TraQ Program of the BC PBCO

Thursday, 18 December 2014

Case Study O2 - Discussion Part 2b - Answer (Question 5)

How can the transfusion service laboratory increase transfusion safety for patients requiring irradiated blood components?

The transfusion service laboratory should take a leadership role by initiating multiple communication mechanisms, such as:

  • liaising with transplant programs asking to be notified about patients requiring irradiated blood
  • liaising with physicians and nurses asking to be notified when fludarabine and other purine analogues are prescribed
  • liaising with pharmacists asking to be notified when fludarabine and other purine analogues are prescribed
  • sending letters to the patient's physician and the patient explaining the need for special products and asking the patientto show a wallet card that accompanies the letter
  • developing special forms (e.g., "Request for Special Blood Products") that other healthcare professionals can use to make communication of transfusion needs clearer
  • flagging laboratory patient records (paper and electronic) with special transfusion needs
  • providing in-service educational sessions to key departments and professionals