Posted March 6, 20169 yr comment_64836 Could anyone help me out with this AABB standard 5.19.7 for Transfusion Associated Circulatory overload (TACO) BB shall have a policy for responding to request for products for patients identified by the ordering physician or other authorized health professional as being increased risk for TACO. I'm drawing a blank as to what a BB policy would need to say for that
March 7, 20169 yr comment_64838 Suggest using a slower infusion rate, aliquot (lower volume), or only transfuse if medically necessary? I'm curious how everyone is looking at handling this requirement.
March 7, 20169 yr comment_64839 I will occasionally get requests from a hospital to provide a divided red blood cell for a patient with congestive heart disease. They transfuse one half over the allowed 4 hour window, then have an additional 4 hours to complete the second half.
March 7, 20169 yr Author comment_64841 Gotcha! We don't spit units here. There's a small paragraph about prevention in the Technical manual guess I'll put something like that in there. Thanks for putting me on the right track!
March 7, 20169 yr comment_64842 We have in our Patient Blood Management and Nursing Transfusion policy that we encourage single unit transfusions, with re-evaluation after the first to prevent TACO. Also mentioned in our Transfusion Reaction policy (that is a combined BB/Nursing policy) about TACO and how to prevent and react to it.
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