURCHASE AND RECEIPT 3 79b
751 OBSTETRIC AND ANTENATAL TRANSFUSION PRACTICE 4 107
788 OPERATING ROOM (LEVEL 4) BLOOD N 3
643 PIPETTE CALIBRATION 4 115
792 PLATELET INCUBATOR DECONTAMINATION C 14
501 PLATELET INCUBATOR QUALITY CONTROL C 15
780 PLATELET VOLUME REDUCTION C 5
734 PLATELETS - STORAGE AND FILTRATION C 4
756 POOLING PEDIATRIC UNITS C 8
779 PREPARATION OF COOMBS CONTROL CELLS 4 104
787 PRETRANSFUSION TESTING 1 9a
759 PREWARM TECHNIQUE 1 17
738 PROCESSING COMPONENT ORDERS 1 27
909 PROFICIENCY TESTING - SURVEYED ASSAYS 1 5
905 QUALITY AUDITS / MONITORS 3 75
927 QUALTIY CONTROL PROGRAM 4 105
762 RAPID CLOTTING OF SPECIMENS 1 9
348 RARE AND SAVE DONOR RECALL 4 95
111 RARE DONOR BLOOD - PROCUREMENT 3 78a
793 RBC EXCHANGE TRANSFUSION BY APHERESIS 2 40a
789 REAGENT PREPARATION 4 106
760 REAGENT QUALITY CONTROL 4 80
763 RECEIVING BLOOD FROM OUTSIDE FACILITIES 3 57
104 RECORDS MANAGEMENT 3 68
754 RED BLOOD CELLS : SELECTION FOR CROSSMATCH 1 21
729 REFERRAL SPECIMEN PREPARATION 2 46
533 REFRIGERATED CENTRIFUGE QUALITY CONTROL 4 84
794 REFRIGERATOR DECONTAMINATION 4 85
532 REFRIGERATOR QUALITY CONTROL 4 86
RELEASE OF AUTOLOGOUS/DONOR DIRECTED UNITS WITH
340 1 1
POSITIVE DISEASE MARKERS OR INCOMPLETE TESTING
783 REQUESTING BLOOD FROM OUTSIDE FACILITIES 3 78
768 RETURN OF UNUSED BLOOD PRODUCTS 3 56
769 RH IMMUNE GLOBULIN 2 34
323 SCALES, ELECTRONIC C 17
761 SELECTION AND POOLING OF COMPONENTS C 1
772A SHIPMENT OF BLOOD PRODUCTS - OUTSIDE RIYADH 3 58a
772 SHIPPING OF BLOOD PRODUCTS - WITHIN RIYADH 3 58
652 SICKLEDEX TUBE TEST FOR HEMOGLOBIN S 2 37

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL


610 SPECIMEN RECEIPT 1 6
785 SPECIMEN RETENTION N 2
429 STERILE CONNECTING DEVICE C 3
534 STORAGE UNIT ALARM ACTIVATION 4 88
928 SUPPLIER QUALIFICATION AND EVALUATION 4 113
784 TESTS AND ORDERS FOR OUTSIDE CLIENTS 3 79
776 THERMOMETER VERIFICATION AND CALIBRATION 4 89
657 TIMER CALIBRATION / CHECK 4 90
778 TRANSFUSION REACTION INVESTIGATIONS 2 41
341 TUBE SEALER OPERATION C 2
906 VALIDATION 3 72
904 VARIANCE DOCUMENTATION 3 76
661 VIP AND VVIP SPECIMENS / VIP AND VVIP ALERT PLAN 2 47
781 W.A.R.M. (WARM AUTOANTIBODY REMOVAL MEDIUM) 2 45
115 WAREHOUSE - STOCK SUPPLIES 3 79c
782 WASHED RED CELLS IBM\COBE 2991 C 10
719 WORK STATION DECONTAMINATION - COMPONENT AREA C 16
720 WORK STATION DECONTAMINATION - ISSUE AREA 4 91
741 WORK STATION DECONTAMINATION - MAIN LAB AREA 4 92
107 WRITING INTERNAL PROCEDURES/POLICIES 3 69

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

LISTING BY VOLUME/PAGE

IPP NUMBER TITLE OF IPP VOL PAGE


RELEASE OF AUTOLOGOUS/DONOR DIRECTED UNITS WITH
340 1 1
POSITIVE DISEASE MARKERS OR INCOMPLETE TESTING
730 EMERGENCY TRANSFUSION 1 2
106 DISASTER PLAN 1 3
717 ICIS DOWNTIME PROCEDURES 1 4
909 PROFICIENCY TESTING - SURVEYED ASSAYS 1 5
610 SPECIMEN RECEIPT 1 6
712 BONE BANK SPECIMENS 1 7
714 HEMATOPOETIC PROGENITOR CELL TRANSPLANTS 1 8
762 RAPID CLOTTING OF SPECIMENS 1 9
787 PRETRANSFUSION TESTING 1 9a
624 GRADING OF AGGLUTINATION REACTIONS 1 10
739 ABO RH CONFIRMATION 1 11
701 ABO/Rh AND WEAK D TYPING 1 12
702 ABO GROUPING DISCREPANCIES RESOLUTION 1 13
706 ANTIBODY SCREEN 1 14
707 ANTIBODY IDENTIFICATION - BASIC PANEL 1 15
708 ANTIBODY IDENTIFICATION - FICIN PANEL 1 16
759 PREWARM TECHNIQUE 1 17
709 ANTIBODY TITRATION 1 18
710 ANTIGEN TYPING 1 20
754 RED BLOOD CELLS : SELECTION FOR CROSSMATCH 1 21
711 AUTOLOGOUS/DIRECTED DONATIONS 1 22
722 CROSSMATCH 1 23
744 IRRADIATION OF BLOOD PRODUCTS 1 24
746 DISPENSING BLOOD COMPONENTS 1 25
737 INCMPATIBLE UNITS - CROSSMATCH AND DISPENSE 1 26
738 PROCESSING COMPONENT ORDERS 1 27
728 DIRECT ANTIGLOBULIN TEST (DAT) 2 30
704 ELUTION - ACID (ELUKIT) 2 31
724 CORD BLOOD TESTING 2 32
769 RH IMMUNE GLOBULIN 2 34
733 FETAL BLEED SCREEN (ROSETTE) 2 35
743 INTRAUTERINE TRANSFUSION 2 36
652 SICKLEDEX TUBE TEST FOR HEMOGLOBIN S 2 37
732 FETAL BLOOD SPECIMENS 2 38
752 NEONATAL TRANSFUSION 2 39
731 EXCHANGE TRANSFUSION OF THE NEONATE 2 40
793 RBC EXCHANGE TRANSFUSION BY APHERESIS 2 40a

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL


778 TRANSFUSION REACTION INVESTIGATIONS 2 41
703 ADSORPTION TECHNIQUE 2 42
753 NEUTRALIZATION WITH GROUP SPECIFIC SUBSTANCES 2 43
725 HUMAN PLATELET CONCENTRATE (HPC) ADSORPTION 2 44
781 W.A.R.M. (WARM AUTOANTIBODY REMOVAL MEDIUM) 2 45
796 DONATH - LANDSTEINER TEST 2 45a
729 REFERRAL SPECIMEN PREPARATION 2 46
661 VIP AND VVIP SPECIMENS / VIP AND VVIP ALERT PLAN 2 47
718 CIRCULAR OF INFORMATION 2 49
LABORATORY MANAGEMENT OF APARENT PLATELET
798 2 50
TRANSFUSION REFRACTORINESS DUE TO ALL0-IMMUNIZATION
745 MAINTENANCE OF THE DIAMED ID-GELSTATION 2 51
716 CELL SEPARATION TECHNIQUES 2 52
DETECTION OF ANTIBOIDIES TO PENICILLIN OR
795 2 53
CEPHALOSPORINS BY TESTING DRUG-TREATED RED CELLS
750 INVENTORY MANAGEMENT 3 55
768 RETURN OF UNUSED BLOOD PRODUCTS 3 56
763 RECEIVING BLOOD FROM OUTSIDE FACILITIES 3 57
772 SHIPPING OF BLOOD PRODUCTS - WITHIN RIYADH 3 58
772A SHIPMENT OF BLOOD PRODUCTS - OUTSIDE RIYADH 3 58a
908 LABEL CONTROL 3 59
791 LABELING OF BLOOD PRODUCTS 3 60
723 LIFELINE - ANTIGEN / SICKLEDEX RESULT ENTRY 3 61
774 LIFELINE - ANTIGEN SEARCHES 3 62
38 LIFELINE REPORTS 3 62a
LABELING, LABEL VERIFICATION, SIGNING OUT OF LIFELINE AND
770 3 63
ENTRY INTO CERNER
747 ABO/RH RECHECK 3 64
INCOMING RECEIPT, INSPECTION AND TESTING OF CRITICAL
735 3 65
MATERIALS
912 EXPIRED REAGENTS / PRODUCTS CERTIFICATION 3 66
101 HEARSAY INFORMATION 3 67
104 RECORDS MANAGEMENT 3 68
107 WRITING INTERNAL PROCEDURES/POLICIES 3 69
112 IPP REVIEW AND DISSEMINATION 3 70
911 CHANGE CONTROL 3 71
906 VALIDATION 3 72
922 ERROR CORRECTION 3 74
905 QUALITY AUDITS / MONITORS 3 75
904 VARIANCE DOCUMENTATION 3 76
913 EMPLOYEE TRAINING AND COMPETENCY ASSESSMENT 3 77
783 REQUESTING BLOOD FROM OUTSIDE FACILITIES 3 78
111 RARE DONOR BLOOD - PROCUREMENT 3 78a
784 TESTS AND ORDERS FOR OUTSIDE CLIENTS 3 79

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL


105 CAPITAL EQUIPMENT 3 79a
109 NON-STOCK ITEMS PURCHASE AND RECEIPT 3 79b
115 WAREHOUSE - STOCK SUPPLIES 3 79c
760 REAGENT QUALITY CONTROL 4 80
902 EQUIPMENT QUALITY ASSURANCE 4 81
514 FREEZER QUALITY CONTROL 4 82
790 MICROSCOPE CLEANING 4 83
533 REFRIGERATED CENTRIFUGE QUALITY CONTROL 4 84
794 REFRIGERATOR DECONTAMINATION 4 85
532 REFRIGERATOR QUALITY CONTROL 4 86
609 CELLWASHERS/CENTRIFUGES - PM 4 87
534 STORAGE UNIT ALARM ACTIVATION 4 88
776 THERMOMETER VERIFICATION AND CALIBRATION 4 89
657 TIMER CALIBRATION / CHECK 4 90
720 WORK STATION DECONTAMINATION - ISSUE AREA 4 91
741 WORK STATION DECONTAMINATION - MAIN LAB AREA 4 92
COLLECTION OF RARE DONOR BLOOD PRODUCTS FOR
570 4 94
REFERENCE REAGENTS
348 RARE AND SAVE DONOR RECALL 4 95
799 LIVER TRANSPLANT PROTOCOL 4 97
919 HPC STEM CELL TRANSPLANTATION AGREEMENT 4 98
MANAGEMENT OF NONCONFORMING BLOOD COMPONENTS
924 4 99
SENT TO OTHER FACILITIES
925 NONCONFORMING PRODUCTS AND RECALLS 4 100
749 LABEL VERIFICATION FOR MODIFIED COMPONENTS 4 101
HANDLING, STORAGE, DISTRIBUTION AND TRANSPORTATION OF
554 4 102
CRITICAL MATERIALS
771 6% ALBUMIN PREPARATION 4 103
779 PREPARATION OF COOMBS CONTROL CELLS 4 104
927 QUALTIY CONTROL PROGRAM 4 105
789 REAGENT PREPARATION 4 106
751 OBSTETRIC AND ANTENATAL TRANSFUSION PRACTICE 4 107
742 BLOOD / FLUID WARMERS 4 108
39 COMPUTER EQUIPMENT ROUTINE MAINTENANCE 4 109
915 APPROVAL OF DEVIATIONS FROM POLICIES AND PROCDURES 4 110
MANAGEMENT OF SURGICAL BLOOD ORDERS AND REQUESTS
721 4 111
FOR BLOOD ON HOLD
715 GLASSWARE CLEANSING 4 112
928 SUPPLIER QUALIFICATION AND EVALUATION 4 113
511 BACTERIAL DETECTION IN PLATELET COMPONENTS 4 114
643 PIPETTE CALIBRATION 4 115
757 EGA KIT (EDTA GLYCINE-ACID) 4 116
775 INTERNAL RECORDS REVIEW 4 117
761 SELECTION AND POOLING OF COMPONENTS C 1

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL


341 TUBE SEALER OPERATION C 2
429 STERILE CONNECTING DEVICE C 3
734 PLATELETS - STORAGE AND FILTRATION C 4
780 PLATELET VOLUME REDUCTION C 5
736 FRESH FROZEN PLASMA - STORAGE & THAWING C 6
726 CRYOPRECIPITATE: STORAGE, THAWING AND POOLING C 7
756 POOLING PEDIATRIC UNITS C 8
705 ALIQUOT PREPARATION C 9
782 WASHED RED CELLS IBM\COBE 2991 C 10
727 FROZEN RED CELL DEGLYCEROLIZATION C 11
713 BONE MARROW RED CELL DEPLETION AND VOLUME REDUCTION C 12
510 LEUKAPHERESIS PRODUCTS (LPP) C 13
792 PLATELET INCUBATOR DECONTAMINATION C 14
501 PLATELET INCUBATOR QUALITY CONTROL C 15
719 WORK STATION DECONTAMINATION - COMPONENT AREA C 16
323 SCALES, ELECTRONIC C 17
524 FILTRATION OF RED CELLS C 20
786 NIGHT SHIFT DUTIES N 1
785 SPECIMEN RETENTION N 2
788 OPERATING ROOM (LEVEL 4) BLOOD N 3

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

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King Faisal Specialist Hospital and Research Center-Pathology and Laboratory Medicine-Blood Bank-Riyadh, Saudi Arabia

CROSSMATCH POLICY AND PROCEDURE MANUAL

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