Online Cord Blood Training


As more expectant parents selflessly donate their cord blood to help others, medical professionals have the unique opportunity to educate and assist patients with the process. Cord blood collections are potentially lifesaving and require little additional time in the delivery room.

Overview
Umbilical Cord Blood Collection Process
A special thank you from Cord for Life®, Inc.​

With the dedication of Healthcare Professionals, millions throughout the world might be given another chance at life.​

Table of Contents
I. The Process
II. Umbilical Cord Collection
III. Maternal Blood Draw
IV. Packaging
The Process Overview
1. Form completion
2. Collection Kit distributed
3. Collection Kit is given to/provided by the physician for the collection
4. Cord blood is collected
5. Cord blood is picked up by the courier

Cord blood must be processed within 48 hours of collection!
STEP 1: Consent Form Completion
Enrollment forms must be completed and signed by the Mother and Physician for the unit to be processed. Mothers can access enrollment forms in three ways:​

1. Calling Cord for Life®, Inc., and requesting forms to be mailed.​
2. Downloading the forms directly from our website.​
3. Enrolling directly at a Cord for Life®, Inc., program facility when in labor.​

Download Enrollment Forms
STEP 2: Review of The Collection Kit
The Collection Kit has everything you need
to collect and ship the cord blood unit.
STEP 3: Cord Blood Collection
It takes a few minutes that could save another’s life!
The cord blood collection is performed after the birth of the baby.

The collection is typically performed by the attending physician, nurse or midwife.

The process is non-invasive, painless, and easy to collect!
STEP 4: Packaging
After the collection is completed, the physician/midwife/nurse will return the collection kit to the donor (procedure may vary for program sites).

Please ensure that all blood contents have been labeled as instructed prior to returning the collection kit to the donor.

Once the collection kit has been returned to the donor, the individual designated by the donor will contact Cord for Life®, Inc. for further instruction.

Note: See Section IV for detailed instructions.
STEP 5: Arranging the Courier
Prior to packaging the cord blood for shipment, it is the responsibility of the designated person to contact Cord for Life®, Inc. at 1-800-869-8608​

Once notified, a Client Services Representative will obtain required delivery information, and assist the designee with properly packaging the collection for shipment. ​

Please DO NOT package the collection prior to speaking with a Cord for Life®, Inc. team member.
TIP!
Some hospital protocols restrict couriers to pick-up at patient rooms, in this case, we may suggest taking the packaging to the nearest FedEx drop box for shipment.​
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Section II: Umbilical Cord Blood Collection
Vaginal Birth Procedures
Vaginal Delivery
Cord blood is collected following delivery of the infant, after the umbilical cord is cut, and while awaiting (or following) delivery of the placenta​
Vaginal Delivery: Step 1
Remove the collection bag from its foil pouch and over wrap.
Vaginal Delivery: Step 2
Swab a site on the lower end of the cord with the povidone-iodine pad provided in the kit, followed by the alcohol pad.​
Vaginal Delivery: Step 3
Insert the collection needle attached to the cord blood collection bag into the cleansed area of the umbilical vein. ​

Be sure to start low on the cord and move up. Lower the umbilical cord below the perineum.​

Note: CLAMP THE CORD AS CLOSE TO THE BABY AS POSSIBLE!
This will ensure maximum volume!​
TIP!
The collection bag must be placed lower than the placenta to allow the blood to drain by gravity into the bag. Minimize manipulation of​ the umbilical cord as this will adversely affect the volume of blood obtained.
Vaginal Delivery: Step 4
Check the volume!
Allow as much blood as possible to be collected. ​

Sufficient volume is a crucial factor for its use as a transplant.​

A minimum collection volume of 60 mL or more is strongly suggested for the cord blood to be considered usable.​

It is NOT unusual for the collected volume to be above 100 mL!​

Volume! Volume! Volume!​ Aim for over 100 mL!!!​ ​
Vaginal Delivery: Step 5
Including the weight of the collection bag and clamp, a 60 mL collection would weigh at least 135 grams. ​

​If less than 60 mL of cord blood is collected, please attempt to collect more by reinserting the needle into another cleansed site of the umbilical vein. ​

Be sure to start low on the cord and move up!​
Vaginal Delivery: Step 6
Following the collection (which usually takes no longer than five minutes), clamp the tubing a few inches from the bag and cut it distal to the clamp, leaving the sharp (needle) on your tray.​

​Dispose of the needle as required by your facility. If you choose to use the needle guard provided, please use the instructions supplied with the guard.​
Vaginal Delivery: Step 7
Immediately after collection, write the following on the YELLOW cord blood identification label provided:​

​ - Mother’s first & last name​
- Name of the physician/collector​
- Name of the collection facility​
- Date and time drawn​

​Confirm the patient’s name is written on the cord blood label.​
Complete the FDA Required Delivery Info Form. It must be signed and dated by the collector.​
Vaginal Delivery: Step 8
Affix the YELLOW identification label directly to the collection bag.​
A Hospital ID may also be used.​

IMPORTANT! Cord Blood units that are unlabeled cannot be used for transplant!​
Vaginal Delivery: Step 9
Weigh the collection bag containing the cord blood. Write the weight in grams on the YELLOW cord blood label.​

Have the weight information readily available for the designated person, notifying Cord for Life®, Inc.​ of the delivery and collection.​
Vaginal Delivery: Step 10
Fill out the BLUE Delivery Information Sheet, Form C.2-3, provided in the kit.​ ​ This form is REQUIRED!​

​We cannot process the cord blood without it!​
Vaginal Delivery: Step 11
Keep cord blood at room temperature to ensure viability. Refrigeration WILL damage the cells!​

Do not refrigerate!
Do not refrigerate!
Do not refrigerate!​
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Section II: Umbilical Cord Blood Collection
C-Section Delivery Procedures
The collection may be performed before or after the placenta is removed from the uterus using the sterile C-Section Collection Kit.​

Option 1: Collection performed BEFORE the placenta is delivered.​
C-Section Delivery: Option 1
​Follow these step for when the collection is BEFORE the placenta is delivered
C-Section Delivery: Step 1
Clamp the cord as close to the baby as possible for maximum volume!
C-Section Delivery: Step 2
Swab a site on the umbilical cord with the povidone-iodine pad, followed by the alcohol pad.​
C-Section Delivery: Step 3
NEEDLE GUARD:

Pull completely over needle after collection is finished.

Collection needle in safety sheath. Uncap needle for collection
C-Section Delivery: Step 4
Insert the needle into the cleansed site of the umbilical cord.

Be sure to start low on the cord and move up.

The collection bag can remain outside the sterile field at a lower level to allow gravity to fill it.
C-Section Delivery: Step 5
Open the air filter to allow cord blood from the tubing to drain into the collection bag.

When collection is complete and the needle is removed from the cord, allow the blood remaining in the tubing to enter the collection bag to maximize recovery.
C-Section Delivery: Step 6
Immediately after collection, write the following on the YELLOW cord blood identification label provided:​

​ - Mother’s first & last name​
- Name of the physician/collector​
- Name of the collection facility​
- Date and time drawn​

​Confirm the patient’s name is written on the cord blood label.​
Complete the FDA Required Delivery Info Form. It must be signed and dated by the collector.​
C-Section Delivery: Step 7
Affix the YELLOW identification label directly to the collection bag.​
A Hospital ID may also be used.​

IMPORTANT! Cord Blood units that are unlabeled cannot be used for transplant!​
C-Section Delivery: Step 8
Weigh the collection bag containing the cord blood. Write the weight in grams on the YELLOW cord blood label.​

Have the weight information readily available for the designated person, notifying Cord for Life®, Inc.​ of the delivery and collection.​
C-Section Delivery: Step 9
Fill out the BLUE Delivery Information Sheet, Form C.2-3, provided in the kit.​ ​ This form is REQUIRED!​

​We cannot process the cord blood without it!​
C-Section Delivery: Step 10
Keep cord blood at room temperature to ensure viability. Refrigeration WILL damage the cells!​

Do not refrigerate!
Do not refrigerate!
Do not refrigerate!​
Previous slide
Next slide
Section II: Umbilical Cord Blood Collection
C-Section Delivery Procedures
The collection may be performed before or after the placenta is removed from the uterus using the sterile C-Section Collection Kit.​

Option 2: Collection performed AFTER the placenta is delivered.​
C-Section Delivery: Option2
Collection of the umbilical cord can be performed up to 20 minutes AFTER delivery of the placenta is removed from the uterus.

However, this method typically results in a lower volume of cord blood.
C-Section Delivery: Step 1
Place the placenta and umbilical cord in a tray.
C-Section Delivery: Step 2
Clamp the cord as close to the baby as possible for maximum volume!
C-Section Delivery: Step 3
NEEDLE GUARD:

Pull completely over needle after collection is finished.

Collection needle in safety sheath. Uncap needle for collection
C-Section Delivery: Step 4
Insert the needle into the cleansed site of the umbilical cord.

Be sure to start low on the cord and move up.

The collection bag can remain outside the sterile field at a lower level to allow gravity to fill it.
C-Section Delivery: Step 5
Open the air filter to allow cord blood from the tubing to drain into the collection bag.

When collection is complete and the needle is removed from the cord, allow the blood remaining in the tubing to enter the collection bag to maximize recovery.
C-Section Delivery: Step 6
Immediately after collection, write the following on the YELLOW cord blood identification label provided:​

​ - Mother’s first & last name​
- Name of the physician/collector​
- Name of the collection facility​
- Date and time drawn​

​Confirm the patient’s name is written on the cord blood label.​
Complete the FDA Required Delivery Info Form. It must be signed and dated by the collector.​
C-Section Delivery: Step 7
Affix the YELLOW identification label directly to the collection bag.​
A Hospital ID may also be used.​

IMPORTANT! Cord Blood units that are unlabeled cannot be used for transplant!​
C-Section Delivery: Step 8
Weigh the collection bag containing the cord blood. Write the weight in grams on the YELLOW cord blood label.​

Have the weight information readily available for the designated person, notifying Cord for Life®, Inc.​ of the delivery and collection.​
C-Section Delivery: Step 9
Fill out the BLUE Delivery Information Sheet, Form C.2-3, provided in the kit.​ ​ This form is REQUIRED!​

​We cannot process the cord blood without it!​
C-Section Delivery: Step 10
Keep cord blood at room temperature to ensure viability. Refrigeration WILL damage the cells!​

Do not refrigerate!
Do not refrigerate!
Do not refrigerate!​
Previous slide
Next slide
Section III: Maternal Blood Draw
Maternal Blood Is Required With Every Cord Blood Collection!
Maternal Blood Draw: Step 1
Tubes are supplied with the kit to draw the maternal blood for required infectious disease testing. The blood can be drawn during labor or shortly after birth; anytime within 48 hours of the cord blood collection, but must be drawn prior to cord blood kit packaging and courier pick-up.

So long as the maternal blood is drawn within 48 hours of the cord blood collection, the maternal blood can be drawn at IV start or with other lab blood draws.
Maternal Blood Draw: Step 2
Label the samples at the patient’s bedside following patient ID verification procedures defined by the hospital.

Place a hospital addressograph label on each tube of the maternal blood. If hospital labels are not available, write at minimum the mother’s full first and last name on the tubes.
Maternal Blood Draw: Step 3
Fill out the GREEN label with the phlebotomist’s initials, date and time of collection, and place the completed green label on the absorbent tube-holder sleeve.

Place the labeled maternal tubes into the absorbent sleeve provided.

Complete the Maternal Sample Collection Record. It must be signed and dated by the phlebotomist regarding collection of samples.
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Section IV: Packaging
Packaging Directions
All packaging directions pictured in the upcoming slides are located on the inside of the collection kit lid.​
Final Checklist
The checklist is used to verify that all forms and labels have been completed and signed by the appropriate personnel.​

​Section 4 of the form must be signed and dated by the person completing the form.​
TIP!
It is critical to the process that all paperwork is complete and signed by the appropriate individuals.​

​ Without proper paperwork, the cord blood unit cannot be used for the national donor inventory. ​
Thank You and Congratulations!
YOU are helping to save lives by taking just a few minutes of your time!!​

Thank you for making 25 years of cord blood possible!
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At Cord For Life®, we partner with hospitals and medical professionals to ensure they have all the resources and tools needed – cord blood training and educational material, as well as our accreditation and license information.

Cord blood collectors play a critical role in determining the transplant potential of each unit. The quantity of stem cells contained in cord blood is unpredictable and current protocols rely on the total volume collected as the first key to obtaining a transfusable stem cell unit.

1.  Volume

Your patient and baby’s safety is always the top priority and should never be comprised for the cord blood collection. When your patient’s safety is assured, every effort is then made to collect the largest volume of cord cells possible. Every drop is another drop towards the success of the collection and another potential life saved.

2.  Product Labelling

The second key to a successful cord blood collection is product labeling. As with all regulated healthcare disciplines, failure to properly identify the product and/or maternal sample tubes will result in an unusable cord blood unit.

Properly completed labeling prevents the loss of the unit and the related potential to save a life. Detailed protocols and training will ensure that all the information is identical to the information on the patient’s hospital identification band.

On behalf of the Cord For Life® team and the patients in need of a transplant, we wish to thank you for your time and support of this vital program.

Sara H. Irrgang, MD

Medical Director
Cord For Life®

Why Cord For Life®?

For more information about our experience, technology, and quality, please feel explore our credentials using the links below.

PREMIERMAX®

Our Facility

Processing Services

Quality Assurance

Leadership

Scientific Advisors

Our Partners
Umbilical Cord Blood
Collection Process
A special thank you from Cord for Life®, Inc.​

With the dedication of Healthcare Professionals, millions throughout the world might be given another chance at life.​

The Collection Kit
The Collection Kit has everything you need
to collect and ship the cord blood unit.
Step 4: Packaging
After the collection, the attending physician, nurse or midwife packages the cord blood.​

The cord blood unit must be labeled by the physician.​

After the collection, please contact a Customer Service Representative for assistance with the packaging.​
Step 5: Arranging the Courier
After the cord blood is packaged, it is the responsibility of the designated person to contact Cord for Life®, Inc. at 1-800-869-8608​

Pick up at Program Hospitals may vary depending on the agreement.​
TIP!
Some hospital protocols restrict couriers to pick-up at patient rooms, in this case, we may suggest taking the packaging to the nearest FedEx drop box for shipment.​
Section II: ​ Umbilical Cord Blood Collection​
Two Types of Collections
- Vaginal
- C-section
Vaginal Delivery
Cord blood is collected following delivery of the infant, after the umbilical cord is cut, and while awaiting (or following) delivery of the placenta​
Vaginal Delivery: Step 1
Remove the collection bag from its foil pouch and over wrap.
Vaginal Delivery: Step 2
Swab a site on the lower end of the cord with the povidone-iodine pad provided in the kit, followed by the alcohol pad.​
Vaginal Delivery: Step 3
Insert the collection needle attached to the cord blood collection bag into the cleansed area of the umbilical vein. ​

Be sure to start low on the cord and move up. Lower the umbilical cord below the perineum.​

Note: CLAMP THE CORD AS CLOSE TO THE BABY AS POSSIBLE!
This will ensure maximum volume!​
TIP!
The collection bag must be placed lower than the placenta to allow the blood to drain by gravity into the bag. Minimize manipulation of​ the umbilical cord as this will adversely affect the volume of blood obtained.
Vaginal Delivery: Step 4
Check the volume!
Allow as much blood as possible to be collected. ​
Sufficient volume is a crucial factor for its use as a transplant.​
A minimum collection volume of 60 mL or more is strongly suggested for the cord blood to be considered usable.​
It is NOT unusual for the collected volume to be above 100 mL!​

Volume! Volume! Volume!​ Aim for over 100 mL!!!​ ​
Vaginal Delivery: Step 5
Including the weight of the collection bag and clamp, a 60 mL collection would weigh at least 135 grams. ​

​If less than 60 mL of cord blood is collected, please attempt to collect more by reinserting the needle into another cleansed site of the umbilical vein. ​
Be sure to start low on the cord and move up!​
Vaginal Delivery: Step 6
Following the collection (which usually takes no longer than five minutes), clamp the tubing a few inches from the bag and cut it distal to the clamp, leaving the sharp (needle) on your tray.​

​Dispose of the needle as required by your facility. If you choose to use the needle guard provided, please use the instructions supplied with the guard.​
Vaginal Delivery: Step 7
Immediately after collection, write the following on the YELLOW cord blood identification label provided:​

​ - Mother’s first & last name​
- Name of the physician/collector​
- Name of the collection facility​
- Date and time drawn​

​Confirm the patient’s name is written on the cord blood label.​
Complete the FDA Required Delivery Info Form. It must be signed and dated by the collector.​
Vaginal Delivery: Step 8
Affix the YELLOW identification label directly to the collection bag.​
A Hospital ID may also be used.​

IMPORTANT! Cord Blood units that are unlabeled cannot be used for transplant !​
Vaginal Delivery: Step 9
Weigh the collection bag containing the cord blood. Write the weight in grams on the YELLOW cord blood label.​

Have the weight information readily available for the designated person, notifying Cord for Life®, Inc.​ of the delivery and collection.​
Vaginal Delivery: Step 11
Keep cord blood at room temperature to ensure viability. Refrigeration WILL damage the cells!​

Do not refrigerate!
Do not refrigerate!
Do not refrigerate!​
C-Section Delivery:
OPTION 1
Collection performed before the placenta is delivered.​
C-Section Delivery:
OPTION 1
The collection may be performed before or after the placenta is removed from the uterus using the sterile C-Section Collection Kit.​
before
the placenta is delivered
C-Section Delivery: Step 1
Swab a site on the umbilical cord with the povidone-iodine pad, followed by the alcohol pad.​
TIP!
Remember to clamp as close to the baby as possible for maximum volume!​
C-Section Delivery: Step 2
Insert the needle from the C-section Collection Kit into the cleansed site of the umbilical cord. ​

​ Be sure to start low on the cord and move up. The collection bag can remain outside the sterile field at a lower level to allow gravity to fill it.​
C-Section Delivery: Step 3
When collection is complete and the needle is removed from the cord, allow the blood remaining in the tubing to enter the collection bag to maximize recovery.​ ​ Be sure to start low on the cord an move up. The collection bag can remain outside the sterile field at a lower level to allow gravity to fill it.​
C-Section Delivery: Step 4
Secure the needle by holding it away from yourself and pushing down on the orange safety shield, supported by a flat table surface.​ ​ ​ Be sure to start low on the cord an move up. The collection bag can remain outside the sterile field at a lower level to allow gravity to fill it.​
C-Section Delivery:
OPTION 2
Collection performed after the placenta is delivered.​
C-Section Delivery:
OPTION 2
Place the placenta and umbilical cord in a tray. ​ Using this method, collection of the umbilical cord can be performed up to 20 minutes after delivery of the placenta.​ ​
C-Section Delivery: Step 1
Place the placenta and umbilical cord in a tray.
C-Section Delivery: Step 2
Swab a site on the umbilical cord with the povidone-iodine pad, followed by the alcohol pad.​
TIP!
Remember to clamp as close to the baby as possible for maximum volume!​
C-Section Delivery: Step 3
Insert the collection needle attached to the cord blood collection bag into the cleansed area of the umbilical vein. Be sure to start low on the cord and move up. ​ Be sure to start low on the cord an move up. The collection bag can remain outside the sterile field at a lower level to allow gravity to fill it.​
C-Section Delivery: Step 4
Following the collection (which usually takes no longer than five minutes), clamp the tubing a few inches from the bag and cut it distal to the clamp, leaving the sharp (needle) on your tray.​

​Dispose of the needle as required by your facility. If you choose to use the needle guard provided, please use the instructions supplied with the guard.​
C-Section Delivery: Step 5
Immediately after collection, write the following on the YELLOW cord blood identification label provided:​

​ - Mother’s first & last name​
- Name of the physician/collector​
- Name of the collection facility​
- Date and time drawn​

​Confirm the patient’s name is written on the cord blood label.​
Complete the FDA Required Delivery Info Form. It must be signed and dated by the collector.​
C-Section Delivery: Step 6
Affix the YELLOW identification label directly to the collection bag.​
A Hospital ID may also be used.​

IMPORTANT! Cord Blood units that are unlabeled cannot be used for transplant !​
C-Section Delivery: Step 7
Weigh the collection bag containing the cord blood. Write the weight in grams on the YELLOW cord blood label.​

Have the weight information readily available for the designated person, notifying Cord for Life®, Inc.​ of the delivery and collection.​
C-Section Delivery: Step 9
Keep cord blood at room temperature to ensure viability. Refrigeration WILL damage the cells!​

Do not refrigerate!
Do not refrigerate!
Do not refrigerate!​
Section III: Maternal Blood Draw​
Maternal Blood Is Required With Every Cord Blood Collection!​ ​
Maternal Blood Draw: Step 1
Tubes are supplied with the kit to draw the maternal blood for required infectious disease testing. The blood can be drawn during labor or shortly after birth; anytime within 48 hours of the cord blood collection, but must be drawn prior to cord blood kit packaging and courier pick-up.
Maternal Blood Draw: Step 2
Label the samples at the patient’s bedside following patient ID verification procedures defined by the hospital. ​

Place a hospital addressograph label on each tube of the maternal blood. If hospital labels are not available, write at minimum the mother’s full first and last name on the tubes.​
Maternal Blood Draw: Step 3
Fill out the GREEN label with the phlebotomist’s initials, date and time of collection, and place the completed green label on the absorbent tube-holder sleeve.​ ​ Place the labeled maternal tubes in to the absorbent sleeve provided.​

​ Complete the Maternal Sample Collection Record. It must be signed and dated by the phlebotomist regarding collection of samples.​
Section IV: Packaging
Packaging Directions
All packaging directions pictured in the upcoming slides are located on the inside of the collection kit lid.​
Final Checklist
This checklist is used to verify that all forms and labels have been completed and signed by the appropriate personnel.​

​Section 4 of the form must be signed and dated by the person completing the form.​
TIP!
It is critical to the process that all paperwork is complete and signed by the appropriate individuals.​

​ Without proper paperwork, the cord blood unit cannot be used for the national donor inventory. ​
Thank You and Congratulations!
YOU are helping to save lives by taking just a few minutes of your time!!​ ​ Without proper paperwork, the cord blood unit cannot be used for the national donor inventory. ​
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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.

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