Research Week Abstract Book - Northern Health

Haematology
HaematOLOGY
THE IMPlemenTATION OF A NURSE-leD TRANSFUSION SUPPorT ProGRAM IN
THE Day ONCOLOGY UNIT.
Gwynne M, Hayes L, Probst K,
Northern Health, Cancer Services, Epping, VIC, Australia
Background:
As the haematology service at Northern Health expands so has the demand on haematology supportive therapy for non
malignant and malignant haematological conditions.
Frequent blood transfusion coordination can be complicated and at times confusing for patients. The implementation of a
structured program was required to enable the patient to become involved in their transfusion needs.
Aim:
To effectively manage the increasing volume of patients requiring transfusion support at Northern Health, through the use of
CHARM.
Method:
Data collection was performed over a three year period of the number of blood transfusions administered in Day Oncology
over 2 campuses. (TNH & CHS)
Literature review was conducted and current practices from external sources were explored.
Results:
The data collection revealed a 45% increase in blood transfusion administration from 2010 – 2012.
CHARM was utilized by haematologist to create transfusion pathways with indicated parameters for transfusion. This allowed
nursing staff to monitor transfusion frequency and organize blood test, transport and assess supportive care needs in
advance. A data base was created to maintain a record of patient’s requirements.
A Transfusion Support Program Nursing Documentation Tool was developed to record information in scanned medical
records.
Conclusion:
Implementation of a Transfusion Support program has enabled effective management of patient’s care improving quality of
life and decreased hospital overnight admissions. Further evaluations will be performed as the program expands. Currently
15 patients are monitored through the program for their transfusion needs.
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