Background: The Massive Transfusion Protocol refers to the administration of a large number of blood products quickly to an actively bleeding patient. Failure to adhere to the protocol leads to inap..
Background: The Massive Transfusion Protocol refers to the administration of a large number of blood products quickly to an actively bleeding patient. Failure to adhere to the protocol leads to inappropriate patient care and wasted blood products. As many as two to four cases per month may occur at the hospital, a Level 2 Trauma Center. Audits identified care and documentation inconsistent with the protocol and inappropriate protocol activation. Purpose: To use a professional development activities to improve nurses and provider knowledge, skills, and documentation of the administration of massive transfusion per protocol. Method: A multidisciplinary team met to discuss best practices surrounding the massive transfusion protocol. While this protocol is most often used in Critical Care and the Emergency Department, nurses from the inpatient nursing units may assist when needed and must be familiar with the process. Multiple educational strategies were used including protocol checklist, a job-aid, a quiz, and a simulation session with hands-on education and debrief by the simulation specialist. Nurses and providers were invited to participate in the simulation focused on one full cycle of the protocol. Findings: Trained participants reported that the educational tools and simulation course increased their knowledge, skills, and confidence and provided them space to openly ask questions and practice using the massive transfusion protocol toolkit. Nursing staff provided anecdotal reports described that in practice, the protocol was being activated earlier after training. Audits to determine if the intervention improved practice is in progress. Implications for Practice: The Massive Transfusion Protocol toolkits and simulation intervention was designed to address identified deficits in care. The simulation provided the multidisciplinary staff with the opportunity to apply education, practice teamwork, and reflect on learning. Audits will inform future program refinements.
Peterburs J, Anderson T. Using simulation to enhance staff skills in massive transfusion. Professional Development poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impac..
Peterburs J, Anderson T. Using simulation to enhance staff skills in massive transfusion. Professional Development poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.