Key points
• Recognition of acute transfusion reactions (ATRs) and their immediate clinical management.
• Management of the patient during the reaction.
• Advice on investigations.
• Management of subsequent transfusions.
• Reporting adverse reactions to the national haemovigilance organisations, to blood services and within the hospital (e.g. SHOT – UK)
• Improve standards of hospital transfusion practice
• Education on transfusion hazards and their prevention
Rationale
The primary focus is on promptly addressing and handling reactions that could potentially endanger one's life. Additionally, to provide guidance on suitable methods for further investigations and preventive measures.
To monitor and analyse adverse events associated with blood transfusion, with the purpose of identifying patterns and suggesting optimal strategies to enhance blood safety.
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)
Chapters
Essentials of blood transfusion teaching feedback questionnaire
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