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Teaching Newbies


Bet'naSBB

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Our facility is a large academic medical center and we transfuse A LOT of patients.  (Level 1 Trauma center, large hem/onc service and stem cell transplant program)  Unless patient hx /treatment dictates otherwise we don't ever worry too much about ABO compatibility for platelet transfusions.  If we did we would waste way too many platelets.  That being said - our newbies are having a hard time selecting abo incompatible to people.....even though they are trained to do so......and we are seeing our wastage increase.  (we are currently training 7 new people - 4 of which are BS grads self taught by us in our in house BB program)

Anyone have any good CE resources / literature about the risks / benefits of giving out of group platelets???

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You can give them the lit on giving type A plasma for traumas.... Yazer had a good paper. But honestly, they should be following SOP, and if they're not, they need discipline! :) If you have good SOPs that direct them to use the best possible option of first expiring units, they need to be following it. We attempt ABO compatible as much as possible, but it's not always feasible. 

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@jshepherdYES!  Totally agree!  We actually had staff meetings yesterday to catch almost all staff and this was one main topic of discussion!  Our manager explained it very well (I'm the Asst. manager) and the hope is that they - especially one of them - will get the message!

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