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Overview Laboratory: Blood Bank and Transfusion Services, Stem Cell Processing and Neely Cell Therapy and Collection Center Blood Bank and Transfusion Service Location: Proger 8 Summary of Services Provided: The Blood Bank provides ABO/Rh and antibody screen pre-transfusion testing, antibody identification, cross match and transfusion reaction testing on a routine and STAT basis 24/7. Additional testing services include antigen phenotyping, direct antiglobulin testing (DAT), isohemaglutinin and prenatal antibody titration studies and platelet refractory investigation. Blood products provided include leukoreduced and irradiated packed red blood cell and single donor platelet apheresis products, as well as, thawed plasma and cryoprecipitate. Routine orders for blood products require a justification for use and are expected to satisfy the transfusion threshold described below: Red Blood Cells Hemoglobin < 8 g/dL Hemoglobin <9 g/dL with heart disease Active bleeding If other, state reason Single Donor Platelet Platelet count < 100,000 with bleeding in the brain/skull/retina/lung or in a neonate Active bleeding If other, state reason Thawed Plasma INR > 1.4 and requiring an invasive procedure Prolonged INR due to coumadin and active bleeding If other, state reason Cryoprecipitate Fibrinogen < 200 mg/dL If other, state reason The Blood Bank also provides clotting factors, Rh immune globulin and albumin. Blood Bank physician approval is required for the first order in a series for Factors VIII, IX and VIII von Willibrand factor. All orders for off-label use of Factor VIIa must be approved before release with the exception of specimen ER and Neurosurgery circumstances. All inquiries can be made to the Blood Bank physician at pager 1270. The Blood Bank will release blood products prior to completion of pre-transfusion testing when deemed medically necessary by a physician. In the event of a trauma/massive bleed situation, the Blood Bank will emergently release a blood cooler packed with 6 group O red cells, 6 group AB thawed plasma and one single donor platelet. Additionally a pool of cryoprecipitate will be released for all OB massive bleeds. Hours of Operation: 24 hours per day, 7 days per week Laboratory Contact Information: 617-636-6450 Medical Director and Contact Information: Ray Comenzo, MD Phone: 617-636-5842 Email: rcomenzo@tuftsmedicalcenter.org Manager and Contact Information: Leslie Richardson-Weber Phone: 617-636-6455 Email: lrichardsonwebe@tuftsmedicalcenter.org Supervisor and Contact Information: Nuong Phan Phone: 617-636-6450 Email: nphan@tuftsmedicalcenter.org Quality Assurance Supervisor and Contact Information: Judy Forbes Phone: 617-636-4378 Email: jforbes@tuftsmedicalcenter.org Stem Cell Processing Location: Proger 8 Summary of Services Provided: The Stem Cell Processing Laboratory prepares hematopoietic progenitor cell products for use to the Tufts Medical Center transplant patient; product sources include bone marrow, peripheral blood stem cell and cord blood. Orders from Tufts Medical Center transplant physicians are required for the collection, processing, storage and infusion of HPC products. Hours of Operation: Monday through Friday from 8 a.m. to 4:30 p.m. Laboratory Contact Information: 617-636-6450 Medical Director and Contact Information: Ray Comenzo, MD Phone: 617-636-5842 Email: rcomenzo@tuftsmedicalcenter.org Manager and Contact Information: Leslie Richardson-Weber Phone: 617-636-6455 Email: lrichardsonwebe@tuftsmedicalcenter.org Supervisor and Contact Information: Nuong Phan Phone: 617-636-6450 Email: nphan@tuftsmedicalcenter.org Quality Assurance Supervisor and Contact Information: Judy Forbes Phone: 617-636-4378 Email: jforbes@tuftsmedicalcenter.org Neely Cell Therapy and Collection Center Location: South 8 Summary of Services Provided: The Neely Cell Therapy and Collection Center provides services to patients requiring therapeutic apheresis, Photopheresis, or therapeutic phlebotomy. These services require prior evaluation by a Blood Bank physician to determine each individual’s course of treatment. Consults for new patients are conducted in the Neely Center during regular business hours and may also be arranged by calling the Blood Bank physician. Additional services include hematopoietic progenitor cell collection by apheresis for autologous and allogenic hematopoietic transplantation, as well as, outpatient transfusion and autologous blood donations. Hours of Operation: Monday through Friday from 8 a.m. to 4:30 p.m. Laboratory Contact Information: 617-636-6453 Medical Director and Contact Information: Ray Comenzo, MD Phone: 617-636-5842 Email: rcomenzo@tuftsmedicalcenter.org Manager and Contact Information: Leslie Richardson-Weber Phone: 617-636-6455 Email: lrichardsonwebe@tuftsmedicalcenter.org Clinical Nursing Director and Contact Information: Mark Diethelm, RN Phone: 617-636-6453 Email: mdiethelm@tuftsmedicalcenter.org Quality Assurance Supervisor and Contact Information: Judy Forbes Phone: 617-636-4378 Email: jforbes@tuftsmedicalcenter.org
