20142015 Your details here Overview Campaign National Blood Authority What is wastage What will you see across your hospital Why focus on waste Are we paying for blood Do we waste much Why ID: 441048
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STOP the WASTE!2014/2015
Your details hereSlide2
OverviewCampaign – National Blood AuthorityWhat is wastage?
What will you see across your hospital?Why focus on waste? Are we paying for blood?Do we waste much? Why?What can
I
do?
What is
our hospital
doing?
QuestionsSlide3
Campaign running Dec 2014- Jan 2015
Blood is a precious resource generously donated by volunteers. Blood and blood products are used in hospitals across Australia every day to save lives.
Unfortunately, thousands of units are needlessly discarded every year.
To assist in addressing blood and blood product wastage, a range of promotional material for laboratory staff, transfusion nurses and those with an interest in wastage reduction have been produced.Slide4
National Blood AuthoritySlide5
What is wastage?A certain level of discards of blood and blood products is both inevitable and appropriate to ensure that products are available where and when they are clinically necessary. However, there is a
proportion of discards of blood and blood products that is neither inevitable nor appropriate which is defined as wastageSlide6
What will you see around your hospital?
PostersTags attached to random bags of bloodMagnets for your fridge or whiteboardMini Wheelie Bins – lollies or pens?Newsletter article
(example articles are available from Eastern Health Transfusion Nurses)
Intranet bannerSlide7
Why do we need to focus on waste?Australia relies on voluntary donation for it’s blood supply and we need to ensure these donations are utilised appropriately and not wasted unnecessarily.
The Hospital Transfusion Committeefocuses on ensuring the safe and appropriate use of blood and blood products but it is also tasked with monitoring and addressing wastage.Slide8
National Standards – NSQHSS Standard 7
Minimisation of the wastage of blood and blood products is a key requirement Slide9
Wastage Reduction StrategyBlood components supplied by the Australian Red Cross Blood Service included a cost indicator printed on the blood bag label
Whilst blood donation is voluntary, the collection, processing, testing and distribution of blood and blood products incur significant costs.The aim of this NBA initiative is to increase health provider awareness and appreciation of the costs associated with the provision of blood and blood products within Australia. It also supports awareness that blood is a precious resource given generously by donors.Slide10
Blood Labels
Costs of Blood
Currently we don’t pay for blood in Victoria
There may be focus on wastage costs
Watch this spaceSlide11Slide12
Do we waste much at your hospital?
Your Hospital WastageData is collected via…….
Add a graph of your hospital wastage per product per month against State and National wastage ratesSlide13
Why do we waste blood?Possibly avoidable
Examples: not indicated in the first place, FFP defrosted but not required, incorrect storage on ward, delaysUnavoidable Examples: massive transfusions, urgent, time critical
Reported to VHIMS
/ hospital reporting systemSlide14
Example of hospital specific cases of wastage and what you can do to minimise thisUse your adverse event reporting system to gather specific detailsSlide15
What can I do?
Avoid unnecessary delaysKnow WHO you are transfusing – ensure you have the correct patient/required documentation before you send for the bloodKnow
WHY
you are transfusing – is this indication appropriate?
Know
WHEN
and
WHERE
you need to transfuse – will the patient be moving, what else is happening in the clinical area, are you ready to send for the blood?
Know
WHAT
you are transfusing – are there any special considerations with this blood product (blood warmers, IV lines, temperature requirements…)Slide16
Resources
Add examples of any hospital specific resources in use at your Health ServiceSlide17
What has your hospital done to try and reduce wastage?
List some of examples from your hospitalEg:
30 min 4 hour info sheet – wastage due to misunderstanding of storage times.
Looking at platelet return to inventory after 24 hours if not transfused.
Appropriateness audits – since 2003
Education sessions – patient blood management guidelines, wastage.
Resources – Blood Matters webpage, links to NBA, single unit transfusion.Slide18
Questions?
Add your contact details here