1. Blood Shortages Working Group
October 2015 NAC Meeting

2. Historical BSWG membership

3. Review of BSWG membership
Current Blood Shortage Working Group
CBS representatives
NAC representatives
Lindy McIntyre -
Dr. Brian Muirhead
Rick Trifunov -
Dr. Debra Lane -
Dr. Ted Alport -
Dr. David Anderson –
Elaine Ashfield
Lisa St. Croix
Dr. Lakshmi Rajappannair -
Michelle Rogerson -
Dr. Lucinda Whitman - and
Amanda Cullen –
Provincial Territorial
Dr. Susan Nahirniak - (CHAIR-BSWG)
Wendy Peppel –
Shelley Stopera –
Daphne Osborne –
Marina Hamilton -
Ministry of Health Quebec -Liaison
Dr. Vincent Laroche -
Samantha Cassie -
CSTM representative ?

4. Changes to National Plan - updated as of October 8th, 2015

5. Highlight of Updates 1) Communication requests 2) Committee clarity
3) Inventory phases
4) Update of the history of shortages in Canada

6. 1. Communication - Requests
Request for a standardized template from CBS when dealing with local temporary shortages
Request for a standardized communication document for dealing with patients / families in amber and red phase

7. 2. Committees (Section 4)
Clarity provided regarding top down and bottom up activations
Updates for changes to Titles / designations

8. 3. Inventory / Phases

9. Phases - Terminology Green Phase Advisory Alert versus Advisory
implies that CBS inventory levels are low with respect to a particular blood component and that all hospitals need to determine their inventories and the likelihood of crossing into Amber or Red Phase .
 Alert versus Advisory
Will only use Advisory on all communications

10. Phases - General Inventory
Major revisions in Section 3
Revised section 3.1 to include the concept of Inventory Indices, reporting of daily inventories

11. Phases - General Inventory
Major revisions in Section 3
New table in added to provide visualization of Green vs Green Advisory

12. Phases - General Inventory
Major revisions in Section 3
Tables in 3.1.5
All except platelets- Addition of number of units translating to DOH broken down by blood group
Plasma – further broken down by AB and non-AB

16. Phases - General Inventory
Table in 3.1.6
Examples of Inventory indices using hospital data

17. Phases - Allocation
Major revision to section 3.1.7

18. Section 6 – Specific Actions
Updates through all levels regarding the development of
ADRD, Inventory Indices and Minimal inventory calculations
Processes for reporting daily inventory
Incorporation of best practices to “level” indices
Improve communication
Risk management assessments for “holding facilities

19. Criteria / Guidelines for Inventory Utilization

22. Platelets - Splitting
Does “splitting” require registration with Health Canada as a modifying process?
No, this is considered aliquotting.
Possibility for CBS to provide platelet aliquots?
Preliminary research has been done but production has not yet been validated.
Decision not to provide splitting information in Plan as an appendix but to have sample SOPs or job aides on the NAC website for sites to use if they are interested.

23. Recommendation from BSWG
For NAC to accept the National Plan in it’s current version as a submission to the CBS PT Blood Liaison Committee as a final version subject to translation.

24. Recommendation (s) from BSWG’s Inventory Subcommittee
Recommendation (s) from BSWG’s Inventory Subcommittee ? Approved by NEBMC meeting in Sept
Hospitals should conduct inventory submission exercises on a quarterly basis.
Proposed for April, July, October and December of each and every year.
A rolling twelve (12) month disposition reporting period will be used to calculate ADRD. These exercises will aid to further refine the inventory indices corresponding to phases of inventory availability.