NEW BLOOD LABELS at UCSD: Transition from Codabar to ISBT 128 blood labels Modified by UCSD Transfusion Service

1. NEW BLOOD LABELS at UCSD:Transition from �Codabar� to �ISBT 128� blood labels Modified by UCSD Transfusion Service from: Americas Technical Advisory Group; ICBBA; www.iccbba.org NOTE: As of May 1, 2008, some blood products at UCSD Hillcrest and Thornton hospitals will be labeled differently, using ISBT128 barcoded labels.� Specifically, all blood products from San Diego Blood Bank (which represent about 5% of UCSD�s blood supply) will be ISBT 128 labeled as of May 1, 2008.� Blood from the American Red Cross, which represents about 95% of UCSD�s blood will continue to be labeled as is, until further notice.� This is a modified version of the ISBT 128 Power Point presentation from ICCBBA.� It contains the essential information and should be shared with all staff who will transfuse blood components.� The key points to note are: 1.��� The new blood unit identifier (Unit ID) is 13 characters long (e.g., W1234 08 123456), and must not be truncated. Consequently, if a computer system or form is used to document transfused units, the "unit ID number" field must be able to hold at least 13 characters. 2. The blood product ID codes and other information are located in different areas of the label, as described here. � If you have any questions please contact Dr Thomas Lane at 24968, Grace Lo at 32235 or David Pope 76162.NOTE: As of May 1, 2008, some blood products at UCSD Hillcrest and Thornton hospitals will be labeled differently, using ISBT128 barcoded labels.� Specifically, all blood products from San Diego Blood Bank (which represent about 5% of UCSD�s blood supply) will be ISBT 128 labeled as of May 1, 2008.� Blood from the American Red Cross, which represents about 95% of UCSD�s blood will continue to be labeled as is, until further notice.� This is a modified version of the ISBT 128 Power Point presentation from ICCBBA.� It contains the essential information and should be shared with all staff who will transfuse blood components.� The key points to note are: 1.��� The new blood unit identifier (Unit ID) is 13 characters long (e.g., W1234 08 123456), and must not be truncated. Consequently, if a computer system or form is used to document transfused units, the "unit ID number" field must be able to hold at least 13 characters. 2. The blood product ID codes and other information are located in different areas of the label, as described here. � If you have any questions please contact Dr Thomas Lane at 24968, Grace Lo at 32235 or David Pope 76162.

2. Objectives Alert all who transfuse blood at UCSD to the occurrence of different labels on some units of blood as of May 1, 2008. Describe the major differences between the current �Codabar� and new �ISBT 128� blood product labels. Correctly verify unit identification number, blood type, product attributes and expiration date on the new unit labels.

3. New Label with unit attributes

4. ISBT Label vs Current Label

5. Differences ISBT 128 is Black and White Only Longer Unit Identification Number (13 char�s) Expiration Date Location Changed and Time Now Included Autologous and Directed Units May Look Different Product Code Includes Codes for Divisions Product Code Includes Codes for Divisions

6. Unit Identification Number Unit Identification number Must use entire 13 character # W1234 06 123456 (other #s are for lab only) The 00 and 1 are codes for laboratory process control The 00 and 1 are codes for laboratory process control

7. Product Code Includes Information for Divided Units: (apheresis rbc, plt, or neonatal aliquots) Undivided unit is always 00 at end of the ISBT 128 Product Code Divided Parts Are Represented by A0, B0, C0, etc. If Part A0 is Subdivided, it would be Aa, Ab, etc.Product Code Includes Information for Divided Units: (apheresis rbc, plt, or neonatal aliquots) Undivided unit is always 00 at end of the ISBT 128 Product Code Divided Parts Are Represented by A0, B0, C0, etc. If Part A0 is Subdivided, it would be Aa, Ab, etc.

8. Expiration Date

9. Blood Type Label

10. Biohazard Autologous Label

11. Autologous Units: Note blood types and biohazard label (if needed)

12. Special Testing CMV and Sickle Testing Special Testing, eg Antigens ie, K, Jka, Fya, E CMV Sickle cell

13. Advantages of the New Labeling Complies with new drug regulations for Barcodes and labeling of blood components effective April 26, 2006 [ 21 CFR 606.121(c)(13)(ii-iii) ] Provides a unique unit number Facilitates point of care documentation of treatment when scanning barcodes Standardizes blood labels across the world Enhances patient safety

14. ISBT Product Labels  Platelets RBCs

15. ISBT Product Labels Cryoprecipitate FFP Thawed Cryo, FFP, FP will have the original expiration date crossed out and a new expiration date, consistent with UCSD policy, written in (see red circles). Thawed Cryo, FFP, FP will have the original expiration date crossed out and a new expiration date, consistent with UCSD policy, written in (see red circles).

16. ISBT Product Labels Autologous Directed

17. Important Notes: The goal of this presentation is, to alert you to the label changes and to assist you in identifying where the critical information will be found. This will avoid confusion, delays, and mistakes. As of May 1, 2008 some units will be ISBT labeled (ie the few that UCSD orders from SDBB). When Am Red Cross switches to ISBT labels (next year), all blood labels will be ISBT 128. This label change does not change any UCSD institutional policies for identifying patients and blood components at the bedside.

18. Transfusion Form Changes:Product Description has additional characters after vertical line, which may be disregarded

19. Transfusion Form Changes:Product Description has additional characters after vertical line, which may be disregarded

20. Call Blood Bank atHillcrest 619 543-5640/1orThornton 858 657-6161/2 UCSD Blood bank 3-5640 (Hillcrest) 7-6162 (Thornton).UCSD Blood bank 3-5640 (Hillcrest) 7-6162 (Thornton).