Activation Criteria
One of the ABC score criteria is a SBP below this value.
What is 90mmHg?
The hospital operator number used to activate an MTP.
What is *55?
Cooler #1 contains this many PRBCs and plasma units.
What are 4 PRBCs and 4 plasma?
The recommended dose of Tranexamic Acid (TXA) during MTP.
What is 2 grams IV?
Every blood product must be verified by this many licensed staff.
What are 2 nurses (or one RN and one provider)?
These staff members are responsible for ensuring unused blood products are returned promptly after MTP ends.
Who are the nursing or ancillary staff?
A patient meets the ABC score to trigger an MTP activation when they have at least this many criteria.
What is 2 criteria?
The overhead page should say this.
What is "activate MTP to room ___?
Cooler #2 adds this blood product.
What are platelets?
This electrolyte should be monitored and considered after every three units of PRBCs.
What is calcium?
Unused blood products should be returned here immediately after MTP termination.
What is the Blood Bank?
This department must be notified when the MTP has been terminated.
Who is Blood Bank?
This bedside ultrasound finding is one of the ABC score activation criteria.
What is a positive FAST exam?
This electronic health record requires that an MTP order be placed after activation.
What is Epic?
The target plasma-to-PRBC ratio.
What is 1:1?
This laboratory value should be less than 2.5 as one of the physiologic endpoints for terminating the MTP.
What is lactate?
This documentation record requires two signatures.
What is the Emergency Transfusion Signature Record?
This physiologic condition should be aggressively prevented throughout massive transfusion.
What is hypothermia?
Heart rate greater than this value is an activation criterion.
What is 120 beats per minute?
Anyone can do this if MTP criteria are met.
What is activate the Massive Transfusion Protocol?
Blood products should remain here until they are ready to be transfused.
What is the blood cooler?
For a trauma, crystalloids should be limited to what volume?
What is 1 liter?
The attending physician must sign this form.
What is the Emergency Blood Release Form?
TRUE or FALSE:
Once the surgeon reports hemorrhage control, the nurse may independently terminate the Massive Transfusion Protocol.
What is FALSE?
Besides trauma, active bleeding, and postpartum hemorrhage, this condition alone may trigger an MTP.
What is persistent hemodynamic instability?
This department should also be called after dialing *55.
Who is the Blood Bank?
These blood products cannot be infused through the Belmont rapid infuser.
What are platelets and cryoprecipitate?
After MTP activation, these laboratory specimens should be collected as soon as possible.
What are the initial MTP labs (CBC, BMP, PT/PTT/INR, Lactate, Type & Cross, Ionized Calcium, ABG/VBG)?
The Primary RN is responsible for ensuring this lifesaving equipment is in the room and primed?
What is the Belmont rapid infuser?
These four criteria may indicate the patient is ready for MTP termination.
What are:
-Primary hemorrhage control achieved
- SBP > 90 mmHg
- HR < 120 bpm
- Lactate < 2.5 mmol/L (and/or coagulation parameters corrected)?