Unique Plan Description: Massive Blood Transfusion Protocol [EBM]
Plan Selection Display: Massive Blood Transfusion Protocol [EBM]
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2021-02-06 20:34:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-05-25 13:50:01
Available at all facilities: No

Massive Blood Transfusion Protocol [EBM]
Laboratory
	Emergency Release RBC
		T;N, Stat, 4, 4, spec type = No Collection
	Type and Screen (No Product on hold)
		T;N, Stat, spec type = Blood
	.Crossmatch electronic
		T;N, Stat, STAT-Massive Txn, 4, No Requirements, 4, Emergency Release
	Frozen Plasma
		T;N, Stat, 4, 4, STAT-Massive Txn, No Requirements, Emergency Release
	Platelet Pheresis
		T;N, Stat, 2, 2, STAT-Massive Txn, No Requirements, Emergency Release
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
		T;N+30, Timed, Q30MIN, 4, hr, spec type = Blood
		DIC profile to be done Stat includes the orders below for: CBC with Diff, Prothrombin Time, Partial Thromboplastin Time, Fibrinogen Level, D-Dimer, and Peripheral Smear(NOTE)*
	CBC with Diff
		T;N, Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	Fibrinogen Level - FH
		T;N, Stat, spec type = Blood
	D-Dimer Level - FH
		T;N, Stat, spec type = Blood
	Peripheral Smear Consult
		T;N, Stat, Blood, Stat
		DIC profile to be done in 2 hours includes the orders below for: CBC with Diff, Prothrombin Time, Partial Thromboplastin Time, Fibrinogen Level, D-Dimer, and Peripheral Smear(NOTE)*
	CBC with Diff
		T;N+120, Timed, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N+120, Timed, spec type = Diagnostic Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N+120, Timed, spec type = Diagnostic Blood
	Fibrinogen Level - FH
		T;N+120, Timed, spec type = Blood
	D-Dimer Level - FH
		T;N+120, Timed, spec type = Blood
	Peripheral Smear Consult
		T;N+120, Timed, Blood, Routine
		DIC profile to be done in 4 hours includes the orders below for: CBC with Diff, Prothrombin Time, Partial Thromboplastin Time, Fibrinogen Level, D-Dimer, and Peripheral Smear(NOTE)*
	CBC with Diff
		T;N+240, Timed, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N+240, Timed, spec type = Diagnostic Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N+240, Timed, spec type = Diagnostic Blood
	Fibrinogen Level - FH
		T;N+240, Timed, spec type = Blood
	D-Dimer Level - FH
		T;N+240, Timed, spec type = Blood
	Peripheral Smear Consult
		T;N+240, Timed, Blood, Routine
IV Solutions
	Sodium Chloride 0.9%
		500 mL, IV, Routine, T;N, 1 Dose(s)/Time(s), T+1;N
			Comment: To Run w/ Blood
Medications
	calcium chloride IVPB
		1,000 mg, INT, IVPB, Once, PRN for see comment, 200 ml/hr
			Comment: Give after the 4th unit of blood. Send to Bedside
Patient Care
	Cardiac Telemetry Monitoring
		
	Intake and Output
		
Therapies
	Continuous Pulse Oximetry Monitoring Check

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase