1. Massive Blood Transfusion Policy
Key Components

2. Who Can Activate The Policy?
Emergency Physician
Surgeon
Attending Physician
Anesthesiologist
The policy will be activated by written or verbal order.

3. Nursing Considerations
Helpful reminder to physicians
Upon administering the 3rd unit of packed red blood cells (PRBC’s) notify physician. Suggest activating the Massive Blood Transfusion Policy.

4. Nursing Responsibility
RN to notify Blood Bank at ext: for the following:
Activation of Massive Blood Transfusion
Termination of Massive Blood Transfusion
Down-grade to normal transfusion status
RN will assign a designated employee to retrieved blood products

5. Nursing Reminder
Factor VIIa must be ordered and obtained for the pharmacy.
All unused blood and/or blood products should be returned immediately to Blood Bank.