UMBILICAL CORD COLLECTIONS: FIXED vs. UNFIXED SITES

December 2, 2016 by Donald Hudspeth
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December 2, 2016

BACKGROUND/CASE STUDY:

Cord For Life® has been accepting umbilical cord blood collections for private storage and public donation for over 15 years. Until recently, Cord For Life® was the only cord blood center that collected from national non-fixed sites (NFS) and fixed sites (FS) facilities. With others in the industry expanding to NFS collections, we compared our FS collections using Cord For Life® trained MDs, midwives, and collection staff to our national NFS collections to identify the strengths and weaknesses of the two programs.

STUDY DESIGN / METHOD:

The comparison was performed on all collection data from the years 2009 – 2010 where current acceptance criteria were constant. Using data entered in the StemSoft database system, the analysis examined total units received vs. registry placement and privately stored vs. publicly donated collections.

RESULTS / FINDINGS:

From the total donated units received 26% of FS collections were processed and placed on a registry. For NFS the total donations processed and placed on the registry was only 10%. Privately stored collections were 12% higher from the NFS while FS had 18% higher publicly donated units. The primary cause for unit rejection was low pre-TNC count (<12×108) often directly related to product volume. Excluding the pre-count the following were the next highest reasons for rejection:

CONCLUSION:

Fixed site collections allow for stronger management and control resulting in a more efficient and successful collection. There is a significant advantage in decreasing “preventable” errors and overall optimizing collections. There are many challenges to consider before implementing a non-fixed site collection program.

Although a greater number of units were received from the non-fixed locations, the overall product quality is lower. Another consideration is timing; kit shipment to the client prior to labor and unit receipt at the laboratory can impact the ability to meet the regulated timelines.

Using monthly tracking data as a CPI tool we discontinued acceptance of weekend collections as “normal” courier service is limited. This change resulted in fewer units received >48 hours from collection, saving collection materials and shipping costs. Other findings include lower efficiency and higher per banked unit cost in the NFS model.

Success of a non-fixed collection program will rely on improved distance training, increasing efficiency to improve value and there must be an outlet for non-transplantable units. Visit us at www.cordforlilfe.com or call 800-869-8608 for more information.

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Our purpose is to provide the expectant mothers with information necessary to discover the lifesaving potential of umbilical cord blood.

Copyright Cord for Life 2019. All rights reserved.

Deborah A. Sardone

Ms. Sardone has over 30 years of clinical laboratory experience as a Clinical Laboratory Technologist and Supervisor, including over 25 years with Central Florida Regional Hospital (CFRH). She was Supervisor of Quality Assurance, Safety and Education at CFRH for 11 years, held the positions of Blood Bank Supervisor for 11 years, and Hematology Supervisor for 1 year. She has participated in both sides of the inspection process, serving on the College of American Pathologists Inspection team for CAP Hospital Accreditation in Florida, and assisting in receiving accreditation by The Joint Commission (TJC), American Association of Blood Banks (AABB), and Food and Drug Administration (FDA) through the inspections of the clinical laboratory. Ms. Sardone is licensed by the State of Florida as a Clinical Laboratory Technologist in Immunohematology, Hematology, Serology and Clinical Chemistry. She is a certified Clinical Laboratory Technologist with the American Society of Clinical Pathologists (ASCP). Ms. Sardone serves as Manager of Quality Assurance and Regulatory Affairs at Cord For Life, Inc. overseeing all licensing and regulatory agencies to ensure that the highest quality in all aspects of cord blood collection, processing, and storage is maintained.  Ms. Sardone has been with Cord For Life for over 5 years of dedicated service. Her skills and knowledge in blood banking and quality assurance have enabled her to establish, implement and maintain a superior quality system that meets and exceeds all standards and regulatory requirements for Cord For Life, Inc.

Personal Background:

  • Sardone is a graduate of The City University of New York in Medical Laboratory Technology.
  • Sardone is licensed in Florida as a Clinical Medical Technologist and she is nationally recognized as ASCP Certified.
  • Sardone enjoys photography and dancing.

Donald Hudspeth

Mr. Hudspeth has over 28 years of clinical laboratory experience as a certified Medical Technologist (ASCP), including ten years with the University of North Carolina Hospitals and 18 years with Cord for Life. Mr. Hudspeth is licensed by the State of Florida as a Clinical Laboratory Supervisor in Immunohematology, Hematology, Serology, Clinical Chemistry, Molecular Pathology and Microbiology as well as a Clinical Laboratory Scientist and has completed the AABB Certification in Cellular Therapies through George Washington University.

Mr. Hudspeth is a registered Technologist with the American Society of Clinical Pathologists and a member of the Cord Blood Association. He has also enjoyed teaching Immunology to Clinical Laboratory Science and medical school students at UNC while working in the UNCH clinical labs.  Mr. Hudspeth is an Eagle Scout with 5 palms and has served numerous volunteer positions within the local Scouts BSA Troop and Pack.

Personal Background:

  • Mr. Hudspeth received his Bachelor’s degree in Clinical Laboratory Sciences from the University of North Carolina at Chapel Hill.
  • “Eagle Scout with Five Palms”
  • Avid golfer with a 14 handicap.

Kelli Cable

Ms. Cable has 35+ years – experience in Office, Management, Human Resources, & Customer Service. As the Director of Administration and Client Services, Ms. Cable joined Cord for Life in December 2006, and has assisted in providing more efficient and effective ways to ease the enrollment process, as well as obtaining and establishing excellent customer care during the enrollment and donation period; for our Storage and Donation customers.

Personal Background:

  • Mrs. Cable is married and has two boys.
  • In 1994, Ms. Cable moved to Orlando from Boulder, Colorado.
  • Has a passion for travel and enjoys watching NFL games, cheering on her favorite team, the Denver Broncos.

Sara Irrgang, M.D

During the last two years of Medical School, Dr. Irrgang was in the United States Navy 1915 Ensign Program and completed a clerkship at the Naval Hospital at Charleston, South Carolina as well as a research clerkship at the Naval Aerospace Institute at Pensacola, Florida. Dr. Irrgang completed her four year Pathology residency at Baylor University Medical Center, and her internship at the University District Hospital, Rio Piedras in San Juan, Puerto Rico.

Currently, Dr. Irrgang is Board Certified in Anatomic and Clinical Pathology and licensed in the states of South Carolina, Texas, New Jersey and Florida and she is an Associate Medical Examiner at the District Nine Medical Examiners Office. Dr. Irrgang is a fellow at numerous organizations including; The College of American Pathologists, National Association of Medical Examiners, Florida Association of Medical Examiners, Seminole County Medical Society, and the Florida Medical Society.

Personal Background:

  • Dr. Irrgang received a Bachelor of Science degree in Pharmacy from the University of South Carolina.
  • Attended the Medical College of South Carolina at Charleston where she earned a Medical Doctorate Degree.
  • Dr. Irrgang has a passion for breeding show horses
  • Dr. Irrgang is a 4-H leader in Lake County, Florida
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