PLATELETPHERESIS (007-0113) "PLATELETPHERESIS"
Synonyms: Plateletpheresis Concentrate; Platelets, apheresis; Platelet Donation, Multiple Unit; Thrombocytapheresis; Single Donor Platelets
CPT 4 Code: 36520
Order Mnemonic: BILL PLM
Order Includes: ABO, Rh, and antibody screen required for current hospital admission. Single donor platelet units contain a minimum of 3.0 x 1011 platelets per donation (equal to six units of random donor platelets; they may be contaminated with 5 mL of red cells).
Lab: Blood Bank
Request Form: Blood Bank Division Primary Request Form
Patient Preparation: Patient must have a wristband for checking against component container label prior to administration. A recent (i.e., within the same 24-hour period) platelet count should be completed before platelets are ordered. Only one completed requisition is required for each plateletpheresis requested.
Storage Instructions: Store between 20░C to 24░C (approximately room temperature) on rotator.
Causes for rejection: Request will be questioned if patient has a platelet count within hemostatic range. See Transfusion Criteria.
Availability: Samples are accepted 24 hours per day at the Blood Bank lab, McCullough 5.102
Turnaround Time: 30 minutes
Special Instructions: Type and Screen required during current hospital visit. Patient must meet acceptable transfusion criteria. One hour post transfusion platelet count to be drawn on patient. All requests must include requesting physician’s name and ID number, patient's name, UH #, patient location, clinical information/diagnosis. Request form must be filled out completely and all information must be legible.
Volume: 5 mL blood
Minimum Volume: 3 mL blood
Container: Lavender-topped tube (EDTA)Reviewed/Revised 6/27/2010 by T. Moore, MT(ASCP)SBB