best practice 2019

Transcript

1. BEST PRACTICE 2019
2. BEST PRACTICE 2019
3. • Only 27% nurses surveyed reported previous Blood conservation education (Jones, 2019). BEST PRACTICE 2019
4. 0 1 2 3 4 5 6 IAL discard mls CVC discard mls RCH Westmea d WA TSCN DISCARD VOLUMES:
5. returned RCH neonate westmead NICU TSCHN not retruned westmead rch tschn wa CVC DISCARD RETURN:
6. IAL Discard return: RCH NICU WEST WA TSCHN Return discard blood: yes yes yes yes no
7. RCH PICU Westmead WA NICU Mls recommend for ABG. no yes yes no Specified mls for Arterial blood gas.
8. Current recommendations from NBA Policy Bundled testing Reinfusing discard Closed system Small volume tubes Frequent evaluation of orders States to collect exact amount. RCH PICU: no yes yes no yes no no
9. • What are the characteristics of your blood sampling practice? BEST PRACTICE 2019
10. • Jones, S., Spangler, P., Keiser, M.S., & Turkelson, C.L. (2019). Impact of Nursing Education on Phlebotomy Blood Loss and Hospital-Acquired Anemia: A Quality Improvement Project. Dimensions of critical care nursing : DCCN, 38 (1), 13-19. DOI:10.1097/DCC.0000000000000333. • Ullman, A, Keogh, S, Coyer, F, Long, D, New, K and Rickard, C. (2016). True blood The critical care story: An Audit of blood sampling practice across three adult, paediatric and neonatal intensive care settings. Australian critical care, 29(2), 90-95. DOI: https://doi.org/10.1016/j.aucc.2015.06.002 • Watts, S, Dhanani, J, Keogh, S, Doubrovsky, A and Coyer, F. (2019). Intensive care point of care testing for arterial blood gas analyses: a prospective observational study, University of Queensland. References: