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Transfusions in the Community

This article discusses the risks and rejection rates associated with ABO mismatch transfusions and mislabelled samples in community settings. It also explores the costs, challenges, and implications of conducting transfusions in the community, and the potential future of administering chemotherapy in general practices.

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Transfusions in the Community

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  1. Transfusions in the Community Immy Llewellyn Moretonhampstead Hospital Transfusion Committee Haem/Onc C2C

  2. Right Patient Right Blood • Why Oh Why? • What is the risk of giving an ABO mismatch transfusion? • What is the rejection rate of mislabelled samples?

  3. Blood Bank Rejection Rates • GP surgeries 2.8% • Community Hospital 2.5% • Obs/Gynae 0.8% • Medicine 13.2%

  4. The Future ? 2 Samples

  5. Day case transfusions • 2009/10 PCT data • Mid Devon patients ~ 500/yr • Community Hospitals~ 61 • (~70 last 6mths other sources)

  6. Costs • 1 Unit RBC £124.85 • Day Case Transfusion Tariff £489

  7. Day cases • Bisphosphonates • Iron • Venesection • Immunoglobulins • Methylpred • magnesium

  8. Community transfusions issues • Travel • Time • Cost • Skills • Bed vs. Chair • Staffing • Community hospital activity

  9. The future Chemotherapy in General Practices?

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