Harrington Hospital’s NEW CODE will call a group of responders to assist with stabilization of the patient
“TRANSFUSION TEAM TO (UNIT)”
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RESPONDERS:
Hospitalist
Clinical Coordinator/Unit Director
Designated and/or available nursing staff
PCA (designated runner to the blood bank)
Phlebotomist
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DUTIES:
Physician will notify the team of the need for blood products
Initiate the overhead paging system (*66 “TRANSFUSION TEAM to the area involved)
The hospital operator will notify the blood bank of the massive transfusion emergency initiation after the code is announced
The physician will complete the Emergency Release Request form to include Pt’s name, DOB, gender, MR#; number of units and kind of product.
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DUTIES (Con’t):
Designated Runner will bring the Emergency Release form to the Blood Bank and return with the ThermoSafe medical transport box. Runner will report time of arrival to Recorder.
Recorder: responsible for notating events of the code as well as arrival and use of blood products and the proper storage of new products to the site using the ThermoSafe box.
Any subsequent platelets or Pooled CRYO will be brought to the site and stored at room temperature.
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KEY POINTS:
Insert a secondary (large bore - 18 G) IV
DESIGNATE A RECORDER OF EVENTS!!!
Use the emergency release if no blood consent
Emergency blood tubes (located in the OMNICELL refrigerator) need to be given to the phlebotomist (Special DIC tubes/blood bank band) Use *911
Administer NO BLOOD PRODUCTS without a blood band on the patient FIRST!!!
REMEMBER TO DEBRIEF!!
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REMEMBER:
Consider inserting a 2nd large-bore IV line
Obtain a blood warmer for use in the emergency
Unused blood product needs to be returned to the blood bank as soon as the crisis is over.
Nursing leadership needs to call Blood Bank once crisis is over.