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Case Study O4 - Discussion Part 3 - Answer (Question 4)
 

TraQ Program of the BC PBCO

Sunday, 25 June 2017

Case Study O4 - Discussion Part 3 - Answer (Question 4)

Provide two concrete transfusion-related examples for when the following must be consulted:

  1. TS medical director
  2. patient's attending physician

Additional responses may be valid.

a. Examples when the TS medical director must be consulted:

  • If red cell units were issued before pretransfusion tests were completed and the donor RBC were later found to be incompatible (CSTM G9.2.3)
  • Releasing outdated RBC for transfusion, e.g., for a patient with anti-k, releasing rare k-negative frozen RBC past their normal 10 year shelf-life (CSTM H1.3 ; E4.3.6)

b. Examples when the patient's physician must be consulted:

  • WhenRBC are released before completing pretransfusion tests, requesting physicians must be informed so that they can decide if the clinical situation warrants the release and sign a declaration to this effect (CSTM G9.2.2)
  • If red cell units were issued before pretransfusion tests were completed and the donor RBC were later found to be incompatible (CSTM G9.2.3)
  • Releasing outdated RBC for transfusion, e.g., for a patient with anti-k, releasing rare k-negative frozen RBC past their normal 10 year shelf-life, so that written approval can be given(CSTM H1.3)
Last modified on Thursday, 07 April 2011 14:57