1. ISBT 128 Blood Product Labeling for Transfusionists Americas Technical Advisory Group ICCBBA www.iccbba.org

2. Copyright ICCBBA, Inc Objectives Describe the major differences between Codabar and ISBT 128 of blood product labels Correctly verify unit identification number, blood type, and product attributes and expiration date List 3 advantages of ISBT 128 labeling as to the safety of blood usage

3. Copyright ICCBBA, Inc Current Label

4. Copyright ICCBBA, Inc New Label

5. Copyright ICCBBA, Inc

6. Differences Black and White Only Longer, but unique, Unit Identification Number Product Code Includes Codes for Divisions Expiration Date Location Changed and Time Now Included Autologous and Directed Units May Look Different

7. Copyright ICCBBA, Inc Unit Identification Number Unit Identification number Must use entire number W1234 06 123456 The 00 and 1 are codes for laboratory process control E1234V00

8. Copyright ICCBBA, Inc Product Code Includes Division Information Product Description

9. Copyright ICCBBA, Inc Divided Unit Product Description Product Code Includes Information for Divided Unit Undivided unit is always 00 at end of the ISBT 128 Product Code Divided Parts Are Represented by A0, B0, C0, etc. If Part A0 is Subdivided, it would be Aa, Ab, etc.

10. Copyright ICCBBA, Inc Divided Unit Product Description

11. Copyright ICCBBA, Inc Expiration Date New LocationNew Location New FormatNew FormatDDMMMYYYY Time Displayed if other than MidnightTime Displayed if other than Midnight If midnight, no time is displayedIf midnight, no time is displayed

12. Copyright ICCBBA, Inc Blood Type Label  ABO/Rh Group

13. Copyright ICCBBA, Inc Biohazard Autologous Label

14. Copyright ICCBBA, Inc Autologous Units- Blood Types

15. Copyright ICCBBA, Inc Special Testing CMV and Sickle Testing Special Testing  Antigens ie, K, Jk a, Fy a, E  CMV  Sickle

16. Copyright ICCBBA, Inc Advantages of the New Labeling Complies with new drug regulations for Barcodes and labeling of blood components effective April 26, 2006 [ 21 CFR 606.121(c)(13)(ii-iii) ] Provides a unique unit number Enhances patient safety Facilitates point of care documentation of treatment when scanning barcodes Standardizes blood labels across the world

17. Copyright ICCBBA, Inc Important Note This does not replace your institutional policies for identifying patients and blood components at the bedside The intention of this presentation is to assist you in identifying information vital to this task

18. Questions?