Discover and read the best of Twitter Threads about #f2fnhsbt
Most recents (7)
Now Dora Foukaneli on IT in transfusion #F2FNHSBT
Some trusts moving faster than others but developments in IT critical for delivery of care
england.nhs.uk/five-year-forw…
england.nhs.uk/five-year-forw…
Implementing new systems: need validation, understanding of system variability in the clinical environment, meaningful mitigations, contingency plan #F2FNHSBT
Next up Sue Cotton supply chain issues #F2FNHSBT Beast from the East caused huge disruption earlier this year not just for blood but food too #F2FNHSBT
Figures show stocks held by very high use hospitals has recently reduced for all groups except O neg #F2FNHSBT
Work with an individual trust on wastage last year showed that reduction in stock, redistributing O neg/pos in satellite fridges, communication and education on use of O pos helped to reduce wastage #F2FNHSBT
Extended matched red cells currently very topical. Standard to do this in hbopathy but not (?yet) in haemonc patients. Clear issues with practicalities. Need to consider individual patient versus population needs #F2FNHSBT
Now Fiona Regan on extended matched red cells for hbopathy patients #F2FNHSBT
Hbopathy pts have higher freq of abs; 20-50% in sickle. Currently we only extended match for those with abs (although all get CcDEe and K matched) #F2FNHSBT
Next up: Edwin Massey, associate medical director, update on donor typing and availability #F2FNHSBT
100k donations/year have an extended phenotype done. 60% packs are HbS tested and negative. Single test for HbS is satisfactory; not repeated for every donation #F2FNHSBT
18k group O donors typed for rarer antigens; Vel, Ge, Lub and Kpb and further 12k for Inb and Jsb based on donor ethnicity. 2000 donors on rare donor panel #F2FNHSBT
Next up Janet Birchall; medical director of the Welsh Blood Service, on how they manage platelet shortages over the border #F2FNHSBT
Use of current guidelines on plt use critical. Implementation of shortage plan issued by NBTC #F2FNHSBT
b-s-h.org.uk/media/2641/bcs…
transfusionguidelines.org/document-libra…
b-s-h.org.uk/media/2641/bcs…
transfusionguidelines.org/document-libra…
Next up Heidi Doughty talking on transfusion support for mass casualty events and updated guidance. Sadly a very important part of our work #F2FNHSBT
Review article in Vox Sanguinis Ramsey et al. onlinelibrary.wiley.com/doi/abs/10.111…
Although some patients need MHP, recent disasters have shown a couple of units used per patient. But relates to GSWs rather than IUDs... No clear answer #F2FNHSBT
Been out of the loop for a few months but back in touch for one day only! It’s the face to face meeting of the patient facing NHSBT consultants… #mouthful #F2FNHSBT
Shubha Allard reminds us of the JPAC guidelines which are all online #F2FNHSBT
transfusionguidelines.org
transfusionguidelines.org
And the Transfusion Handbook, esp useful for the #haemSpRs and available for free online! #F2FNHSBT
transfusionguidelines.org/transfusion-ha…
transfusionguidelines.org/transfusion-ha…
