How Transfusionist Talks Enhance our Practice, a Nursing Perspective from Woodstock Hospital
Written by:
Keescha Wherry, Clinical Educator, RN Ellen Wiley, Clinical Educator, RN
Transfusing blood and blood products can be a daunting task for a novice practitioner. This is a complex and high-risk process that is life saving and life enhancing; but conversely can lead to negative outcomes. The team must ensure there is a clear evidence-based rationale for any transfusion, and the product is prepared, tested, and dispensed following stringent guidelines. Then the patient can be transfused in a manner based on protocol to enhance patient safety.
In 2021 we created our own training modules for our nursing staff. We recognized the importance of refreshing knowledge and sharing updates in practice. We created a module to complete upon hire, and a short annual refresher which is reviewed and launched yearly. In preparation, we began attending Transfusionists Talks to ensure our knowledge was accurate. We also focused on the physician group- training in a conservative approach to align with best practice.
We see first-hand the critical role blood products play in patient health. In 2022 we launched our hospital-wide Code Transfusion Policy. Not long after launch we experienced our first need for a massive transfusion protocol- an obstetrical postpartum haemorrhage (PPH). PPH remains one of the leading causes of morbidity and mortality (Robinson et al., 2022) in maternity care, and the timely administration of blood products can mean the difference between life and death. Our Code Transfusion policy standardized our rapid response to massive haemorrhage, including obstetrical haemorrhage. This standardization ensures clear communication, collaboration, and response, which in turn improves confidence and clarity.
In 2025, our team proudly attained the “Choosing Blood Wisely” designation: an achievement that reflects our strong commitment to clinically validated transfusion practices. A key component of this process has been the use of Transfusionists Talks, including participation by laboratory staff, front-line nursing staff, staff development, and physicians. The Transfusionists Talks were instrumental in the development of our practical and research-driven protocols: including blood management principles and strategies to ensure minimal blood exposure while maximizing access when the acuity of the situation demands it.
Transfusionists Talks also helped bridge the divide between disciplines: physicians, nurses, and laboratory staff were all given the same messaging. This improved practices, documentation, processes, and heightened awareness of blood stewardship. Transfusionist Talks reinforced that transfusion is not just a clinical act, but a decision with long-term implications.
Achieving the “Choosing Blood Wisely” designation is more than just a badge of honour: it is a testament to our institution’s commitment to continued improvement, and a conscientious effort to enhance patient safety, optimize resources, and cement our cohesiveness.
Our journey demonstrates that education, collaboration, and evidence-based protocols are powerful tools for change. As we look ahead, we remain committed to an evidence-based approach to blood management throughout the organization.
Reference:
Robinson, Debbie, Basso, M., Chan, C., Duckitt, K., & Lett, R. (2022). Guideline no. 431: Postpartum hemorrhage and hemorrhagic shock. Journal of Obstetrics and
Gynaecology Canada, 44(12),1293–1310. https://doi.org/10.1016/j.jogc.2022.10.002