Patient Blood Management

Details

Title

Patient Blood Management

Type

Stage Two

Module code

HLS197

Requirement

Compulsory

Module objective

By the end of the training period with respect to patient blood management, the trainee will be able to:

• analyse, synthesise, critically 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, critically evaluate and synthesise relevant knowledge and its application to their professional practice in relation to:

• guidelines for the appropriate use of blood
• alternatives to allogeneic blood transfusion including:
  • intra- and post-operative cell salvage
  • synthetic blood and blood substitutes
  • pre-deposit autologous blood donation in exceptional circumstances
• optimisation of patient haemoglobin level, including use of erythropoietin, tranexamic acid and iron therapy
• the use of IT-based decision support to optimise the appropriate use of blood
• the use of clinical audit to monitor blood usage
• the value of pre-operative and inter-operative assessment including coagulation and point of care testing
• blood tracking and management systems
• the clinical management of patients who decline blood transfusion

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 of a range of technical procedures and laboratory skills and will be able to:

• adapt and master patient blood management
• propose and adapt IT solutions to support the appropriate use of blood transfusion therapy
• commission and support clinical audits of blood usage and implement and evaluate changes made as a result of audit
• schedule and support (as appropriate) pre-deposit of patient blood and intra- and post- operative cell salvage procedures

By the end of the training period with respect to clinical and laboratory transfusion the trainee will be able to perform the clinical skills and will:

• propose and implement measures to improve the appropriate use of blood and evaluate the impact of the measures
• liaise with other healthcare workers to champion the appropriate use of blood and to drive on-going improvements in transfusion safety and efficacy