Protocols - Hemorio

ATTACHMENT II – HEMORIO’S DISCHARGE CRITERIA
All subjects at the following conditions must have DISCHARGE FROM HEMORIO, AND THEY
MUST NOT BE REGISTERED, receiving guidelines regarding his disease and regarding the
possibility to return to HEMORIO in special situations:
CHRONIC HERITABLE HEMOPATHIES
The cases of heritable hemopathies IN ADULTS will not be registered and the following conduct must be
taken:
a – Conclude the diagnosis
b – Inform and guide the subject and his family members on the diagnosis
c – Send to the nursing department for other guidelines
d – Deliver a report on the case, making yourself clear on the possibility to return to HEMORIO in specific
situations (see box below)
HERITABLE
HEMOPATHY
Spherocytosis
ovalocytosis
Def G6PD
Mild hemorrhagic
disease (vW,
SPD)
DISCHARGE CRITERION
(DO NOT REGISTER)
- adult (> 20 years old) +
- mild or moderate anemia
- transfer of other Hematology Service
- adult (> 30 years old) +
- mild or moderate bleeding
- transfer of other Hematology Service
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RETURN TO HEMORIO AT THE
FOLLOWING SITUATIONS
- SEVERE ACUTE complications such as
CVA, priapism, ATS, provided that sent by
the unit that follows him.
- Severe bleeding
- Dental extraction
- Surgeries
ISOLATED HEMATOLOGICAL CHANGES WITHOUT CID OF PRIMARY HEMOPATHY
The subjects who present the isolated changes listed below and whose investigation was non conclusive
will not be registered and will be discharged from HEMORIO:
1 st - plateletpenia > 80,000/mm 3
2 nd - isolated neutropenia > 1,200 neutr/mm 3
3 rd - isolated anemia with Hb > 10 g/dl