Course Information

The Bloody Easy Lite eLearning program consists of 2 modules – Indications for Blood Transfusion and Transfusion Reactions. The content is based upon the Bloody Easy 5.1 handbook.

Each module contains assessment questions which are to be completed upon review of the content. The passing grade for the assessment is 80% and the assessment can be retaken if the user does not achieve 80%. 

The program is available in 2 different formats:

1. On the ORBCoN Learning Management System (LMS)
2. In SCORM compliant files that can be uploaded to a facility’s LMS

Accreditation

The Bloody Easy Lite modules has been accredited by University of Toronto for College of Family Physicians of Canada Mainpro+ (1 credit/hour) Self-Learning: 2.0 credits and Royal College Maintenance of Certification Section 1: 2.0 hours.

FAQ

Q&A

Got a question buzzing in your mind? Simply ask away, and our team will get back to you as soon as possible. Let’s dive into the conversation and explore together!

Attachment(s)

This handbook is a comprehensive, referenced resource for transfusionists (regulated health care professionals administering blood). It provides an overview of blood basics and blood components and products with essential learnings and actions to ensure blood is administered safely (reflecting Canadian Transfusion Medicine Standards and current literature).

Table of Content

1. Blood Basics
   • Blood Production
   • Blood Group Systems
   • ABO Blood Group System
   • ABO Compatibility
   • Rh(D) Blood Group System
   • Rh(D) Compatibility
   • Rh(D) Blood Group System and Pregnancy
   • Urgent Transfusion (Bleeding Patient)
   • ABO and Rh(D) Blood Groups Summary
   • Blood Components – RBC, Platelets, Plasma, Cryoprecipitate
   • Blood Products – Albumin, Fibrinogen Concentrate, Immunoglobulin: Intravenous Immunoglobulin,
   • Immunoglobulin: Subcutaneous Immunoglobulin, Prothrombin Complex Concentrate,
   • Rh(D) Immune Globulin
   • Blood Components and Blood Products Summary
2. Pre-Transfusion:
   • Informed Consent
   • Transfusion Order
   • Group and Screen Testing:
     • Test Information
     • Uncrossmatched Blood
     • Transfusing RBC to Females age 45 years and under with Childbearing Potential
     • Collecting the Sample
   • Preparing for Transfusion:
     • The Patient
     • The Equipment
       • IV Access
       • IV Fluid/IV Medication
       • Tubing/Filter
       • Devices: Infusion Pumps, Warmers, Rapid Infusers
     • Picking up blood from Blood Bank/TML: Information/Documentation
     • Handling of Blood Components Outside of Blood Bank/TML
3. Administering Transfusion:
   • Checking Blood Components (RBC, Platelets, Plasma, Cryoprecipitate): Steps 1 to 4
   • Checking Blood Products (Plasma Protein Products): Steps 1 to 3
   • Blood Products Requiring Reconstitution
   • Beginning and Monitoring Transfusion:
     • Patient Education
     • Baseline Patient Assessment and Vital Signs
     • Spiking the Blood Component/Blood Product
     • Initial Rate of Infusion
     • Ongoing Patient Assessment and Vital Signs
   • Completing Transfusion
   • Documenting Transfusion
   • Massive Hemorrhage Protocol (MHP): the Bleeding, Unstable Patient
4. Transfusion Reactions: Potential Complications of Transfusion
   • Background
   • Why Report?
   • Acute Transfusion Reactions
     • Signs and symptoms
     • Immediate actions
     • Key Signs and Symptoms and their Management
       • FEVER
       • URTICARIA (Hives)
       • DYSPNEA
       • HYPOTENSION
   • Delayed Transfusion Reactions: Manifestation, Treatment, Prevention
5. Summary: Transfusionist’s Accountability: Transfusion Checklist
6. Appendices
   • Appendix 1: Glossary of Terms/Abbreviations
   • Appendix 2: ABO and Rh(D) Compatibility Chart
   • Appendix 3: Practice your Learning: Blood Group Compatibility
   • Appendix 4: Blood Components and Blood Products Table
   • Appendix 5: Transfusion Risk Charts
   • Appendix 6: Canadian Blood Services Label
   • Appendix 7: Massive Hemorrhage Protocol (MHP): 7Ts Summary
   • Appendix 8: TTISS-ON Acute Transfusion Reaction Chart
   • Appendix 9: Practice your Learning: Acute Transfusion Reactions
   • Appendix 10: Transfusion Checklist
7. References

Attachment(s)

The flipbook format can be viewed on any desktop computer, smartphone, or tablet. It features a linkable table of contents and search functionality enabling users to find information quickly and easily.

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Provincial Recommendation Statements, Revised October 2021

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A 2018 national survey to gather information pertaining to perinatal testing and Rh Immune Globulin (RhIG)

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This electronic learning tool provides transfusionists (regulated health care professionals administering blood) information and activities for training about safe transfusion / blood administration.  Successful completion of the accompanying assessment quiz documents competency as required by Canadian Transfusion Medicine Standards. The content aligns with BEBA Handbook and reflects evidence informed best practice.

NOTE: If you are looking to complete the Bloody Easy Blood Administration eLearning, please reach out to the site administrator at your facility. If you are a site administrator and need access to the new LMS, or do not know who your site administrator is, please reach out to Troy Thompson at troy.thompson@sunnybrook.ca.

Attachment(s)

Massive Hemorrhage Protocol activation in a community hospital setting. Dr. Kimmo Murto, Children’s Hospital of Eastern Ontario, Ottawa

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Massive Hemorrhage Protocol activation in an academic hospital setting

Dr. Jordan Tarshis, Sunnybrook Health Sciences Centre, Toronto

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Massive Hemorrhage Protocol activation in an academic hospital setting

Dr. Andrew Petrosoniak, St. Michael’s Hospital, Toronto

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This slide deck was created to be used by hospitals to present (at TC/MAC/Grand Rounds etc.) elements of the provincial MHP and explains how it can be adapted for your hospital.

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