• There is no involvement with industry to 
   disclose for this presentation.
              Note!
  • This presentation highlights key aspects of 
    safe transfusion practices for 
    transfusionists.
    –RN; LPN; NP; anaesthetist; anesthesia 
     tech/assistant; midwife; RRT (ECLS specialist)
    Selected CSA Standards   
  • Canadian Standards Association develops 
   standards for transfusion medicine 
   services in Canada
  • Standard CAN/Z902-15, A National 
   Standard of Canada, Blood and Blood 
   Components
   –Applies to all aspects of transfusion medicine 
    including collection, processing, storage and 
    use of blood components and blood products
    Nursing Scopes of Practice
  • Entry level competency for RNs
   –experience in this procedure may or may not 
    have occurred during their clinical practicum
  • Non-mandatory entry level competency for 
   LPNs is organization specific
   –To patients with established plans of care with 
    predictable outcomes
   –Outcomes of component or product must be 
    predictable
   
   Within LPN Scope of Practice
  Examples of patients that would fall within
  the LPN SOP for blood component/product
  administration include:
  • a hemodynamically stable patient with 
   anemia that requires RBC’s
  • administration of WinRho
  • subsequent doses of albumin to a patient 
   whose outcome from the first dose is 
   progressing as anticipated