Skills Flashcards
Define SPIKES
Setting Patient perception Invitation Knowledge Empathy Strategy or summary
How long are transfusion records kept?
30 years minimum
Which infections do we worry about following a transfusion?
HIV, HepB and hepC
vCJD
Malaria
Bacterial
When do you need to report to SHOT?
If there is an adverse incident or a near miss regarding blood transfusion
Which blood is emergency use?
O negative
What is the criteria for activating massive haemorrhage protocol?
50% TBV lost in 3 hours
TBV will be lost in <24 hours
Or 4+ RBCs transfused within 1 hour
How are blood donations made safer with regard to infections?
Many infections are tested for
White cell filters used to significantly reduce risk
Who needs CMV negative blood?
Pregnant women
Who needs irradiated blood?
People of chemotherapy
If ever had Hodgkin’s lymphoma
Where are RBCs stored and for how long?
Fridge
35 days
How many platelet donations need to be pooled to create 1 unit?
4
Where and how long are platelets stored?
Room temp
7 days
What temperature is FFP stored at and for how long?
-30
Up to 24 months
What are the indications for FFP?
DIC
TTP
massive transfusion
Liver disease with coagulopathy
What does cryoprecipitate contain?
Factors VIII and XIII
Fibrinogen
