haematology users' handbook - University College London Hospitals

Blood Transfusion (page 5 of 5)
Guidelines for Clinical Situations
1. Life threatening haemorrhage (acute massive blood loss) Massive obstetric haemorrhage
Refer to the Major Haemorrhage Algorithm
http://insight/departments/MedicineBoard/Pathology/HaematologyPathology/BloodTransfusion/Documents/Major%20haemorrhage%20algorithm.pdf
For further Information refer to the Trust Major Haemorrhage Protocol
http://insight/guidelines/Clinical%20guidelines/Major%20Haemorrhage%20Protocol%202012.pdf
2. Non-acute bleeding and neonatal surgery
Obtain:
Contact:
Coagulation screen and FBC
Blood Transfusion Registrar
Monday →Friday 09:00-17:00:
UCLH Bleep 7050/7000
All other times:
General Haematology Registrar via UCLH switchboard
Discuss:
Appropriate treatment
(If a high risk procedure, or the patient has a known coagulation abnormality, contact the Haemostasis Registrar prior to
procedure and discuss the patient’s management)
Monday →Friday 09:00 – 17:00
All other times:
Haemostasis Registrar UCH Bleep 7044/7000
General Haematology Registrar via UCH Switchboard
3. Indications for the transfusion of red cells, FFP, cryoprecipitate and platelets
Please refer to the relevant chapter/appendix in the Trust Blood Component Transfusion Procedure Manual
http://insight/guidelines/Clinical%20guidelines/Blood%20Transfusion%20Manual%202012.pdf
4. Patients with Special Transfusion Requirements
For patients who may require CMV negative blood products, Irradiated blood products, Washed red cells and/or HLA matched platelets:
Please refer to the relevant appendix in the Blood Component Transfusion Procedure Manual. Ensure that the laboratory has received a Blood
Transfusion Status Form by emailing BT Status or by faxing to fax number 0203 447 9587 before requesting blood products (this form can be downloaded
from the Blood Transfusion site on the UCLH intranet).
HAEM-PD-UserHbook V8 Haematology and Blood Transfusion User Handbook Page 17 of 38
Authors: Karen Orfinada (Senior Biomedical Scientist)
Sally McDonald (Senior Biomedical Scientist) Authorised by: Dave Barnett Review Date: August 2015