Intraoperative Cell Salvage UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Intraoperative Cell Salvage Basic Blood Facts Blood Conservation Haemovigilance Principles of Intraoperative Cell Salvage Indications and Contraindications Practicalities – Blood Collection Practicalities – Blood Processing Practicalities – Blood Reinfusion Information and Best Practice Unloading and Discarding

UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Learning Outcomes To outline the operator’s responsibilities for labelling ICS blood To discuss the factors to be considered when dealing with patient specific religious requirements To outline the responsibilities of the operator during the procedure To describe the operators responsibilities with regards to dealing with procedural problems

Information and Best Practice UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Information and Best Practice Labelling Handwrite an autologous transfusion label at the start of blood collection at patient’s side from information on patient’s identification band Securely attach the label to the collection reservoir (collect only) Transfer the label to the reinfusion bag as soon as the processing set is loaded

Information and Best Practice UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Information and Best Practice Patients with religious requirements Set up of equipment may differ Requirements should be discussed with the patient prior to use All relevant staff should be made aware of these requirements

Information and Best Practice UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Information and Best Practice Monitoring the system The operator is responsible for the machine throughout the procedure The operator should be working within the vicinity of the machine to allow them to monitor the system and respond to alarms The operator should ensure that necessary procedures are carried out e.g. emptying the waste bag

Information and Best Practice UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Information and Best Practice Potential Contamination The decision to use blood that is potentially contaminated with bacteria, amniotic fluid or malignant cells should be made by the clinicians caring for the patients, taking into account the latest evidence and considering the risks and benefits for the individual patient.

Information and Best Practice UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Information and Best Practice Procedural problems The responsible clinician should be made aware of any problems that have occurred during the process e.g. contamination of the collection reservoir with non-IV substances, so that the decision to reinfuse under these circumstances can be made based on the relative risks and benefits