Training activity: 10

Details

Perform and report a transfusion reaction investigation and advise on clinical management where appropriate

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Criteria for acute/delayed haemolytic transfusion reactions
• BSH guidelines and laboratory protocols
• SHOT reporting categories and reporting mechanisms
• Testing and referral algorithms
• Antibody elution

Relevant learning outcomes

#	Outcome
# 1	Outcome Select suitable and valid techniques for transfusion pre-compatibility testing.
# 2	Outcome Identify sequential testing algorithms appropriate to the samples under investigation for pre-compatibility testing.
# 3	Outcome Describe the limitations of methods used in pre-compatibility testing including sources of error and sample issues.
# 4	Outcome Practice in accordance with guidelines and procedures relevant to pre-transfusion testing.
# 5	Outcome Perform acceptance testing of samples requiring pre-transfusion testing and ensure samples follow appropriate testing streams relating to clinical condition.
# 6	Outcome Perform phenotyping and/or referral of genotyping to complete investigation for pre-transfusion testing.
# 8	Outcome Devise and perform investigative strategies for complex antibody identifications and transfusion reaction investigations.