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Worcestershire Acute Hospitals NHS Trust
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Blood Transfusion

A full acute blood transfusion service is provided from both the Alexandra and Worcestershire Royal hospitals with a blood issue fridge at Kidderminster.

The antenatal blood group serology screening service is provided at Worcestershire Royal Hospital with sample referral to NHS Blood and Transplant if required.

Who's who and contact details

Consultant Lead for Blood Transfusion
Dr T Skibbe
Secretary
x 45775
01527 503030
Laboratory Manager / Head BMS - Blood Transfusion
Phillippa Cheshire
x 30632
DDI 01905 760639
Laboratory Enquiries - WRH



x 30637
DDI 01905 760637

Out of hours
Bleep 848 / radiopage via switchboard

Blood porter
bleep 0208

Laboratory Enquiries - Alex
 

x 42179
DDI 01527 512179

Fax 01527 512074

Out of hours
Bleep 0255 /
page via switchboard

Blood porter
bleep 0208


Laboratory locations and opening hours

River level
Worcestershire Royal Hospital

Charles Hastings Way
Worcester
WR5 1DD

Core hours
Monday - Friday: 8.45am - 5.15pm 
Saturdays and Bank Holidays: 9am - 12 noon 
No routine Sunday service 

Emergency out of hours 
Monday - Friday: 5.15pm - 8.45am 
Saturdays and Bank Holidays: 12 noon - 9am 
All day Sunday 
Alexandra Hospital
Woodrow Drive
Redditch
Worcestershire
B98 7UB
Core hours
Monday - Friday: 8.45am - 5.30pm 
Saturdays and Bank Holidays: 9am - 12 noon 
No routine Sunday service 

Emergency out of hours 
Monday - Friday: 5.15pm - 8.45am 
Saturdays and Bank Holidays: 12 noon - 9am 
All day Sunday 

 

No blood transfusion should be undertaken without careful consideration of the possible risks against the possible benefits to patient outcome. If a decision to proceed with a transfusion is made then the greatest care must be taken at every stage to safeguard the patient. The reason for transfusion must be clearly documented, the associated risks and benefits discussed with the patient and patient informed verbal consent documented. Clerical (human) errors remain the commonest cause of major transfusion incidents. Transfusion reactions of various sorts, transfusion transmitted infection and circulatory overload can all represent serious risks (see Serious Hazards of Transfusion (SHOT) reports).

It is a legal requirement that everyone involved in the transfusion process has been trained and assessed to be competent for the role they perform. Clinical staff must hold a valid WAHT licence.
 

Blood transfusion requests

For blood to be cross matched:

  • We must receive two validated group and screen samples (one sample can be an historic ICE record)
  • The blood groups must match
  • Unconscious trauma patients admitted via A&E are the only exception
     
 

Sample labelling

We operate a zero tolerance policy for incorrect sample labelling. Amending or adding details to samples is prohibited.

All samples must be:

  • legibly handwritten
  • have 4 identifiers:
  1. first name
  2. surname
  3. NHS number
  4. date of birth
  • labelled by the person taking the blood who must also sign, date and time the sample
  • labelled next to the patient immediately after being taken

 

Sample Validity

All group and screen samples from patients over 4 months old are valid for 72 hours.

Placenta praevia patient samples can be kept for 7 days but the immunisation risk must be assessed by the clinical team.

  

A&E numbers

A&E number will only be accepted on unidentifiable, eg unconscious patients. All other A&E patients must be identified by their hospital number which is available on Oasis.

  

Blood transfusion request forms

Blood transfusion request forms must:

  • show identical patient identification details to the sample
  • show date and time the sample was collected
  • be signed by the person who took the blood, including their licence number (this is a legal requirement)
  • indicate if components/products are required, and if so the quantity needed
  • show date components/products are required
  • the reason for the request
  • state special requirements such as irradiated blood
  • state any previous transfusions

 

Timing of transfusion requests

At least 24 hours notice should be given for all non-urgent requests. This is to allow time to investigate any unusual serological findings such as the presence of antibodies.

For patients who require blood urgently (within 1 hour) you MUST contact the blood transfusion laboratory by telephone and give the details of the patient, what you want and how you soon you need it.

Blood required in an emergency

Uncross-matched O Rh D negative (Flying Squad) blood is available on all hospital sites.

The decisions to use this must be based on the patient's clinical needs and because it is not risk free, the responsibility for its use rests with the clinician transfusing it.

  • Ensure that a blood sample has been taken and sent to the blood transfusion laboratory for grouping and cross-matching before transfusing the O Rh D negative.

  • Let the blood transfusion laboratory know you are using the flying squad so it can be replaced
  • Group specific units are preferable to the use of O Rh D negative units and these will be issued if the patient group is known.
  • Urgent samples must not be sent in the air-tube.

     

Non-Urgent At least 24 hours notice. This allows time to investigate any unusual serology.

This also applies to group and screen requests and cross matching of blood.
Emergency
(less than 15 mins)

Emergency uncross matched O negative (Flying Squad) is available on all hospital sites for unidentified patients and patients who have no historical group.

Group specific units will be provided for patients with historical group. This will be cross matched retrospectively. Group specific and retrospective cross matching is a better product for the patient.

Decision to use must be based on clinical need as it is not risk free. The responsibility rests with the clinician transfusing it.

Ensure a blood sample has been sent to the blood transfusion laboratory for grouping and cross matching before transfusing the O negative.

Let the laboratory know you are using it so it can be replaced.

Urgent
(15 mins - 1 hours)

Patients who are eligible for electronic issue can have blood provided in 10 minutes.

For patients who have antibodies or modified groups due to bone marrow transplant fully cross matched blood can be provided in around 45 mins if required. This relies on a valid sample being immediately sent to the blood transfusion laboratory and typed donation unit being on site.

Do not use this system for patients with chronic bleeds or chronic anaemia.

 

Page last updated: 04 February 2016