amym1586 Posted March 6, 2016 Share Posted March 6, 2016 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 Link to comment Share on other sites More sharing options...
pinktoptube Posted March 7, 2016 Share Posted March 7, 2016 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. amym1586 and R1R2 2 Link to comment Share on other sites More sharing options...
heathervaught Posted March 7, 2016 Share Posted March 7, 2016 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. amym1586, David Saikin, R1R2 and 1 other 4 Link to comment Share on other sites More sharing options...
SMILLER Posted March 7, 2016 Share Posted March 7, 2016 Right. We would split a unit. Scott amym1586 1 Link to comment Share on other sites More sharing options...
amym1586 Posted March 7, 2016 Author Share Posted March 7, 2016 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! Link to comment Share on other sites More sharing options...
tbostock Posted March 7, 2016 Share Posted March 7, 2016 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. amym1586 1 Link to comment Share on other sites More sharing options...
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