Experience of a combined apheresis, blood collection, and blood transfusion unit in a large tertiary care medical center

✍ Scribed by Victor A. Silva; Marian Dynis; Hugh Chaplin Jr.

• Publisher: John Wiley and Sons
• Year: 1991
• Tongue: English
• Weight: 437 KB
• Volume: 6
• Category: Article
• ISSN: 0733-2459
• DOI: 10.1002/jca.2920060112

✦ Synopsis

Because of its size and complexity. we report our experience which may be uscful to administrators and physicians involved in the planning or management of similar services.

From 198.5 through 1988 we collccted platelets from 1.976 different donors. the majority of which (87%) were community donors. Sixty-nine perccnt of 1.976 donors donated in 1988 an average of 4.9 times. Of 6.568 apheresis products collected, 1.1% wcrc discarded because of positive screening tests and 0.7% wcre discarded because of outdating or presence of fibrin clot.

In 1988 a total of nine cell scparators were used. All donor aphercsis were done with seven blood separators, and on average a separator produced an apheresis product cvery 4.5 worked hours. All therapeutic apheresis (338) werc done on two separators. Most of them (88%) were pcrformcd during work hours.

In 1988 donor and therapeutic aphcresis were done by l 7 h full-time employees (FTEs) during work hours. Considcring the Workload Unit Valuc per procedure given by the Collegc of Amcrican Pathologists (CAP) and that cach FTE worked I ,864 hours per ycar. thc worked hour productivity for donor and therapeutic apheresis was 7 8 . 2 4 . Blood collections, therapeutic blecds. and outpatient transfusions ( I . 127, I 14 and 1.74.5 rcspectivcly) were accoinplishcd by two FTEs. for a workcd hour productivity of 35.5%. Because '95.1% of total worked units was produced by efficient donor and therapeutic aphercsis activities. overall efficiency remained high at 73.8%.