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Originally Posted by Deborah Tolich
I am working in conjunction with my anesthesia department in developing a formal peri-operative blood conservation protocol in order to most effectively utilize peri-operative blood conservation techniques.
I am specifically interested in inclusion/exclusion criteria and the process for ensuring individuals are appropriately identified. Currently, we are looking at including all Jehovah's Witnesses with expected EBL of >500 cc and all patients typed and crossmatched in pre-admission testing. As far a process, we are considering having the PAT department notify the OR scheduler of all JW's and everyone typed and crossmatched. The OR scheduler would identify these patients on the OR schedule either as bloodless or conservation. The classification would trigger anesthesia and perfusion.
Does anyone have a protocol in place that they would be willing to share?
Thanks.
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Deborah,
I don't know what the PAT department is. Each hospital has it's own process to access patients and prepare them for surgery. Protocols depend on if you want it to start in the admissions process or just identify patients thru a nurse interview. Sometimes if things break down in one area, it's picked up in another, so you have to educate ALL in the hospital. A patient might be a direct admit and then decide in the hospital-"I don't want blood." So who calls the coordinator then? You have to look at your hospital's processes and see at which juncture can we enroll or identify these patients.
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