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.

 

Chapters

7. Managing bleeds/massive haemorrhage/critical bleeding protocols

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9. Post-transfusion

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