Right Patient, Right Blood Right Patient, Right Blood. Mrs Patricia Watt Haemovigilance Practitioner. June 2009.

Why Haemovigilance? HSS Circular MD6/03 Better Blood Transfusion. Appropriate use of Blood sets out a programme of action to, Ensure that Better Blood Transfusion is an integral part of NHS care As part of our clinical governance responsibilities, make blood transfusion safer. Provide better information to patients and the public. Avoid unnecessary blood in clinical practice. In march 2003 the NI DOH released the HSSCircular Better blood transfusion. The Appropriate use of blood. This circular sets outs a programme of action to ensure that Better blood transfusion is an integral part of our NHS care, as part of our clinical governance responsibilities make blood transfusion safer, avoid unnecessary use of blood in clinical practice and provide better information to our patients and the public about transfusion.

Role of the Haemovigilance Practitioner Patient safety and quality improvement. Interface between blood bank and clinical areas. Assessment and management of risk. Incident investigation and reporting. Monitor appropriateness of transfusion and of waste. Information resource Education for all those involved in the blood transfusion process. The role of the HP is a very wide role which incorporates initiatives which will lead to quality improvement of the blood transfusion process. This ultimately involves interaction with all staff involved in the blood transfusion process and involves interfacing between the blood bank and staff within the clinical areas to ensure that blood collection an administration is a smooth and safe process. process.

Safe Blood Transfusion. SHSCT Hospital Transfusion Team Southern Health and Social Care Trust Blood Transfusion Committee. N.I. Blood Transfusion Committee. N. I. Haemovigilance Committee.

Craigavon Area Hospital RBC usage 08/09=5550 units Craigavon Area Hospital Daisy Hill Hospital RBC usage 08/09= 1925units.

In November 2006 the NPSA Safer Practice Notice ‘Right Patient, Right Blood’ was released in England and Wales.

SHOT 1996-2004. Analysis identified that in the United Kingdom,5 patients died as a direct result of being given an ABO incompatible transfusion. ABO incompatibility contributed to the death of a further 9 patients. Caused major morbidity to a further 54 patients.

Strategies Agree to and start to implement an action plan to ensure that all staff involved in the blood transfusion process are competency assessed and actions completed by 30th January 2009. Ensure that the compatibility form and patient notes are not used as part of the final bedside check. Systematically examine local blood transfusion procedures using formal risk assessment process.

Strategies Carry out appraisal of the feasibility of using: Barcodes or other electronic identification and tracking systems for patients samples and blood components. Photo-identification for patients who regularly receive blood transfusions. a labelling system of matching samples and blood for transfusion.

Review Methodology. Based on the NPSA Notice 14: 2Right Patient, Right Blood”. Better Blood transfusion – Appropriate use of Blood. Self assessment completed by 5th March. Audit of all blood transfusion episodes for period 9th-16th March. Discussion and visits on 22nd April.

Blood Transfusion Audit. All members of staff who are involved in blood transfusion episode have successfully completed relevant competency assessment and names are currently being entered been on a database. Competency 1- Obtaining a sample for pre-transfusion testing. Competency 2-Organising a request for a blood component for transfusion. Competency 3- Collecting a blood component for transfusion. Competency 4- Pre-transfusion check.

Positive outcomes RQIA review – strengths and challenges. Patient safety. Motivation of staff. Support of Senior Management.

Moving forward. Action plan. Documentation. Communication strategies. Sustainability-self inspection audits, ongoing education, measuring non-compliances, evidencing good practice.

Area Haemovigilance Practitioner Advice and Enquiries Please contact;- Mrs Patricia Watt Area Haemovigilance Practitioner 028 38613740