Transfusion Practitioners across the world Podcast
Episode 12: Transfusion Practitioners Obstetric care: advancing blood management and safety
In this episode, Jana Vanden Broeck hosts an engaging discussion with Chelsea Anderson, a midwife from Australia, and Pascal Winter, a leading expert in transfusion practice from the UK. Together, they explore the crucial role of transfusion professionals in maternity care, addressing topics like managing iron deficiency and anemia during pregnancy, using RhD immunoglobulin to prevent complications, and handling heavy bleeding around childbirth. This episode highlights how effective blood management and transfusion practices can improve outcomes for mothers and babies globally.
References TP podcast Episode 12
- Glazebrook B, Akers C, Bielby L, Bastin K, Von Wielligh K, Daly J. Quality audit of the guidelines for the use of RhD immunoglobulin in obstetrics: Are we getting it right? Aust N Z J Obstet Gynaecol. 2020 Aug;60(4):504-508.
- Hamm RF, Perelman S, Wang EY, Levine LD, Srinivas SK. Single-unit vs multiple-unit transfusion in hemodynamically stable postpartum anemia: a pragmatic randomized controlled trial. Am J Obstet Gynecol. 2021 Jan;224(1):84.e1-84.e7.
- Kaserer A, Castellucci C, Henckert D, Breymann C, Spahn DR. Patient Blood Management in Pregnancy. Transfus Med Hemother. 2023 Jan 6;50(3):245-255.
- Mayson E, Shand AW, Ford JB. Single-unit transfusions in the obstetric setting: a qualitative study. Transfusion. 2016 Jul;56(7):1716-22.
- Minehart RD, Gallin H. Postpartum hemorrhage: The role of simulation. Best Pract Res Clin Anaesthesiol. 2022 Dec;36(3-4):433-439.
- Muñoz M et al. Patient blood management in obstetrics: management of anaemia and haematinic deficiencies in pregnancy and in the post-partum period: NATA consensus statement. Transfus Med. 2018 Feb;28(1):22-39.
- Muñoz M et al. Patient blood management in obstetrics: prevention and treatment of postpartum haemorrhage. A NATA consensus statement. Blood Transfus. 2019 Mar;17(2):112-136.
- Ruiz de Viñaspre-Hernández R, Gea-Caballero V, Juárez-Vela R, Iruzubieta-Barragán FJ. The definition, screening, and treatment of postpartum anemia: A systematic review of guidelines. Birth. 2021 Mar;48(1):14-25.
- Wiesenack C, Meybohm P, Neef V, Kranke P. Current concepts in preoperative anemia management in obstetrics. Curr Opin Anaesthesiol. 2023 Jun 1;36(3):255-262.
Episode 11: Transfusion Practitioners Obstetric care: advancing blood management and safety
In this episode, Transfusion Practitioners from Australia and the UK share their experiences and insights, highlighting their crucial work in haematology and oncology. Whether you're a healthcare professional, a student, or simply curious about transfusion medicine, this episode is packed with valuable information and inspiring stories.
Episode 9 & 10: Transfusion Practitioners support the non-medical authorization of blood
These episodes include interviews with three nurse practitioners from Australia, Canada and the UK who undertake non-medical authorization and prescription of blood or blood products.
References TP podcast episode 9 and 10
Resources podcast 9 & 10
- Guidelines For the Prescription Of Blood and Blood Products by Nurse Practitioners- ANZSBT https://anzsbt.org.au/wp-content/uploads/2021/10/Guidelines-for-the-prescription-of-blood-and-blood-products-by-nurse-practitioners-FINAL-20211018.pdf
- A Framework to Support Nurses and Midwives Making the Clinical Decision and Providing the Written Instruction for Blood Component Transfusion
References podcast 9 & 10
- Guidelines For the Prescription Of Blood and Blood Products by Nurse Practitioners- ANZSBT https://anzsbt.org.au/wp-content/uploads/2021/10/Guidelines-for-the-prescription-of-blood-and-blood-products-by-nurse-practitioners-FINAL-20211018.pdf
- Green, J. & Pirie, L. (2006). Framework for the safe delivery of a blood transfusion service.
- ORBCON-Bloody Easy Modules & Transfusion Bootcamp https://transfusionontario.org/en/category/orbcon-resources/presentation-library/transfusion-medicine-boot-camp-for-nurses/
- Educating the next frontier of transfusionists: a transfusion camp pilot program for nurse practitioners” in Transfusion 2020 https://profedu.blood.ca/sites/default/files/2021-11/Educating%20the%20next%20frontier%20of%20transfusionists.pdf
Episode 8: Transfusion Practitioners talk about building a case for Transfusion Practitioners in your organisation.
In this episode, Rachel Moss interviews Dr Naomi Rahimi-Levene who is Director of Blood Bank and Senior Haematologist at the Shamir Medical Centre in Tel Aviv about the process of implementing a Transfusion Practitioner and about the outcomes to date.
References TP podcast episode 8
Resources podcast 8
- ISBT Website: Transfusion Practitioner -Position description template
- ISBT Website: Transfusion Practitioner- Business case template
- Resources for new Transfusion Practitioners - Transfusion Practitioners Tools | The International Society of Blood Transfusion (ISBT) (isbtweb.org)
References podcast 8
Episode 7: Transfusion Practitioners talk about patient blood management - part 2
In this episode, Transfusion Practitioners continue to explain patient blood management (PBM) programs, this time with a focus on those in place in different countries. If you have not listened to part 1 (episode 6) make sure to do that first.
References TP podcast episode 7
Resources podcast 7
Choosing Wisely Canada "Pause the draws" https://choosingwiselycanada.org/toolkit/pause-the-draws/
Episode 6: Transfusion Practitioners talk about patient blood management - part 1
In this podcast episode, Transfusion Practitioners explain patient blood management and look at examples of low-resource strategies that could be used to reduce the need for transfusion such as reducing iatrogenic anaemia and the use of single unit transfusion.
References TP podcast episode 6
Resources podcast 6
- ISBT Website: PBM page
- (NBA 2018) National Blood Authority. Small volume tubes at Flinders Medical Centre, SA 2018 https://blood.gov.au/small-volume-tubes-flinders-medical-centre-sa
- Choosing Wisely Canada "Pause the draws" https://choosingwiselycanada.org/toolkit/pause-the-draws/
- ONTrac-Ontario-PBM -Preoperative Anemia https://www.ontracprogram.com/Public_Article.aspx?id=1684
References podcast 6
- (NBA 2018) National Blood Authority. Small volume tubes at Flinders Medical Centre, SA 2018 https://blood.gov.au/small-volume-tubes-flinders-medical-centre-sa
- https://blood.gov.au/system/files/SVTs-at-FMC-case-study-v2-with-endnote-references.pdf
- Patient Blood Management Bundles to Facilitate Implementation (2017)DOI: 10.1016/j.tmrv.2016.05.012
- https://pubmed.ncbi.nlm.nih.gov/27317382/
- Choosing Wisely Canada "Pause the draws" https://choosingwiselycanada.org/toolkit/pause-the-draws/
- Shander et al. A Global Definition of Patient Blood Management. Anesth Analg. 2022 Sep 1;135(3):476-488. https://pubmed.ncbi.nlm.nih.gov/35147598/
- WarnerMA, Schaefer KK, Madde N, et al. 2019. Improvements in red blood cell transfusion utilization following implementation of a single unit default for electronic ordering. Transfusion. 2019 Jul;59(7):2218 https://pubmed.ncbi.nlm.nih.gov/31002192/
- Shih AW et al. Systematic reviews of guidelines and studies for single versus multiple unit transfusion strategies. Transfusion. 2018 Dec;58(12):2841-2860.https://pubmed.ncbi.nlm.nih.gov/30345619/
- Hamm RF, et al. Single-unit vs multiple-unit transfusion in hemodynamically stable postpartum anemia: a pragmatic randomized controlled trial. Am J Obstet Gynecol. 2021 Jan;224(1):84.e1-84.e7. https://pubmed.ncbi.nlm.nih.gov/32652065/
- Chantepie SP, et al. Effect of single-unit transfusion in patients treated for haematological disease including acute leukemia: A multicenter randomized controlled clinical trial. Leuk Res. 2023 Jun:129:107058. https://pubmed.ncbi.nlm.nih.gov/37080000/
- Reducing iatrogenic blood loss- Clinical Practice Guideline Template 2020 Reducing iatrogenic blood loss – clinical practice guideline template 2018 (health.vic.gov.au)
- ONTrac-Ontario-PBM -Preoperative Anemia https://www.ontracprogram.com/Public_Article.aspx?id=1684
- Patient blood management and the importance of the Transfusion Practitioner role to embed this into practice - Bielby & Moss- 2018 - Transfusion Medicine - Wiley Online Library
- The role of the transfusion practitioner in the management of anaemia - Bielby et al - 2020 - ISBT Science Series - Wiley Online Library
Episode 5: Transfusion Practitioners talk about education
Education is another of the many roles of a Transfusion Practitioner (TP). In this podcast a group of TPs discuss the types and topics of education they provide to support patient safety.
References TP podcast episode 5
Resources podcast 5
- ISBT Website: Transfusion Practitioner -Position description template
- ISBT Website: Transfusion Practitioner- Business case template
References podcast 5
A survey of transfusion practitioners in international society of transfusion member countries: https://doi.org/10.1111/vox.12882
Episode 4: Transfusion Practitioners explore transfusion incidents
Investigating transfusion incidents is one of the many roles of a Transfusion Practitioner. In this episode, a group of TPs discuss what hemovigilance is, what they do when investigating incidents, and how this can contribute to patient safety.
References TP podcast episode 4
Resources podcast 4
Episode 3: Transfusion Practitioners talk about audit
Transfusion Practitioners talk about audits and provide some examples, tips and resources to help those in health services undertake audits to improve patient safety.
References TP podcast episode 3
Resources podcast 3
- https://chart.guide/ (how to choose and design your charts)
- Interactive session Audit and Data for Change - recorded at the ISBT In Focus 2021 Transfusion Practitioners Tools | The International Society of Blood Transfusion (ISBT) (isbtweb.org)
- National Comparative Audit of Blood Transfusion National Comparative Audit - Hospitals and Science - NHSBT (blood.co.uk)
References podcast 3
- Dowling SK et al. Audit and feedback for individual practitioners in the emergency department: an evidence-based and practical approach. CJEM. 2020;22(4):528-533. https://pubmed.ncbi.nlm.nih.gov/32419681/
- Ivers NM et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;(6):CD000259. https://pubmed.ncbi.nlm.nih.gov/22696318/
- Ivers NM et al. No more 'business as usual' with audit and feedback interventions: towards an agenda for a reinvigorated intervention. Implement Sci.2014;9:14. https://pubmed.ncbi.nlm.nih.gov/24438584/
- Delaforce A et al. Overcoming barriers to evidence-based patient blood management: a restricted review. ImplementSci. 2020;15(1):6. https://pubmed.ncbi.nlm.nih.gov/31952514/
- Staples S, Salisbury RA, King AJ, et al. How do we use electronic CDS and feedback to promote good transfusion practice. Transfusion. 2020 Aug;60(8):1658 1665. https://pubmed.ncbi.nlm.nih.gov/32643142/
- Sardar M, Azharuddin M, Subedi A, et al. Improving Blood Transfusion Practices in a Community Hospital Setting: Our Experience with Real Time Clinical Decision Support. Med Sci (Basel). 2018 Aug 22;6(3):67. https://pubmed.ncbi.nlm.nih.gov/30135392/
- Hibbs SP, Nielsen ND, Brunskill S, et al. The impact of electronic decision support on transfusion practice : a systematic review. Transfusion Medicine Review. 2015 Jan;29(1):14 23. https://pubmed.ncbi.nlm.nih.gov/25535095/
Episode 2: How Transfusion Practitioners make a difference?
This episode features 2 eminent transfusion medicine specialists who have worked closely with transfusion practitioners for many years and they discuss how transfusion practitioners make a difference. If you are not sure what a transfusion practitioners are you may wish to go back to podcast number 1 about "what is a a transfusion practitioner?"
References TP podcast episode 2
References podcast 2
- Bielby L et al., 2018 ISBT Science Series (2018) 0, 1–9. The role of the transfusion practitioner in the multidisciplinary team https://onlinelibrary.wiley.com/doi/abs/10.1111/voxs.12408
Episode 1: What is a TP?
TP what does it stand for? Hear from Transfusion Practitioners in 4 countries (England, Canada, Belgium and Australia) what their role involves and why it is so important in health care.
References TP podcast episode 1
References podcast 1
- A survey of transfusion practitioners in international society of transfusion member countries https://doi.org/10.1111/vox.12882
- Introduction interview "Role of the Transfusion Practitioners" https://www.isbtweb.org/resource/introduction-interview-role-of-the-transfusion-practitioners.html
- The role of the transfusion nurse in the hospital and blood centre Bielby et al 2011 - ISBT Science Series - Wiley Online Library https://onlinelibrary.wiley.com/doi/full/10.1111/j.1751-2824.2011.01537.x