Maximum Surgical Blood Order Schedule - the Royal Cornwall ...

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If there is a particular individual risk of significant blood loss (eg low Hb, clotting risk, previous surgery etc), consider triage to RCHT and err on the side of ensuring a G+S specimen is available ahead of surgery NB this pre-op clinic specimen serves as an antibody screen and does not mean that e-matched blood will be available at surgery Orthopaedics Urological Surgery ENT Bariatric ▼ Pre op clinic On day of surgery WCH / SMH RCHT If antibodies detected # NOF 2 UNITS Osteotomy (tib / fib) G & S 2 UNITS THR G & S 2 UNITS THR revision G & S G & S G & S 4 UNITS TKR G & S 2 UNITS Nephrectomy G & S G & S 2 UNITS Prostatectomy TUR and RRP G & S G & S 2 UNITS TUR of bladder tumour G & S G & S 2 UNITS Block dissection of neck G & S G & S 2 UNITS Laryngectomy G & S G & S 2 UNITS Gastric Band G & S G & S 2 UNITS Gastric Bypass G & S G & S 2 UNITS NB for MAJOR emergency blood loss eg for aortic aneurysm rupture a trauma pack should be requested and includes 6 units blood + 4 units FFP, followed by 6 units blood, 4 FFP + 1 platelets repeatedly until the lab is stood down ◄ NB if Ab detected blood must be requested well in advance as it may have to come from Bristol. Author: Dr Richard Noble Page 4 of 4 MSBOS V3 Date of issue: 12/04/2011
Appendix 1.Initial Equality Impact Assessment Screening Form Name of service, strategy, policy or project (hereafter referred to as policy) to be assessed: Maximum Surgical Blood Order Schedule (MSBOS) Directorate and service area: Is this a new or existing Procedure? Specialty/Surgery Existing Name of individual completing Telephone: 01872 253093 assessment: Nicki Jannaway 1. Procedure Aim* Provides indication for appropriate blood ordering 2. Procedure Objectives* To ensure adherence to national guidelines on provision of blood during surgical interventions 3. Procedure – intended To support medical and laboratory staff in decision making Outcomes* process. 4. How will you measure the outcome? 5. Who is intended to benefit from the Procedure? 6a. Is consultation required with the workforce, equality groups etc. around this procedure? b. If yes, have these groups been consulted? c. Please list any groups who have been consulted about this procedure. Daily monitoring by BMS staff during course of provision of blood. Laboratory and medical staff, patients. Yes Yes Consultant Anaesthetists and Consultant Surgeons HTT *Please see Glossary 7. The Impact Please complete the following table using ticks. You should refer to the EIA guidance notes for areas of possible impact and also the Glossary if needed. Where you think that the policy could have a positive impact on any of the equality group(s) like promoting equality and equal opportunities or improving relations within equality groups, tick the ‘Positive impact’ box. Where you think that the policy could have a negative impact on any of the equality group(s) i.e. it could disadvantage them, tick the ‘Negative impact’ box.
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Maximum Surgical Blood Order Schedule - the Royal Cornwall ...

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