Blood Transfusion Services Role in Massive Transfusion Events
Blood Transfusion Services play a crucial role in assisting with patient care during massive transfusion events. From notification to preparation of components and ongoing support, BTS staff ensure timely and appropriate transfusions, especially during emergencies. Communication with medical staff, confirmation of product readiness, and post-massive transfusion procedures are essential for effective patient management.
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SUPPORTING THE RUN Blood Transfusion Services Role in Assisting with Patient Care during Massive Transfusion Events
NOTIFICATION OF MASSIVE PROTOCOL BLOOD TRANSFUSION SERVICE NOTIFICATION Receive phone call from medical team member: Lab requires Patient name and Medical Record Number BTS staff perform Patient History Search for completed testing Completed type and screen procedure crossmatched red cells No type and screen or testing not completed- unmatched red cells will be dispensed for patient Partial testing complete = Group specific unmatched No type and screen = O Rh Neg red cells and AB plasma
PREPARATION OF COMPONENTS UPON BTS NOTIFICATION : Prepare 6 units red cells and dispense to care area on demand Thaw 1500mls Plasma and dispense on demand Designate 1 unit of platelets and dispense on demand Derivative products like Octaplex, Fibrinogen dispensed on request by physician If patient has completed current type and screen, group specific red cells will be crossmatched and dispensed. If patient does not have type and screen, red cells will be dispensed with instructions for physician s signature on transfusion tags. If patient has history of antibodies, an ABO/Rh discrepancy, or if there are blood inventory issues, BTS staff receives guidance from Hematopathologist on how they would like BTS staff to proceed with providing components.
NOTIFYING MEDICAL STAFF BTS will confirm with medical staff when product is ready to dispense to patient area: In the event that the patient has 10 red cells dispensed they are considered MASSIVELY transfused by the BTS lab, and will continue to receive red cells as dispensed, but may not be crossmatched. Factors to consider- inventory levels, Rh of patient, Hempath support Products other than red cells will continue to be dispensed as requested by medical staff.
ONGOING SUPPORT If patient becomes truly massively transfused (receives 10 units of red cells in a 24 hour period), BTS staff will request a post massive sample for type and screen from patient care area within the 24 hours of the start of BTS massive transfusion. This is due to transfused recipients total volume approximating or exceeding the blood volume- the pre-transfusion type and screen no longer represents the blood currently in the patient s circulation. sample
Massive Transfusion STATS Fiscal Year # MT Activation s Lab Physician Activated Total RBCs (units) Total Plasma (mL) Total Platelets (dose) Total Cryo (dose) Other Products Activate d Albumin, ATIII, DDAVP,PCC, rFVIIa, RiaSTAP,Vitamin K 2013- 2014 242,90 0 97 70 27 1,667 185 258 2014- 2015 2015- 2016 288,25 0 273,00 0 120 84 36 1,334 247 32 ATIII, PCC, rFVIIa, RiaSTAP 105 67 38 1,213 172 16 ATIII, PCC, rFVIIa, RiaSTAP
