Massive Transfusion Protocol Simulation : An Innovative Approach to Team Training - 15/12/17

Doi : 10.1016/j.cnc.2017.01.011

Allison Langston, BSN, RN ^a, Dayna Downing, MHA, MBA ^b,^⁎ , Jennifer Packard, MBA, MT (ASCP), SBB ^c, Marion Kopulos, MSN, RN-BC ^d,^e, Shelley Burcie, BSN, RN ^f, Kay Martin, BSRC, RRT-NPS ^g, Brennan Lewis, MSN, RN, CPNP-PC/AC, PCNS-BC ^h
^a Quality, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA
^b Simulation Lab, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA
^c Transfusion and Tissue Service, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA
^d Emergency Department and Intensive Care Unit, Children’s Health, Children’s Medical Center, 7601 Preston Road, Plano, TX 75024, USA
^e Emergency Department and Intensive Care Unit, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA
^f Critical Care Services, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA
^g Simulation Program, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA
^h Patient Education and Engagement, Children’s Health, Children’s Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA

^∗Corresponding author.

Résumé

At a 72-bed pediatric facility, a multidisciplinary team approach was used to prepare for the expansion of services for patients requiring spinal fusion. This preparation included emergency response requiring massive transfusion, necessitating the need for a Massive Transfusion Protocol (MTP) process to be in place. Such instances are low volume/high risk, creating difficulty for staff to gain and maintain proficiency with the equipment and processes related to the MTP in a secure environment. The purpose of this article is to highlight the preparation and education put into place before receiving the first pediatric patient for spinal fusion.

Le texte complet de cet article est disponible en PDF.

Keywords : Hemorrhage, Simulation training, Blood bank, Spinal fusion, Crisis resource management, Massive Transfusion Protocol