What is a Patient Blood Management Program? (by ASCLS) (Online Course)
This online course will review the purpose of a patient blood management program, the most commonly used methods to reduce the need for transfusion, and the roles of various individuals and groups in implementing a patient blood management program.
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Continuing Education Credits
- Florida Board of Clinical Laboratory Science CE - General (Blood Banking / Immunohematology): 1 hour(s)
- P.A.C.E.® Contact Hours (ASCLS): 1 hour(s)
- Describe the various sections of a Patient Blood Management Program.
- List three methods of reducing blood use.
- Apply patient blood management strategies to case studies.
- What is Patient Blood Management
- Defining Patient Blood Management
- Reducing Transfusions Requires A Team
- The goal of Patient Blood Management is to prevent all transfusions.
- Patient Care Practices to Reduce Blood Usage
- Avoid Predepostion Autologous Blood Collection
- Why Autologous Units Are Not Used Routinely
- Predeposit autologous donation is no longer considered the best practice to reduce transufsion.
- Use of Acute Normovolemic Hemodilution and Intra-operative Blood Salvage
- Hemostatic Agents
- Disadvantages of Hemostatic Agents
- One significant disadvantage of the use of hemostatic agents includes an increased potential for thrombosis.
- Prescreen Surgical Patients for Anemia
- Screen for Anti-clotting Medications
- There is a significant benefit for the patient to be screened for anemia and the use of anti-clotting medications withing 30 days of surgery.
- Avoid Iatrogenic Blood Loss
- Blood collections during a hospitalization do not contribute to anemia and increased potential for a transfusion.
- Don't Routinely Use Plasma to Reverse Warafarin
- Point of Care Testing
- Point of Care testing can provide information to minimize the number of platelets, plasma or cryoprecipiate transfused to a patient.
- Restrictive Transfusion & Patient Focused Transfusion Decisions
- Using a mandatory transfusion trigger of 10 gm/dL has been shown to reduce transfusion requirements.
- Change Surgical Procedures to Reduce Blood Loss
- Changing the way surgical procedures are perform has little effect on blood loss.
- Post-Operative Blood Reinfusion
- Postoperative blood collection and reinfusion is most often used in orthopedic surgery.
- Organizing A Patient Blood Management Program
- Identifying a Champion
- The role of the Champion is to remove road blocks for the implementation team.
- A Nurse or Technologist as a Transfusion Safety Officer
- Only a nurse can be a transfusion safety officer.
- Implementation Committee
- The implementation committee is responsible for planning, development of training tools, and providing educational programs for patient blood manageme...
- Training & Decision Tools
- Training tools do not need to be tailored to the facility.
- The total cost of blood components is the best metric for the success of a patient blood management program.
- Data Collection
- Computer aided data collection enhances continued and timely data collection.
- Map to Success
- To ensure success of the program, all of the transfusion reduction strategies should be implemented at the same time.
- Case Studies
- Case Study # 1
- Case #1 Discussion
- Case Study #2
- Case Study #2 Discussion
- Case Study #3
- Case Study #3 Discussion
- It Takes A Well Coordinated Team