Blood Management and Conservation Strategies in Pandemic Times
Explore the rationality behind patient blood management, the importance of audit in ensuring proper blood usage, and the role of national oversight groups in promoting safe and appropriate transfusion practices. Discover guidance, safety standards, and the use of O.D. negative red cells in emergency situations to enhance blood transfusion efficacy. Learn about platelet use summaries and lessons learned in managing blood supply during the pandemic.
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Patient Blood Management: Just the beginning Conservation Strategies and Effect of Lockdown Janet Birchall Welsh Blood Service, Medical Director TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Rational for patient Blood Management Rational for patient Blood Management Audit consistently shows inappropriate use of red cells by 15-20% & platelets/plasma by 20-30% PBM improves outcome use can health care costs risk of blood shortage TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Blood Health National Oversight Group System Leadership -all Wales approach to transfusion practice. Empowering Health Boards to promote safe and appropriate use of blood through prudent healthcare and Patient Blood Management principles. TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Guidance, safety, standardisation All Wales working groups (report to BHNOG) Use of OD negative red cells Anaemia Platelets Education/guidance UK guidelines and recommendations via Blood Component app Learn blood transfusion / Competency assessments Safety Development of all Wales SHOT group Standardisation All Wales Transfusion Record, Request form Patient information leaflets Pre-Transfusion Sampling HLA & HPA Matched Platelet Policy TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
O D+ emergency unknown group non-childbearing female/adult male (BCSH Guidance) O D- in MHP known O D-. Consider switch O D+ after 6 units Pre-transfusion samples pre 1st emergency rbcs Group specific rbcs < 20 mins after sample receipt Relevant staff trained to above Audit all MH events Regular MHP drills TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
BSH Platelet use one page summary BSH Platelet use one page summary TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Blood Component App Blood Component App TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Resilience & Supply COVID Challenges Staff across the supply chain exceptional teamwork to ensure the supply of life saving blood components to patients in Wales Stock Management collaborative working with Hospital Transfusion Labs to effectively manage blood supply. Challenges to supply communicated to hospitals and managed appropriately. TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Best Best Transfusion Transfusion Practice & Practice & Blood Blood Conservation Conservation Measures Measures BHNOG advice BHNOG advice during COVID during COVID- - 19 19 TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
Future collection ability While this sounds like a very positive story and one of success, important to add that doesn t mean we can absorb future challenges, if demand escalates. We have finite resource and are still operating within a socially distanced environment which significantly impacts efficiency of our clinics Vs pre COVID.
Challenge now Implementation Structure Guidance Capable staff BUT need realisation in routine practice Easier to do the right thing than wrong thing Get it right first time Need friends including management TRANSFUSION: LEASSONS LEARNT IN A PANDEMIC WEDNESDAY 19TH MAY 2021
