Training activity information

Details

Produce a transfusion management plan for patients with a haemoglobinopathy

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Considerations

  • Challenges associated with blood provision
    • Multiple antibodies
    • Antibodies to high frequency antigen
    • Imbalance between donor and patient ethnicity and antigen frequency
  • Special requirements for transfusion of haemoglobinopathy patients for
    • Top up transfusions
    • Exchange
    • Pre surgery

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.

# 7 Outcome

Propose resolutions for anomalous blood group antigen typing.

# 8 Outcome

Devise and perform investigative strategies for complex antibody identifications and transfusion reaction investigations.

# 9 Outcome

Identify transfusion requirements and create management plans for patients following completion of all pre-compatibility investigations.