Gartnavel Major Haemorrhage Flowchart

GGC - Blood Transfusion
NHS GGC

TO AVOID CONFUSION ALLOCATE ONE PERSON TO LIAISE WITH SWITCHBOARD AND BLOOD BANK

A downloadable PDF copy of this flowchart is available here

 

Gartnavel Major Haemorrhage Flowchart

Designated clinical person must:

1. Call Switchboard on ext 2222
• State there is a major haemorrhage
• Give exact location including Hospital
• Give contact extension number

2. Laboratory staff will contact clinical area. Please advise :
• Patient details (minimum data set i.e. Full Name, D.O.B, Gender, and CHI number)
• Exact location and contact details including Hospital
• Exact blood component requirements

Send:

GGH LAB (9am-8pm Mon-Fri)
• FBC
• Coagulation Screen
• Biochemistry
• X match sample (if required)
Request forms for all requests

Out of Hours (8pm–9am Mon–Fri, weekends and public holidays)
All samples and product request forms to go to porters desk GGH (product request forms can be scanned
and sent to the email address GRI.Bloodbank@ggc.scot.nhs.uk. Emergency taxi to be called by
porters as GGH lab closed.

Switchboard will inform appropriate transfusion BMS:

  • Transfusion BMS who will contact the clinical area to establish requirements
  • Portering service who will deliver emergency blood and collect samples for laboratories

Delivery of blood products

• Mon – Fri 9am-8pm – Porter will deliver blood and products to clinical area when available
• Out of hours - Taxi driver will deliver to porter desk and porter will deliver directly to clinical area

Red cells requirements

aim to keep Hb > 80g/L

  Current Group & Save in GGH/GRI Blood Bank No current Group & Save in GGH/ GRI Blood Bank
O Negatives

Porter fridge 4 O Negatives


Theatre fridge 2 O Negatives

Porter fridge 4 O Negatives


Theatre fridge 2 O Negatives
Further O
Negatives		 approx. 45 minutes approx. 45 minutes
Group
Specific		 approx. 45 minutes approx. 90 minutes
Fully
Crossmatched  		 approx. 90 minutes approx. 120 minutes

Blood product requirements

The first issue of FFP and Platelets can be made without Haematologist involvement

 

Product Target Delivery Time
Platelets maintain >75 x109/L approx. 45 minutes
FFP maintain PT & APTT ratio <1.5 approx. 60 minutes
Cryo maintain fibrinogen >1g/L approx. 60 minutes

Telephone numbers:

Gartnavel Blood Transfusion Laboratory : 0141-301 (5)7728 / 7729
Gartnavel Porters : 0141-301 (5)9794
Glasgow Royal Infirmary Laboratory: 0141-242 (2) 9603 / 9606 / 9604

Editorial Information

Last reviewed: 02/11/2020

Next review date: 31/12/2025

Version: 1

Author email(s): ggc.bloodtransfusionrds@ggc.scot.nhs.uk.

Document Id: MAI-ALL-ALL-133