Blood ood Mana nagem gement ent Serv rvic ice
Last t update te was done e in 20 2010 10 Curren entl tly y not t being g used provincia vinciall lly Th This form m was not standar ndardiz dized ed withi hin n the province vince A w working king group up was formed med to make e this s form rm standar ndardiz dized d so that t each ch region on had documentati cumentation on that t was co consi sistent stent and co compl mpliant ant with h AABB and Acc ccredi editation tation Canada da guideli eline nes Shared ed Health th Service vice has taken n ownership rship of this form Blood d produc uct t list ch changes anges New transfusion sfusion react ction ion algor orithm ithm
Appendix 6 is the completion guide for the CBPR with an example filled in All other guidelines within the MTBPRM that are affected by these changes have been amended. These changes are now on the Best Blood Manitoba Website.
April 10 th form will be available from print shop there is a global SAP number Education will be via a pre recorded presentation available on BBM This power point is also available for those who wish to print this There will be a point form 8 x 11 printable poster of changes
This his form rm will ll be ava vail ilable able as of April il 10 th th . . As unit nits s run n out t of the e old ve versio ions of this s form rm the e new ew one ne will ll be suppli plied ed when hen ordered ered there ere is a Global obal SAP P num umber ber which hich is #34 340712 12 In the e other ther Regio gional al Healt alth h Auth thorit ities ies this is doc ocume ment nt has s been provided to the CNO’s for distribution It is expec ected ted that at this is form rm will ll be completel ompletely implem plemen ented ted as th the standard tandard docum cumen entatio ation fo for blood ood and d bloo ood d produ ducts cts for the provin ince ce in 1 year- April il 10 2020. 020.
Individual Regions will no longer be required on the form.
A check mark will be required once verification of consent and the 2 authorized providers have verified that the correct product has been issued to the intended patient. It is expected that the transfusionist has ensured a patent IV has been established, a pre transfusion assessment is complete, vital signs and education has been complete prior to this form being initiated.
Transfusion Reaction Assessment- this is included. It aligns with the Transfusion Reaction Algorithm.
Blood product list has been updated with the most common products. If a product is not listed please refer to BBM product monograph section. https://bestbloodmanitoba.ca/product-monographs / If there is a monograph for the product you are giving this needs to be charted on this document. i.e. only products issued from the blood bank.
Date and time unchanged • Check box for consent/verification • of product Blood group and Product •
This is where the sticker • that is on the back of the product or attached to product is removed and attached here Derivatives have a larger • sticker that will take up 4 spaces For derivatives can write • the Lot and Sequence number legibly to save space
Space to write • complete set of vital signs
A column added to • check of when the ROT has been returned to the blood bank
Interventions if they are • lengthy should direct reader to the IPN or patients progress notes This area is where the • total volume of product has been infused is listed. The amount is to be listed after the product has infused. This should also be listed on the patients fluid balance record
The initial column is where the 2 authorized practitioners sign the 2 person product to patient verification. Charts should include a signature page where your full signature is charted.
Product notification- check when this has been provided to the patient on discharge from the facility
Form #NS01164- within the WRHA Will also be available on BBM
The SAP number is unchanged for the • WRHA BBM is referenced on the bottom of • the sheet.
If there e are question tions s please e call B Blood d Managem emen ent t Servi vice ce at 2 204-92 926-80 8006 06 • Or e email BMSc Sclinical@wrha rha.mb.c .ca •
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