1. Presented by Dr. Susan Nahirniak November 06th 2014
Revisions to: The Plan For Management of Shortages of Labile Blood Components
Presented by Dr. Susan Nahirniak
November 06th
2014

2. The Plan - Edits/Revisions
Removed the word “National” from the title
Purpose and Scope clarified – process for convening the NEBMC is fluid and can move in many directions
History of Blood Shortages in Canada will be updated by CBS to reflect a three to five year period up to 2014.
Improved CBS Inventory Levels at Green, Amber and Red Phases This data along with the provision for Hospitals to enter inventory levels into the Inventory Level webpage within the CBS Blood Component and Product Disposition system will enable assessment of TOTAL blood product inventories (blood supplier and hospital combined) across the country in near to real time criteria.

3. Inventory Level Changes

4. The Plan - Edits/Revisions
Other Edits
The Plan - Edits/Revisions
Clarity of CBS’ relationship with Héma-Québec
NEBMC Titles updated to reflect CBS’ internal role & responsibly changes
Members of the NEBMC are now responsible for naming a designate in the event that he/she is unavailable
NEBMC Mandate updated: to reflect to task the Blood Shortage WG to review and report upon the implementation of the Plan and subsequent outcomes after each simulation exercise and live activation for ongoing refinement and improvements to the Plan.
Added duties for the Secretariat

5. The Plan - Edits/Revisions
Link to the CBS’ Business continuity removed as these plans are only posted  internally at CBS and there are many (for various reasons and locations)  which change frequently.
Link the Recall notification document to The Plan since a large recall situation could potentially lead to a shortage situation and vice versa, etc.
Link to the Triage Document

6. NEBMC Created a Job Aide for the NEBMC members
Must work not just top down but bottom up.
Hospital and provincial emergency blood management plans have to realize that they can move a provincial/regional shortage up the scale by notify the NEBMC through their representatives on the NEBMC.
Examples of Provincial Activation Pathways added to the Plan

7. Top Down
Bottom(s) Up

10. Lessons learned post Nov 14, 2013 simulation/validation exercise
Hold 2 regular teleconferences per year
First call to review the Plan for currency
Second call to increase awareness
Revised Triage Tools –
Patient Record
Triage Tracking Log
Job Aid Created
A “job aid” - developed by the BSWG to support the NEBMC during an actual blood shortage. This aid summarizes the mandate of the NEBMC, describes the shortage phases/their implications for transfusion, and provides a high-level summary of how communications should unfold once the NEBMC reached decisions  
Letter to the Editor on validation exercise submitted to Transfusion – revisions underway.

11. Appendices Other Edits
APPENDIX C: CBS Business Continuity Plans are not current, replaced with Blood Contingency Plan Activation Pathway
APPENDIX F: The National Emergency Blood Management Committee Terms of References redundant information, replaced with The National Emergency Blood Management Committee Job Aide
APPENDIX G: Guidelines for the Optimal use of Blood Components was removed as links no longer worked, info not current, etc., replaced with Triage Tools

12. How many O negatives do we have?
He’s Intense!
THOUGHTS ANYONE!
QUESTIONS ANYONE?