TRANSFUSION CLINICAL PRACTICE MANUAL

Abbreviations / Glossary of Terms Page 1 of 3

Abbreviations

0.9% Sodium Chloride () 0.9% NaCl Acute Respiratory Distress Syndrome ARDS Clinical Practice Manual BTCPM Canadian Blood Services CBS CRYO Plasma CSP Cytomegalovirus CMV Date of Birth DOB Emergency Department ED Frozen Plasma FP Hematopoietic (Bone Marrow / Peripheral) Stem Cell Transplant HSCT Hb Human Leukocyte HLA Intramuscular IM Intravenous IV Intravenous Immune Globulin IVIG Lactate Dehydrogenase LD London Health Sciences Centre LHSC London Regional Cancer Program LRCP Operating Room OR PRBC Pathology and Laboratory Medicine PaLM Personal Identification Number (Hospital Number) PIN PLTs Rh Immune Globulin RhIg Special Access Program SAP St Joseph’s Health Care SJHC Substitute Decision Maker SDM TM Turn Around Time TAT

Date effective: Jan 2005 Date revised: September 2017 This is a controlled document. Any copies appearing in paper form must be checked against the electronic version prior to use. This resource has been created specifically for LHSC/SJHC and may not be applicable for other centres. These documents are the intellectual property of LHSC/SJHC. They are not to be shared or duplicated without permission BLOOD TRANSFUSION CLINICAL PRACTICE MANUAL

Abbreviations / Glossary of Terms Page 2 of 3

Glossary of Terms

Alloimunization: The process of forming an alloantibody, which is an formed in response to pregnancy, transfusion, or transplantation and targeted against an antigen that is not present on the person’s red blood cells.

Armband or Identification Band: The identification band on the patient is an armband. It includes at minimum the surname, first name, PIN and date of birth of the patient.

Course of Transfusions or Transfusion Event: A series or sequence of transfusions administered to a person over a period of time for a particular health problem (See Consent to Treatment Policy for additional information).

Crossmatch: PRBC units are matched to and reserved for a specific patient. Crossmatching is performed in TM when transfusion of PRBC is ordered. An indate group and screen sample test result is required to crossmatch PRBC. If patient is scheduled for a procedure where PRBC transfusion may be required, a Group and Screen should be ordered.

Current Hospital Admission: The current admission period is the time from admission to discharge, but also includes up to a two month period from the time of preadmission testing up to the current admission.

Dispense or Issue: These terms are used inter changeably and refer to release of a from TM by the Technologist.

Group and Screen (also known as Group and Hold, Group and Reserve): Patient’s blood sample is grouped (ABO and Rh) and screened for . An indate group and screen sample test result can be used to crossmatched PRBC, when/if required.

Indate: Refers to a Group and Screen sample that is current and can be used to crossmatch (time frame from testing is acceptable to crossmatch).

Label or Tag: The identification on the blood product that indicates the name/PIN of the patient for which the unit is designated. In this manual, these terms are used interchangeably.

Neonate: An infant less than 4 months of age.

Outdate: Every Group and Screen sample is assigned an outdate. After this date, a new sample is required for crossmatching.

Pediatric: A child less than 18 years of age.

Phlebotomist:

Date effective: Jan 2005 Date revised: September 2017 This is a controlled document. Any copies appearing in paper form must be checked against the electronic version prior to use. This resource has been created specifically for LHSC/SJHC and may not be applicable for other centres. These documents are the intellectual property of LHSC/SJHC. They are not to be shared or duplicated without permission BLOOD TRANSFUSION CLINICAL PRACTICE MANUAL

Abbreviations / Glossary of Terms Page 3 of 3

Health care provider collecting the sample of blood for laboratory tests. This may be an RN, MD or health care provider trained in phlebotomy. The phlebotomist is responsible for checking the identification of the patient and comparing the armband to the Power Chart labels ensuring that they are correct, complete and identical. TRAC Transfusion ReAction Course for Reporting Adverse Effects of Transfusion (link)

Transfusionist The regulated health care provider administering a transfusion (Physician, Nurse Practitioner, Anesthesia Assistant, Nurse {RN, RPN}, Perfusionist, or Registered Respiratory Therapist)

Unequivocal identification of the patient Unmistakable identification, using unique patient identifiers PIN and surname and first name.

Date effective: Jan 2005 Date revised: September 2017 This is a controlled document. Any copies appearing in paper form must be checked against the electronic version prior to use. This resource has been created specifically for LHSC/SJHC and may not be applicable for other centres. These documents are the intellectual property of LHSC/SJHC. They are not to be shared or duplicated without permission