1. Scenarios’ Candidate copy
Cell Salvage
Scenarios’
Candidate copy

2. Scenario 1
You arrive at work and have been requested to help with cell salvage
You notice that reinfusion bag has fat molecules inside it
2 bowls of packed red cells have already been re infused
What should you do?

3. Scenario 2
You are in the middle of using the cell saver for a case when the surgeon informs you that the patient has cancer.
Should you continue to salvage blood.
If yes why?
If no why?
What should you do to minimize the risk of transfusion to the patient?

4. Scenario 3
Your theatre team have been involved with a patient who has just encountered increased hypotension while transfusing autologous blood (transfusion reaction). The blood is being administered via a leucocyte depletion filter.
What processes can you put in place to prevent a transfusion reaction occurring again
How should you reflect and learn from the incident

5. Scenario 4
Your Surgeon informs the team that they have ruptured the patients bowel whilst carrying out a liver resection.
What should you do?

6. Scenario 5
You are using the cell saver when you notice blood clots in the centrifuge bowl.
What should you do?

7. Scenario 6
At the end of the case you have a partial bowl of blood to reinfuse.
What should you do?