1. Intraoperative Cell Salvage
UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Intraoperative Cell Salvage
Basic Blood Facts
Blood Conservation
Haemovigilance
Principles of Intraoperative Cell Salvage
Indications and Contraindications
Practicalities – Blood Collection
Practicalities – Blood Processing
Practicalities – Blood Reinfusion
Information and Best Practice
Unloading and Discarding

2. UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Learning Outcomes
To outline the operator’s responsibilities for labelling ICS blood
To discuss the factors to be considered when dealing with patient specific religious requirements
To outline the responsibilities of the operator during the procedure
To describe the operators responsibilities with regards to dealing with procedural problems

3. Information and Best Practice
UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Information and Best Practice
Labelling
Handwrite an autologous transfusion label at the start of blood collection at patient’s side from information on patient’s identification band
Securely attach the label to the collection reservoir (collect only)
Transfer the label to the reinfusion bag as soon as the processing set is loaded

4. Information and Best Practice
UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Information and Best Practice
Patients with religious requirements
Set up of equipment may differ
Requirements should be discussed with the patient prior to use
All relevant staff should be made aware of these requirements

5. Information and Best Practice
UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Information and Best Practice
Monitoring the system
The operator is responsible for the machine throughout the procedure
The operator should be working within the vicinity of the machine to allow them to monitor the system and respond to alarms
The operator should ensure that necessary procedures are carried out e.g. emptying the waste bag

6. Information and Best Practice
UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Information and Best Practice
Potential Contamination
The decision to use blood that is potentially contaminated with bacteria, amniotic fluid or malignant cells should be made by the clinicians caring for the patients, taking into account the latest evidence and considering the risks and benefits for the individual patient.

7. Information and Best Practice
UK CELL SALVAGE ACTION GROUP
EDUCATION WORKBOOK
Information and Best Practice
Procedural problems
The responsible clinician should be made aware of any problems that have occurred during the process e.g. contamination of the collection reservoir with non-IV substances, so that the decision to reinfuse under these circumstances can be made based on the relative risks and benefits