MTP
What equipment do you need to prepare for a MTP?
What is
Belmont Rapid Infuser (Fluid Warmer)
Pressure Bag
Blood products
What are the two forms that are required with each MTP pack in order to pick-up blood products?
What is
Blood Bank Product Slip
Laboratory Requisition for Transfusion Services Form
A "MTP pack" consist of
What is
4 PRBCs, 4 FFP, 1 platelet (4:4:1)
We record the following prior to each unit given in MTP?
What is
Temperature & Vital Signs
Universal donor type for RBCs?
What is
Group O?
Who can initiate MTP?
What is
Surgeons
ER Physicians
OB Physicians
ICU Physicians
HBS
What are the documents taken to blood bank at the start of MTP activation?
What is
Blood Product Pick-up Slip
Lab Requisition for Transfusion Services
Emergency release of donor blood form
True or False: Blood Bank must be notified in-person by an activating physician only?
What is
False.
According to the policy, blood bank can be notified via telephone or in-person by an activating physician or a nurse responding to a physician verbal order.
Under what flowsheet can MTP be charted?
What is
BPAM
Universal donor type for plasma?
What is Group AB?
How many liters or units of blood products need to be rapidly transfused within 24-hours to meet MTP's goal?
What is
5 liters or 10 units?
What are the responsibilities of a Lab MTP Coordinator?
Name at least 3.
What is
Knowing pt's name
location
Name of activating MD
Unit Call-Back
How long does FFP require to thaw?
What is
30 minutes
When charting in KPHC, what is the main difference between MTP documentation versus a standard BPAM?
What is
In MTP, blood products do not have to be scanned
How many seconds can a blood cell travel through the entire body?
What is
Less than 30 seconds
True or False: All patients that are actively bleeding is an MTP candidate.
What is
False.
See Criteria for MTP activation.
What are the responsibilities of a Clinical MTP Coordinator?
Name at least 3.
What is
Know pt's location
Bleeding status
Orders
Need for ongoing blood support
Inquiries regarding deactivation of MTP
What are the three main roles during a MTP?
What is
Lab MTP coordinator
Clinical MTP Coordinator
Courier for blood products pick-up
What information should be documented from each unit of blood product?
What is
Unit Number
Second Verifier
# of units given
Volume amount in unit
What blood products contains mineral salts, sugars, fats, hormones, and vitamins?
What is
Plasma
What are the three MTP criteria?
Provide at least two.
What is
Bleeding patients who have replaced at least 1 blood volume in a 12-hour interval
Bleeding patients who have lost 3-4 units of blood in a 1–2-hour interval
Bleeding patient who has apparent hemorrhage from an uncontrolled source
What MTP form is only required at the start of the MTP activation?
Emergency release of donor blood form
Per policy, what labels should be included on the MTP forms?
What is
Patient's name
MRN
MTP in large letters
Besides the information from each unit of blood product, what other additional charting should be documented under the manual blood product entry on the flowsheet?
What is
Total normal saline given
Reaction (if any)
What is a rare but fatal complication of blood transfusion where T lymphocytes from the transfused blood attacks the recipient's tissues (bone marrow, skin, & GI tract)
What is
Transfusion-associated graft-versus-host disease