Service Responsibilities

Transfusion Service

  1. Immunohematology work-up: The fellow/resident is required to review the immunohematology work-ups from the previous day. The fellow may assist residents in interpreting the work-ups.
  2. Blood utilization review:  The transfusion service will provide the fellow/resident with a list of patients meeting specific audit criteria concerning blood component utilization, which will require  retrospective review of the patient's electronic chart/ hospital chart to evaluate indications for transfusion.
  3. Transfusion reaction work-up:  Transfusion reaction work-ups are initiated by the transfusion service as soon as the reaction is reported.  The blood bank will notify the blood bank resident/fellow or resident on-call with regards to the results of the work-up in order to determine if additional tests need to be ordered and if the patient can be safely transfused as soon as is clinically indicated.  The transfusion reaction report must be completed within 48 hours of the reaction.  Following further investigation of the clinical situation, the resident should complete the transfusion reaction investigation form for review at rounds.  The fellow should provide any necessary guidance, should the resident need assistance.
  4. Clinical consultations:  Residents/fellow will review all special product requests, platelet refractoriness work-ups, and clinical transfusion medicine questions.  The fellow should provide any necessary guidance, should the resident need assistance.
  5. Prospective auditing of blood product orders:  Residents/fellow may be required review orders of platelets, cryocipitate, plasma and RBC ordered based on auditing criteria. Chart review and consultation with the order physician may be necessary to determine the necessity of the transfusion
  6. In-service presentation:  Residents and are fellow are required to give a 10-15 minute presentation to the staff  on a topic of interest in transfusion medicine.

Donor Center

  1. Donor eligibility assessment:  Donors with medical issues, travel history, etc., whose eligibility for blood donation is not defined by the current Standard Operating Procedures (SOPs) will require approval by transfusion medicine resident/fellow/attending physician prior to donation. 
  2. Autologous donors/Frequent Directed Donors (FDD):   Donors may have medical issues, or have exceeded the maximum donation frequency, and require evaluation by fellow/resident to approve donation.  
  3. Management of donor adverse reactions 
  4. Attend mobile blood drives