1
Q
Transfusion
A
Immediate patient safety
TP to report SHOT/MHRA
RCA using human factors tool
New SOP
2
Q
Haemostasis - Anticoag
A
Renal function
Platelets
Duration
3
Q
Acute haemophilia
A
On demand factor
Pre- and post- factor level + BU
Analgesia
Ice, compression, elevation, rest
Imaging
Early bleed 20/kg
Extensive bleed 30/kg (60/kg F9)
Surgery 50/kg
Refacto/advate
4
Q
Pregnant bleeding disorder
A
Think:
Pregnancy
Labour
Delivery
3rd stage
Aftercare
Cord blood
Baby follow up
5
Q
Obstetric haemostasis
A
Manage in specialist centre with MDT inc haem, obs, paeds, cardio etc
Documented plan
Pregnancy management
Birth management
Post natal
Baby
