Im. 009 Issuing Stock Serum Albumin

PATHOLOGY AND LABORATORY MEDICINE

DIVISION OF TRANSFUSION MEDICINE

STANDARD WORK INSTRUCTION MANUAL
Issuing Stock Serum Albumin

Approved By: Dr. Antonio Giulivi	Document No: IM.009
Date Issued: 2004/04/05	Category: Inventory Management
Date Revised: 2009/12/31	Page of

1. 
   Principle
   

Albumin can be stored at room temperature may be issued as stock to be held in specific locations.

2. 
   Scope and Related Policies
   

1. 
   The Transfusion Medicine laboratory will define which areas may receive bulk issues of Albumin for stock.
   

2. 
   The allowed volumes for each specific area will be identified and monitored.
   

3. 
   The ward is responsible for filling out the albumin worksheet, which provides Transfusion Medicine with the following information:
   

• 
  Name and unique number of patient receiving albumin
  

• 
  Quantity, volume and concentration of albumin issued to a patient
  

• 
  Lot number of each unit of albumin issued
  

• 
  To comply with regulations the temperature of the storage area must be checked and recorded every 4 hrs unless a continuous temperature monitoring device is used. The record of temperature monitoring must be provided to the TML as required.
  

3. 
   Specimen – N/A
   

4. 
   Materials
   

Supplies: Stock Serum Albumin Issuing Form (IM.009F)

5. 
   Quality Control – N/A
   

6. 
   Procedure
   

1. 
   Before issuing albumin to the ward, the TM Technologist should make sure that the floor has returned the previous serum albumin issuing form, accounting for all albumin issued. Any discrepancies should be resolved before any further albumin is issued in bulk.
   

Issuing may take place on a patient by patient basis until discrepancies are resolved.

2. 
   On the Blood Product Issue/Transfusion Record (IM.009F), enter the necessary information (date of issue, total number of vials sent, lot number, total amount of albumin used by ward, amount of vials returned, total vials, technologist initials). If applicable update computer files.
   

3. 
   Issue the requested amount of albumin plus a new Stock Albumin Issuing Form (IM.009F) to the person requesting the product.
   

7. 
   Reporting – N/A
   

8. 
   Procedural Notes – N/A
   

9. 
   References – N/A
   

Ontario Regional Blood Coordinating Network Standard Work Instruction Manual

IM.009 Page of