Key points
Managing transfusion reactions
• Discuss local protocol for managing a transfusion reaction
• Use of reaction flowchart (if used)
• Use of transfusion reaction management e-learning resources
Rationale
All staff managing patients having a blood transfusion require education in recognising and managing transfusion reactions
Links to resources (where available)
British ATR flowcharts
Key points
Transfusion governance
• Transfusion standards & guidelines in use within the institution/jurisdiction
• Transfusion committee/Blood management committee with responsibility for overseeing transfusion service
• Reporting of adverse reactions and adverse events
• Key transfusion personnel – lead Clinician, lead Transfusion Scientist, Transfusion Practitioner
Rationale
For the learner to get an overview of how transfusion is managed within the organisation
Links to resources (where available)
Haemovigilance Tools and resources | The International Society of Blood Transfusion (ISBT) (isbtweb.org)
Key points
Patient blood management
• Evidence-based, multidisciplinary approach to caring for patients who might need a blood transfusion
• Encompasses all aspects of the transfusion decision-making process, beginning with the initial patient evaluation and continuing through clinical management.
• Aim is for optimal patient outcomes, while maintaining the blood supply to guarantee that blood components are available for patients when they are needed.
Rationale
For the learner to better understand both the decision to transfuse and the alternatives (where available locally).
Chapters
4. Post-transfusion
6. Specialist patient groups
