P08 Role of a National Cell Salvage Co‐ordinator

Abstract

Background Management of the supply of allogeneic red cells is an important issue in the UK due to the unquantifiable risk of transmission of vCJD( Llewellyn CA et al.Lancet. 2004; 363: 417–421) The Health Circular, Better Blood Transfusion ‐ The Appropriate use of Blood, instructed hospitals to address the ‘appropriate use of autologous transfusion’. Historically various methods of cell salvage have been used sporadically, driven only by the occasional enthusiastic clinician. Increased awareness of potential threats to the blood supply as well as the benefit for patients of autologous blood, have prompted a more focused approach to cell salvage development. In Wales this has been addressed by the establishment of a structured programme under the direction of a dedicated cell salvage co‐ordinator.Approach Initial discussions with trusts highlighted common themes and the following needs were identified: (i) Practical information on how to set up a cell salvage programme; (ii) Training; and (iii) National data to support appropriate use of cell salvageA ‘toolkit’ was developed and subsequently a coordinator appointed to take forward the initiative. A strategy was developed following a review of current practice.• Establish a plan of action within each Trust• Undertake training of key personnel and raise awareness of all staff• Develop and facilitate competency assessments for all trainees and existing staff• Produce National policies, protocols and SOP's to promote standard practice• Establish a National databaseConclusion 1. All hospitals in Wales now undertake cell salvage and there is increasing use in Obstetrics following the published NICE guidelines2. A National database is being established3. Training package, including a resource folder for staff available for use4. National policies under development.