Protocols - Hemorio

HEMOVIGILANCE AND TRANSFUSIONAL COMMITTEE
HEMOVIGILANCE: by definition, it is the procedures ensemble of vigilance organized after the collection
of blood and its components until it is followed up to the receptor, with the purpose to collect and evaluate
information on the not expected or undesirable effects of the therapeutic usage of the libel blood products,
in order to prevent the appearance of such effects, as the information on the severe or not expected
incidents at the donor. The Hemovigilance also understands the epidemiological follow-up of the donors.
In accordance to RDC 153 as of June 24, 2004, “all hemotherapy service must have a detection,
notification and evaluation system of the transfusional complications, which includes operational
procedures for the detection, treatment and prevention of the transfusional reactions”.
All information regarding the transfusional reaction must be registered at the folder and at the transfusional
card of the subject.
TRANSFUSIONAL COMMITTEE: It has as a purpose to increase the safety in the blood transfusions,
with a particular emphasis on the transfusional incidents.
RDC 153 as of June 24, 2004 describes that “the health service that has a hemotherapy service must
constitute a transfusional, multidisciplinary committee, from which a representative of the hemotherapy
service makes part. This committee has as a monitoring function the hemotherapic practice in the
institution.”
The Transfusional Committee has the mission to assure the appropriate usage of the hemocomponents.
The Transfusional Committee must act with emphasis in such aspects of the blood usage: Prescription,
delivery, handling, dispensation, administration, monitoring of the subjects’ response.
The transfusional Committee must have as members, representatives of the following segments: medical
staff (surgeons, anesthetists, clinicians), nursing, hospital administration and hemotherapy service.
PRACTICAL ASPECTS OF THE TRANSFUSION
CARES AT THE RED BLOOD CELLS CONCENTRATE TRANSFUSIONS:
Aiming at the subject safety, the hemocomponents transfusions in an elective character must not be
executed after 8:00 p.m.
- Keep between 1 to 6 C°, up to the moment of using it;
- Keep outside the refrigerator at most 30 min, before the transfusion;
- Use mandatorily blood transfusion equipment;
- Do not add drugs;
- If not transfused in 30 min., return to the Hemotherapy Service.
- Infusion time: 1 to 4 hours.
- In case of opened system, keep the hemocomponent
- On the refrigerator, it may be transfused in up to 24 hours.
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