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Dr. A, a surgeon at Blue Hospital continues to order too many blood products for his surgical patients. A maximum surgical blood order schedule has been developed for BH but Dr. A has not incorporated evidence-based transfusion protocols into his surgical practice. In addition, He continues to order too many crossmatched blood products for his patients. His crossmatch:transfusion (C:T) ratios are monitored and are routinely too high compared with ratios documented for other surgeons practicing at BH. Lily is an enthusiastic "new hire" at BH. Called to assist Dr. A during a procedure, Dr. A's Resident informs Lily that Dr. A's current patient will not need several of the blood products ordered and delivered to the operating room. Lily asks one of the surgical nurses, "What should I do with all of the blood?" The circulating nurse responds, "There's a cooler somewhere around here with a blood bank label." She quickly identifies the products in the cooler as blood, plasma and platelets." Lily picks-up the cooler and heads to the Blood Bank. In the Blood Bank, Lily Transfuse accepts the cooler and opens the lid. A horrified look crosses her face.......
1. Define the important aspects of the scenario
2. Discuss (briefly) why ABO compatibility is desired in organ transplantation. Use examples from the TFN literature to back-up your information.
3. What went wrong in this situation? What actions leading up to this event need to be addressed?
4. What measures can be taken to improve the outcome of the clinical scenario you were assigned?
Cite your source fore each questions
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