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