Cord Blood Collection Training
Deb Wood
CCBB Collection Training Coordinator
Cord Blood Symposium
June 5, 2013
Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation
Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation
CCBB Training Needs
 Initial Training
 Annual Competency
 New Procedures
 Train the Trainer
Duration of Initial Training
Duration of Annual Training
Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation
Ex Utero
 Collection room
 CCBB staff
 Aseptic
 Scales
In Utero Collection
 Before the placenta’s
delivered
 CCBB staff or MD/CNM
 Clean with Chloraprep
 Estimate weight
VOLUME
0
10
20
30
40
50
60
70
80
90
100
2011 2012
AverageVolume(mLs)
In Utero Average Volume by Collector
In Utero CCBB Staff In ...
MD/CNM Goals
Increase Volume
Possible Reasons
Competing Responsibilities
Technique
Understanding of a Good Unit
Motivation...
% Contaminated/Banked Units by Collector Type
0
1
2
3
4
5
6
7
8
9
10
2011 2012 2013
PercentageContaminated
CCBB Staff MD/C...
Carolinas Cord Blood Bank
Preparation, Patience, Practice
 Preparation
− Clamp close to the baby
− Draw minimal hospital ...
Carolinas Cord Blood Bank
If Possible…
 Use gauze to blot
and for traction
 Milk the cord gently
 Deliver the placenta
...
Carolinas Cord Blood Bank
Please Don’t…
 Twist the cord
 Place multiple
clamps on the cord
 Damage the
placental lobes
Drain the Cord
Every Drop Counts
The Color of Cord Blood
Color = Volume
Low Volume High Volume
Color Comparison
Carolinas Cord Blood Bank
Reasons to Maximize Volume
Increase:
the number of
units in the bank
the possibility of
patien...
Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation
The Reasons Behind the Numbers
Motivation
 Show the faces of cord blood
transplantation
 Publicize
 Educate now for the future
 Incentives and compet...
Incentives Ideas
 Rewards based on
volume, 100 mLs = 1 point
 Annual “Highest Unit”
competition
 Billion Bonus
 Freque...
Carolinas Cord Blood Bank
100 Team
Brian
What’s Your Incentive Idea?
Carolinas Cord Blood Bank
Thank You
 Carolinas Cord Blood
Bank
 HRSA
 Collectors
 Donors
Spencer, Maddy and Madison
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Cord Blood Collection Training

  1. 1. Cord Blood Collection Training Deb Wood CCBB Collection Training Coordinator Cord Blood Symposium June 5, 2013
  2. 2. Carolinas Cord Blood Bank Outline  Collection Training  Collection Techniques  Collector Motivation
  3. 3. Carolinas Cord Blood Bank Outline  Collection Training  Collection Techniques  Collector Motivation
  4. 4. CCBB Training Needs  Initial Training  Annual Competency  New Procedures  Train the Trainer
  5. 5. Duration of Initial Training
  6. 6. Duration of Annual Training
  7. 7. Carolinas Cord Blood Bank Outline  Collection Training  Collection Techniques  Collector Motivation
  8. 8. Ex Utero  Collection room  CCBB staff  Aseptic  Scales
  9. 9. In Utero Collection  Before the placenta’s delivered  CCBB staff or MD/CNM  Clean with Chloraprep  Estimate weight
  10. 10. VOLUME
  11. 11. 0 10 20 30 40 50 60 70 80 90 100 2011 2012 AverageVolume(mLs) In Utero Average Volume by Collector In Utero CCBB Staff In Utero MD/CNM
  12. 12. MD/CNM Goals Increase Volume Possible Reasons Competing Responsibilities Technique Understanding of a Good Unit Motivation Consequences Unit Loss Increase of Resource Utilization Lower Contamination
  13. 13. % Contaminated/Banked Units by Collector Type 0 1 2 3 4 5 6 7 8 9 10 2011 2012 2013 PercentageContaminated CCBB Staff MD/CNM
  14. 14. Carolinas Cord Blood Bank Preparation, Patience, Practice  Preparation − Clamp close to the baby − Draw minimal hospital cord blood (3 ml) − Clean well  Patience − Wait for the Weight  Practice − Does such a simple technique need practice?
  15. 15. Carolinas Cord Blood Bank If Possible…  Use gauze to blot and for traction  Milk the cord gently  Deliver the placenta and cord intact
  16. 16. Carolinas Cord Blood Bank Please Don’t…  Twist the cord  Place multiple clamps on the cord  Damage the placental lobes
  17. 17. Drain the Cord Every Drop Counts
  18. 18. The Color of Cord Blood Color = Volume Low Volume High Volume
  19. 19. Color Comparison
  20. 20. Carolinas Cord Blood Bank Reasons to Maximize Volume Increase: the number of units in the bank the possibility of patients finding an adequate donor
  21. 21. Carolinas Cord Blood Bank Outline  Collection Training  Collection Techniques  Collector Motivation
  22. 22. The Reasons Behind the Numbers
  23. 23. Motivation  Show the faces of cord blood transplantation  Publicize  Educate now for the future  Incentives and competition…
  24. 24. Incentives Ideas  Rewards based on volume, 100 mLs = 1 point  Annual “Highest Unit” competition  Billion Bonus  Frequent Collectors Card Frequent Collectors Card
  25. 25. Carolinas Cord Blood Bank 100 Team Brian
  26. 26. What’s Your Incentive Idea?
  27. 27. Carolinas Cord Blood Bank Thank You  Carolinas Cord Blood Bank  HRSA  Collectors  Donors Spencer, Maddy and Madison

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