MASSIVE TRANSFUSION PROTOCOL: STANDARDIZING CARE TO IMPROVE PATIENT OUTCOMES

Authors

  • Joan Porteous

Abstract

Providing rapid response is a primary goal when caring for surgical patients with injuries involving massive blood loss. Massive transfusion protocols have been developed in some tertiary care health care facilities to ensure a rapid and efficient response in the provision of care to patients with a massive and uncontrolled hemorrhage. The purpose of this article is to discuss a massive transfusion protocol and to describe the process used to implement a massive transfusion protocol at Winnipeg’s Health Sciences Centre (the site) as well as to describe its impact in the operating room department.

Author Biography

Joan Porteous

Joan Porteous RN, BN, CPN(C) recently retired from her position as a Perioperative Nursing Educator in the Adult Operating Room Department at Winnipeg’s Health Sciences Centre (a large tertiary hospital and trauma centre). Joan was involved in developing the practice standard for these new procedures.

References

Hess, J. (2014). Massive blood transfusion. Retrieved

July, 28, 2014 from http://www.uptodate.com/contents/

massive-blood-transfusion

Trauma.org. Transfusion for massive blood loss.

Retrieved July 28, 2014 from http://www.trauma.org/

archive/resus/massive.html

Cotton, B., Nunez, T., Gunter, O., Robertson, A. and

Young, P. (2009). Predefined massive transfusion

protocols are associated with a reduction in organ failure

and postinjury complications. Journal of Trauma, 66

(41), p 41-49.

Zaydfudim, V., Dutton, W., Feurer, I., Au, B., Pinson,

C. and Cotton, B. (2010). Exsanguination protocol

improves survival after major hepatic trauma. Injury:

International Journal of the Care of the Injured, 41 (1),

p 30-34.

Dempsey, A. (2013). Massive transfusion protocol:

Saving our patient’s lives. Journal of Obstetric,

Gynecologic, & Neonatal Nursing, 42, S97.

Holcomb, J., Wade, C., and Nichalek, J. (2008).

Increased plasma and platelet to red blood cell ratios

improves outcome in 466 massively transfused civilian

trauma patients. Annals of Surgery, 248, p 447-458.

Published

2015-06-01

How to Cite

Porteous, J. (2015). MASSIVE TRANSFUSION PROTOCOL: STANDARDIZING CARE TO IMPROVE PATIENT OUTCOMES. Operating Room Nurses Association of Canada Journal, 33(2), 1`3–20. Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12217

Issue

Section

Feature Articles