Patient Blood Management (BPM)

What is PBM?  PBM “… improves patient outcomes by improving the patient’s medical and surgical management in ways that boost and conserve the patient’s own blood.

As a consequence of better management, patients usually require fewer transfusions of donated blood components thus avoiding transfusion-associated complications.

The National Blood Authority (NBA) is funding and managing the development of evidence-based, Patient Blood Management Guidelines.

A multidisciplinary team determines, with the patient, the specific management plan, which makes every reasonable endeavour to optimise the patient’s own blood volume, minimise blood loss, and optimise the patient’s physiological tolerance of anaemia.” (National Blood Authority, http://www.blood.gov.au/patient-blood-management-pbm).

Pillars of PBM:

1st Pillar - Optimisation of blood volume and red cell mass

2nd Pillar - Minimise bleeding and blood loss

3rd Pillar - Optimisation of the patient's tolerance of anaemia

NBA Patient Blood Management Guidelines

Module 1 Critical Bleeding/Massive Transfusion

Module 2 Perioperative

Module 3 Medical

Module 4 Critical Care

Module 5 Obstetrics and Maternity

Module 6 Paediatrics/Neonates

The NBA has many programs in place to help promote safe and appropriate use of blood and blood products. One of these is the National blood and blood product wastage reduction strategy 2013-2017 has been developed to reduce unnecessary wastage of blood and blood products. A part of this strategy involves displaying the Cost of blood products on fresh blood product labels.

RCH Patient Blood Management Guidelines 

Patient blood management in the surgical setting guideline (State wide guideline)

Anaemia guideline (State wide guideline)

Iron deficiency guideline (State wide guideline)

Guidelines

Guidelines for the Administration of Blood Products, 3rd Edition, January 2018. Australian and New Zealand Society of Blood Transfusion and Royal College of Nursing Australia.

Links

Australian Red Cross Blood Service

Australian and New Zealand Society of Blood Transfusion

Blood Matters Program

BloodSafe eLearning Australia

Commonwealth Serum Laboratories (CSL)

International Society of Blood Transfusion (ISBT)

National Blood Authority (NBA)

Serious Hazards of Transfusion (SHOT)