Manitoba Transfusion Best Practice Resource Manual- 2019

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Acknowledgements

Table of Contents

Abbreviations-Glossary

Section 1 Introductory Chapters

Section 2 Guidelines

1. Informed Consent for Administration of Blood, Blood Components, and/or Plasma Protein Products

2. Patient Identification in Specimen Collection for Pre-Transfusion Testing

3. Patient Identification in Blood, Blood Components and/or Plasma Protein Products Administration

4. Receipt of Blood, Blood Components and/or Plasma Protein Products

5. Monitoring of Patients Receiving Transfusion

6. Patient Required Health Record Documentation of Blood, Blood Products and Plasma Protein Products

7. Transfusion Reaction – Identification, Management, and Reporting

8. Administration of Blood and Blood Components

9. Administration of Plasma Protein Products (Derivatives)

10. Education Requirements for Patients Receiving Transfusion

11. Nurses Performing Laboratory Duties

Section 3 Blood Product Monographs

Section 4 Competency Requirements

Continuous Competency Assessment for Nurses

Return Demonstration Blood Administration Checklist

 Appendices

1. Informed consent (general) form Sample A
2. Informed consent form documenting (specific) reason for consent Sample B
3. Frequently Asked Questions Regarding Informed Consent
4. Proper labeled specimen
5. ABO 2 Sample
6. Visual Inspection Guide
7. Cumulative Blood Product Record Completion Guide

• • Sample Blank Cumulative Blood Product Record (CBPR)
  • Sample Completed CBPR

8. Record of Transfusion
9. Record of Transfusion Emergency Component
10. Transfusion Reaction Algorithm
11. Transfusion Reaction Quick Reference Guide
12. Blood Warming Devices
13. Patient Resources

• • “A Blood Transfusion Reaction; What you should know”
  • IVIG information for patients
  • RHIG information for patients
  • Sample patient information regarding risks of transfusion
  • Notification card sample

14. Log Book Receipt of Blood Sample
15. Blood Out of Fridge Shared Health Policy
16. Blood Product Transport Training Shared Service Policy

Shared Health Forms

Shared Health Customer Feedback Form: Form F160-INV-23 

Equipment Malfunction & Corrective Action Record: F160-QC FORM 15

Inter-facility Shipping of Blood, Blood Components and Derivatives:  F160-INV-18 , F160-INV-18A , F160-INV-18B , F160-INV-18C .

Daily Temperature and Weekly/Monthly Maintenance Record: Fridge QC Forms:  F160-QCFORM-08 , F160-QCForm-09 .

Daily Temperature and Weekly/Monthly Maintenance record: Freezer QC Forms:  F160-QCFORM-06 , F160-QCFORM-07 .

Daily Temperature and Weekly/Monthly Maintenance Record: Platelet Incubator:  F160-QCFORM-11  .

Alarm System Check: Blood, Blood Component and Derivative Storage Equipment
160-QC-14

Alarm Response/Malfunction: Blood, Blood Component and Derivative Storage Equipment
160-QC-13, F160-QCFORM-15

Storage Equipment Standards: Blood, Blood Components and Derivatives
160-QC-02

Transport of Blood, Blood Components and Derivatives (Within a Facility)
160-INV-17

Issuing, Returning and Documenting the Final Disposition of Blood, Blood Components and Derivatives
160-INV-14, 160-INV-16 & 160-INV-19

Receiving Blood, Blood Components and Derivatives
160-INV-07

 Visual Inspection of Blood, Blood Components and Derivatives (When Performing Blood Bank Duties): 160INV-12

Emergency Issue of Donor Red Cell Units (Non Crossmatch Facilities): 160-MP-20

Job Aid, Obtaining Plasma Protein Products in PMH NOTE: for PMH Region JA160-28INV-14C

Job Aid, Obtaining Crossmatched Units for Blood Banks in PMH NOTE: for PMH Region JA160-28INV-14B

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