When it is essential to obtain medical consultation in the TS?
Provide examples that are required by blood safety regulations and some that are best practice, even if not mandated.
In general, TS medical directors and attending physicians must be consulted whenever standard policies and operating procedures are not followed that can affect patient treatment and safety and have an impact on clinical decisions.
Blood safety standards and regulations include specific requirements for when medical consultation is required. Examples include (but are not limited to:)
- When blood and blood product are released prior to the completion of pretransfusion compatibility testing
- When red cell units that were issued before pretransfusion testing was completed subsequently prove incompatible
Medical consultation should also occur for:
- Suspected transfusion reactions other than febrile non-hemolytic reactions or a simple mild allergic (urticarial) reactions
- Significant delays in providing blood products
- Near misses, i.e., any error that was recognised before transfusion took place but which, if undetected, could result in a wrong blood group or issue of an inappropriate blood component
- Requests that are unusual with respect to quantity or product type
- Issue of crossmatch-incompatible blood (planned or inadvertent)