Username or E-mail Password Only fill in if you are not human Keep me signed in Register Forgot your password? Cell Saver Quality Controls This comprehensive quality control program was established to sufficiently ensure that reagents, equipment, and methods function as expected. Results will be reviewed and corrective action is taken when appropriate. Records involving every case of washed autologous blood re-infusion will be kept to comply with traceability regarding disposables and/or the machine used. Periodic Quality Control is performed to assess instrument function and operator competency. Quality controls shall be performed on every device at least once per month. It is important to note that the AABB does NOT mandate testing of every procedure as well as every unit of blood collected and processed. The goal is to remove 95% of residual potassium or plasma protein (Collection Reservoir MUST be sampled before processing and that product MUST be compared to Holding Bag contents). The removal rate for free plasma hemoglobin or residual anticoagulant should be 90%. A clear effluent line is not an adequate indicator of washout. Source: AABB 4th Edition of Standards for Perioperative Autologous Blood Collection and Administration. Date Sample Drawn Date Format: MM slash DD slash YYYY Name First Last Facility*SELECT FACILITYAdventist HealthCare - Washington Adventist Hospital, Takoma Park, MDArnot Ogden Medical Center, Elmira, NYBassett Medical Center, Cooperstown, NYBon Secours Maryview Medical Center, Portsmouth, VACheyenne Regional Medical Center, Cheyenne, WYChildren's Hospital of the King's Daughters, Norfolk, VAChristiana Hospital, Newark, DEConnecticut Children's Medical Center, Hartford, CTCrozer-Chester Medical Center, Upland, PADeborah Heart and Lung Center, Browns Mills, NJEinstein Medical Center, Philadelphia, PAEnglewood Hospital and Medical Center, Englewood, NJEphraim McDowell Regional Medical Center, Danville, KYFox Chase Cancer Center, Philadelphia, PAGeisinger Community Medical Center, Scranton, PAGeisinger Health System, Danville, PAGeisinger Wyoming Valley Hospital, Wilkes-Barre, PAGeorge Washington University Hospital, Washington, DCGrand View Hospital, Sellersville, PAHartford Hospital, Hartford, CTHospital of the University of Pennsylvania, Philadelphia, PALehigh Valley Hospital, Allentown, PALehigh Valley Hospital-Hazleton, Hazleton, PALancaster General Hospital, Lancaster, PAMemorial Hospital of South Bend, South Bend, INMercy Fitzgerald Hospital, Darby, PANew York Blood Center, New York, NYOrthopaedic and Spine Center of Southern Colorado, Colorado Springs, COPikeville Medical Center, Pikeville, KYProvidence Hospital, Mobile, ALSaint Peter's University Hospital, Newark, NJSouthside Regional Medical Center, Petersburg, VAStamford Hospital, Stamford, CTSt. Christopher's Hospital for Children, Philadelphia, PASt Peter's Hospital, Albany, NYSuburban Community Hospital, Philadelphia, PASUNY Upstate Medical University, Syracuse, NYUMass Memorial Hospital, Worcester, MAUniversity Hospital, Newark, NJUniversity of Cincinnati, Cincinnati, OHUniversity of Maryland Medical Center, Baltimore, MDValley Hospital, Ridgewood, NJWadley Regional Medical Center, Texarkana, TXWilkes Barre General Hospital, Wilkes Barre, PAWilliamsport Hospital, Williamsport, PAWyoming Medical Center, Casper, WYYale New Haven, New Haven, CTDevice ManufacturerSELECT DEVICEFresenius Kabi C.A.T.SHaemonetics 5Haemonetics 5+Haemonetics EliteLivaNova ElectaLivaNova XTRAMedtronic AutologDevice Serial NumberCollection Reservoir SampleHematocrit (%)Potassium (mmol/L)Total Serum Protein (g/dL)Holding Bag SampleHematocrit (%)Potassium (mmol/L)Total Serum Protein (g/dL)Date Lab Results Recorded Date Format: MM slash DD slash YYYY Calculated ResultsResidual Potassium (%)Residual Plasma Protein (%)Percent Increase in Hematocrit (%) Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.