Clinical transfusion

Details

Title

Clinical transfusion

Type

Stage Two

Module code

HLS173

Requirement

Compulsory

Module objective

By the end of the training period trainees will, in respect of clinical transfusion, be able to:

• analyse, synthesise, evaluate and apply knowledge
• perform, adapt and master a range of technical and clinical skills and procedures
• demonstrate the attitudes and behaviours necessary for professional practice as a consultant clinical scientist dealing with the complexities, uncertainties and tensions of professional practice at this level.

Knowledge and understanding

By the end of the training period the trainee will be able to demonstrate the ability to analyse, evaluate and synthesise relevant knowledge and its application to their professional practice in relation to the:

• physiology of oxygen delivery and the response to acute blood loss in neonates, children and adults
• national criteria for the selection and care of blood and tissue donors, including confidentiality.
• effects of blood donation; adverse and positive. Donor counselling
• automated apheresis techniques. Criteria for donor selection and safety. Indications and use of therapeutic apheresis. Hazards of apheresis
• use and management of specialist donor panels (HPA, HLA and stem cell)
• alternative therapies available for transfusion including autologous transfusion and other means of reducing allogeneic exposure and the special needs of Jehovah’s Witnesses.
• transfusion support for;
  • haemoglobinopathies
  • stem cell transplantation (marrow, PBMC and cord blood)
  • acute massive blood loss
  • foetal/neonatal allo-immune cytopenias
  • auto-immune haemolytic anaemia
  • premature neonates
  • elective surgery in children and adults
  • solid organ transplantation.

Technical and clinical skills

By the end of the training period the trainee will be able to demonstrate a critical understanding of current relevant research, theory and knowledge and its application to the performance, adaptation and mastery of the following technical procedures and laboratory skills:

• have theoretical knowledge needed to practise this aspect of transfusion
• understand donor selection criteria
• understand the physiology and psychology of donation; meaning of a ‘positive’ test
• understands technology, special requirements for apheresis donors and clinical applications of apheresis technology
• understand the theory requirements and practice of maintaining specialist donor panels.
• know alternatives to conventional therapy and advise on theseunderstand the theory requirements and practice of maintaining specialist donor panels.
• appreciate the need to match transfusion support to clinical condition.