What is a Patient Blood Management Program? (by ASCLS) (Online Course)

Suzanne H, Butch, MA, MLS(ASCP)CM, SBBCM, DLMCM

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)

Objectives

  • 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.

Course Outline

  • 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.
      • Metrics
      • 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
  • References
      • Resources
  • Summary
      • It Takes A Well Coordinated Team



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Tranexamic Acid


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Cell saver device for blood reinfusion during and after surgery


Plasma Photo by Suzanne Butch


640px-US Navy 060505-N-2832L-050 Hospital Corpsman Megan Beach, checks the flow of blood through a cell saver, during training for an antilogous blood transfusion