Protein rich plasma procures are done by Physical Medicine and Rehabilitation providers on our clinic. Providers are "assisted" by a certified medical assistant who may set up the room and clean up, the same way they would be assisted for intra-articular injections.
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Provider or medical assistant (if trained) can draw blood from the patient's arm.
The practice will require a centrifuge onsite to spin the blood to separate the platelets from the other blood components. The platelets are concentrated to a higher level than normal. The provider then mixes the platelets with plasma and injects the target area. An anesthetic, such as lidocaine is typically used to numb the injection site (a larger needle is required as with any blood product).
Your lab should already be CLIA waivered for point-of-care testing. However, the performance of PRP preparation is not simple or low risk. To obtain a CLIA license you must have a laboratory director and state certification (fees are involved); lab facility/room is subject to announced or unannounced inspections; non-compliance may result in HHS action to revoke, suspend, or limit the laboratory's certificate.
Since the procedure requires no more laboratory actions than a "spun hematocrit' it may be waiver eligible.
MANUAL SPUN HEMATOCRIT (HCT)/Packed Cell Volume (PCV) PROCEDURE attached and can be found at:
-mobley
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Assistant Professor - Clerkship Director [Pain Management/Substance Use Disorder]
Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute
Lippincott Procedures: Subject Matter Expert - Wolters Kluwer Publishing
Rowan Medicine Bldg., 42 E. Laurel Rd, Ste 1700, Stratford New Jersey 08084
T: 856-566-7010 | F: 856-566-6956| C: 856-230-1229
mobley@rowan.edu | som.rowan.edu
Learning is not attained by chance, it must be sought for with ardor and attended to with diligence [Abigail Adams (1744 - 1818), 1780].
Sent: 1/27/2025 2:51:00 PM
From: Joanie Jeannette
Subject: Protein Rich Plasma (PRP) procedures
I would like to know who does this treatment in the ambulatory setting and is anyone would share their SOP? We do it in many clinics and we are trying to standardize the SOP.
Thank you
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Joanie Jeannette ANO
Associate Nursing Officer, Ambulatory Nursing
VUMC
Nashville TN
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