Machine Set Up
SOP: CTR4001WI-aa Donor Floor Machine Set Up
Push and twist the DPM filter 1/4 turn to lock it into the DPM.
What are daily activities on the NexSys PCS?
SOP: CTR6002 NexSys PCS
Every day prior to a donor using any NexSys PCS device, the deice must have the plasma weigher and AC weigher checked with a certified 1000g weight.
Every PCS device used for a donation throughout the day must be cleaned prior to leaving. The items requiring to be cleaned are the DPM and external surface.
How do you identify the donor?
SOP: CTR4001WI-ab Donor Floor Venipuncture
Identify donor by Name, DOB, Picture.
What are the types of non-reportable events?
SOP: CTR3002 Donor Reactions
Types of Non-Reportable Events
- Vasovagal
- Citrate
- Venipuncture Event
What are the vein grading and what do they mean?
Green: Large, visible, palpable, superficial veins
Yellow: Medium, limited visibility, but still palpable, deep veins
Red: Small, least visible, superficial or deep, may be rolling, still palpable veins
What supplies are needed to perform a set up?
SOP: CTR4001 Donation Process with the NexSys PCS
The supplies needed to complete a device setup are Bottle, Bowl, Harness, Saline, and Anticoagulant
Who can perform repairs on the NexSys PCS?
Only Haemonetics Certified NexSys PCS Repair Technicians can completed repairs on the NexSys PCS.
What are the different color beacon lights and what do they mean?
SOP: TM1010 Donor Floor Supplemental Training
OFF: all is well
White: there's an error that requires your attention or the procedure is in a paused stage
Orange: there's a notification on the screen
Green: the procedure is complete
Blue: POST (power on self test) or the final Return cycle is underway
What is a Hematoma/Infiltration?
SOP: CTR3002F-ac Donor Care Instructions- Hematoma/Infiltration
A hematoma (or infiltration) is a localized collection of blood outside of the blood vessel.
How long is the VP scrub when using Iodine?
How long is the swirl when using Iodine?
SOP: CTR4001 Donation Process with the NexSys PCS
Iodine Scrub: 30 seconds
Iodine Swirl: 15 seconds
When a disposable set it used to preset a machine, within how long must it be used?
SOP: CTR4001WI-aa
8 hours
What are the weekly activities on the NexSys PCS?
SOP: CTR6001F-aa Equipment Activity Schedule
On a weekly basis, the following items are to be cleaned on the NexSys PCS device:
- All air detectors
- The Line sensor
- The centrifuge well and chuck
- The fluid sensor
- The bowl optics lens
What is considered an overdraw?
What is considered an underdraw?
SOP: CTR4002 Donation Monitoring and Collection Exceptions
An actual plasma volume more than 5mLs below the plasma target is considered an underdraw.
An actual plasma volume more than 5mLs higher than the plasma target is considered an overdraw.
How do you identify a citrate reaction?
Mild tingling in the lips, fingertips, or toes.
How many resticks are permitted during a donation?
Only 2 resticks (a total of 3 venipunctures) may be performed. If a 2nd restick is performed, it is for Red Cell Return only.
How do you inspect supplies for defects?
All supplies must be inspected for any defects, ensuring all caps are in place and that no tubing contains any kinks that cannot be removed.
What are the monthly activities on the NexSys PCS?
SOP: CTR6002 NexSys PCS
On a monthly basis, the following tasks are to be completed:
- Clean the pump rotors and wells
- Clean the air filter
- Lubricate the centrifuge O-ring
If a donor loses how much amount of blood will they be deferred and how long is the deferral?
SOP: CTR4002 Donation Monitoring and Collection Exceptions
A donor will be deferred for 56 days for any cell loss that is greater than or equal to 200mLs
OR
If the donor experiences two cell losses less than 200mLs in a 56 day period the donor will be deferred for 56 days from the second loss.
Can a restick be performed on an arm that has an infiltration?
SOP: CTR3002 Donor Reactions
No
What may require an arm scrub to be repeated?
SOP: CTR4001WI-ab Donor Floor Venipuncture
1. If the donor bends the arm or the prepared site is touched with the fingers, or with any other non-sterile object.
2. If the center employee performing the prep procedure leaves the donor bed prior to venipuncture.
3. If the iodine swab stick touches the pressure cuff or donor's shirt.
What are the plasma targets and donor weight ranges?
Donor Weight 110-149 lbs = Plasma Target 625mL
Donor Weight 150- 174 lbs = Plasma Target 750mL
Donor weight 175- 400 lbs = Plasma Target 800mL
What is the acceptable gram weight for the NexSys PCS AC weigher and Plasma weigher?
1000+/-3
What circumstances may require manual gravity infusion?
SOP: CTR4002 Donation Monitoring and Collection Exceptions
Circumstances may include:
- Power has not been restored after 7 minutes during a power outage.
- When the device is unable to return red blood cells itself.
What size must the infiltration be to treated as a minor donor adverse event?
SOP: CTR3002 Donor Reactions
If the swelling is not greater than 2-inches in any direction.
How will the machine notify the phlebotomist of required samples?
1. A pop-up that must be confirmed stating a sample is required to be drawn and a small sample tube icon that appears at the top of the device display.