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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

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  • heathervaught
    heathervaught

    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

  • pinktoptube
    pinktoptube

    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.

  • Right.  We would split a unit.   Scott

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.

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.

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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!

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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