Redistribution Programs

In order to support compliance with the Health Canada blood regulations, PBCO collaborated with the BC Patient Safety Learning System (PSLS) to revise the Blood Transfusion or Blood Product - Safety Event Report Form to include events related to the BC Red Cell Redistribution Program

Typically, issues involving red cell redistribution are identified and reported by the Receiving Site but need to be investigated and followed up by the Shipping Site. 

Reporting errors and accidents through PSLS facilitates opportunities for continuous improvement. Health Authorities can also use the PSLS report functionality to comply with the Health Canada annual reporting requirement.

BC Red Cell Redistribution Program

Error Management

 Error Reporting Procedures
  2020
   2018
   2018
   2020

Responding to an Action for follow-up of a BC Red Cell and Factor Product Redistribution Program PSLS Event  

   2018

Final Approval of a completed BC Red Cell and Factor Product Redistribution Program PSLS Event 

   2018
Appendixes
 2018 
  2018 
 2018
  2018
   2018 
F. Report for Health Canada – Details  2020

G. Viewing an event listed on the Report for Health  Canada Read only (all data) report

2020 

 

 

 

t Process  

 

 

Red Cells and Factor Products account for over 40% of the cost of blood components and products in British Columbia (BC).  To help minimize waste, the BC Provincial Blood Coordinating Office (PBCO) coordinates two provincial programs.

 

Tools and Supplies

Apr 2023

Sep 2023

TempTale Monitors

Download & Configure TempTale Apr 2023
Sending a Configured TempTale to Issuing Site Apr 2023
Returning a TempTale to PBCO Apr 2023

 

 For questions and concerns please contact us

 

 

Factor products are used primarily for the prevention and treatment of bleeding episodes in patients with hemophilia or other congenital/ acquired bleeding disorders.   Factor products are expensive blood products with a shelf-life of two to three years. In order to minimize product expiry and waste of unused hospital stock, the BC Provincial Blood Coordinating Office (PBCO) coordinates a provincial Factor Redistribution Program. The safety and quality of redistributed factor products are ensured by the adherence of participating hospitals to the factor redistribution procedures.

BC hospitals send near-expired (<6 months from expiry date) stock to St. Paul’s Hospital in Vancouver. The St. Paul’s Hospital transfusion service works with the BC Hemophilia Program to ensure that the redistributed product is used prior to expiry.

Factor products to be redistributed to St Paul’s Hospital include:

    • - Fibrinogen
  • - Recombinant Factor VIIa (7a)
  • - Human Factor VII (7)
  • - Factor VIII (8), Recombinant Factor VIII and Long Acting Factor VIII
  • - Factor VIII (8) von Willebrand Factor Complex (HumateP and Wilate)
  • - Porcine Factor VIII (8)
  • - Factor IX (9), Recombinant Factor IX and Long Acting Factor IX
  • - Factor XI (11)
  • - Factor XIII (13)
  • - Prothrombin Complex Concentrate (Octaplex, Beriplex)

For other blood products, refer to your internal Health Authority redistribution program.  Contact your Health Authority Transfusion Medicine Technical Lead for more information.

General Program Documents

May 2023 
 Job Aid – Factor Product Packing Configuration:  4oC  May 2023 
 Job Aid – Factor Product Packing Configuration: Room Temp    May 2023 
Issuing Site
 St. Paul’s Hospital Fax Template  May 2023 
 Selecting Factor Products for Redistribution May 2023  
 Packing Factor Products for Redistribution May 2023  
  Receiving Site
 Receiving Factor Redistribution Shipments  May 2023 

Refer to Redistribution Main Page for Program Tools, Supply order forms and instructions for TempTale Monitors.

 

 

 

To minimize red cell waste, the BC Provincial Blood Coordinating Office (PBCO) coordinates a provincial Red Cell Redistribution Program. In this program, small and medium-sized hospitals send blood that is 10-14 days before expiry to designated large hospitals where the blood is more likely to be used. The BC Red Cell Redistribution Program helped the province achieve a provincial red cell expiry rate of 0.64% in 2021-22.

Participating hospitals help to maintain the safety and quality of redistributed red cells by adhering to the policies, processes and procedures described in this manual. The PBCO thanks all participants in the BC Red Cell Redistribution Program for their contributions and effort to conserve this precious resource.

Support Tools for BC Red Cell Redistribution Program

May 2023
Job Aid – Packing Configuration for Ice Pack Storage at –11ºC May 2023
Job Aid – Packing Configuration for Ice Pack Storage at –20ºC May 2023
Issuing Site 
May 2023
May 2023
Receiving a Configured Temperature Monitor from an RBC Redistribution Receiving Site  May 2023
 Receiving Site 
May 2023

TMS IVIG Request Process