Unit 3 - Transfusion Management and Organisational Practice

Indicative Content
In this Unit you will learn about: 

• Adverse effects of transfusion – Part 2 (clinical management and haemovigilance)
  
• Management of blood components in the hospital: Part 2 (specialist/ specific practices/ role of IT)
  
• Alternatives and adjuncts to transfusion
  
• Therapeutic Apheresis
  
• Quality, regulation and clinical audit with respect to the clinical area
  
• Transfusion Liaison (the role of the haematology and transfusion laboratories, transfusion practitioner and clinical area/ user interactions and communication)
  
• Transfusion practices outside the UK 
  

Learning Outcomes
You will be expected to:

1.  Determine, classify, explain adverse effects of transfusion in, and discuss the clinical management of, acute and delayed cases of

a.   ABO and other haemolytic reactions

b.   Pulmonary problems TACO, TRALI

c.   Allergic/febrile reactions, IgA deficiency

d.   Transfusion associated Graft versus host disease

e.   Infectious complications of transfusion (e.g. bacterial, viral, prion,
      protozoan)

2.  Outline, describe, explain, discuss and evaluate the principles and mechanisms of ‘vein to vein’ traceability, including requirements for electronic issue, blood tracking systems and remote issue

3.  Determine, describe and categorise the design, operation and performance of haemovigilance and reporting schemes in transfusion

4.  Determine, describe and categorise the design, operation and performance of blood components management systems in the hospital including appropriate use, waste minimisation and special/ specific requirements

5.  Identify, describe, explain, categorise the development and use of alternatives and adjuncts to transfusion including patients who refuse transfusion or where transfusion is not possible 

6.  Explain, describe and categorise the principles and practice of Therapeutic Apheresis for a range of conditions/ situations 

7.  Identify, explain and categorise quality and regulation with respect to the clinical area including the principles and practice of clinical audit and various regulatory bodies (e.g. MHRA/ SaBTO/ CQC)

8.  Outline, describe, explain, discuss and evaluate the principles and mechanisms of effective Transfusion Liaison protocols/ requirements affecting, and within, the clinical setting 

9.  Determine, describe and explain provision of non-acute transfusion services outside the hospital setting 

10.Determine, describe, compare and categorise the design, operation and performance of transfusion practices outside the UK including the EU and in developing countries

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Programme of Study