Updated Blood Order Set Simplifies Process, Helps Meet Transfusion Goals

A new blood order set will go live on Sept. 10, 2019. The new format will simplify the ordering process and incorporate current transfusion recommendations into the decision algorithm.

Several changes are important to note. Blood orders will no longer be embedded in other order sets. In their place will be an electronic link to the new blood order set. A systemwide educational process is in effect to help achieve a smooth transition to the new ordering process. While placing an order, the maximum number of units per order will be limited to five (5) units for red blood cells (RBCs) and two (2) units for platelets. Both RBC and platelet orders will default to one (1) unit.

Ordering clinicians will be required to answer “Why are we transfusing?” by choosing the corresponding response from Premier Health’s transfusion guidelines. The guidelines will be displayed in a drop down box to assist in this decision. For patients at risk of fluid overload, an option to slow the transfusion rate to 100 ml/hour after the first 15 minutes will be available for RBCs, platelets, and plasma. A transfusion summary report that includes the current type and screen status, relevant labs, blood type, special blood requirements (i.e. irradiated, etc.), and transfusion history will be displayed on the left when the prepare order is opened. Finally, no changes will be made to neonatal, massive transfusions, or uncrossmatched emergency release blood orders.

If you have any questions or difficulty with implementation, please reach out to Barb Steel, MD, at bsteel@premierhealth.com.

Back to the August 2019 issue of Premier Pulse