This document discusses cord blood collection training provided by the Carolinas Cord Blood Bank. It covers topics like initial and annual training requirements, collection techniques for both in utero and ex utero collection, factors that influence collection volume like collector experience and motivation, and ideas for incentivizing collectors to improve volumes. The goal is to maximize cord blood collection volumes to increase the number of units available for patients in need of transplantation.

1. Cord Blood Collection Training
Deb Wood
CCBB Collection Training Coordinator
Cord Blood Symposium
June 5, 2013

2. Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation

3. Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation

4. CCBB Training Needs
 Initial Training
 Annual Competency
 New Procedures
 Train the Trainer

5. Duration of Initial Training

6. Duration of Annual Training

7. Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation

8. Ex Utero
 Collection room
 CCBB staff
 Aseptic
 Scales

9. In Utero Collection
 Before the placenta’s
delivered
 CCBB staff or MD/CNM
 Clean with Chloraprep
 Estimate weight

10. VOLUME

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. 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. % 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. 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. Carolinas Cord Blood Bank
If Possible…
 Use gauze to blot
and for traction
 Milk the cord gently
 Deliver the placenta
and cord intact

16. Carolinas Cord Blood Bank
Please Don’t…
 Twist the cord
 Place multiple
clamps on the cord
 Damage the
placental lobes

17. Drain the Cord
Every Drop Counts

18. The Color of Cord Blood
Color = Volume
Low Volume High Volume

19. Color Comparison

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. Carolinas Cord Blood Bank
Outline
 Collection Training
 Collection Techniques
 Collector Motivation

22. The Reasons Behind the Numbers

23. Motivation
 Show the faces of cord blood
transplantation
 Publicize
 Educate now for the future
 Incentives and competition…

24. Incentives Ideas
 Rewards based on
volume, 100 mLs = 1 point
 Annual “Highest Unit”
competition
 Billion Bonus
 Frequent Collectors Card
Frequent Collectors Card

25. Carolinas Cord Blood Bank
100 Team
Brian

26. What’s Your Incentive Idea?

27. Carolinas Cord Blood Bank
Thank You
 Carolinas Cord Blood
Bank
 HRSA
 Collectors
 Donors
Spencer, Maddy and Madison