Single unit blood transfusions
Working to implement a single use policy
In 2018 we ran a number of projects with the hospitals below, which developed resources which may help other hospitals to implement a single use policy.
This follows our 2014 pilot project with Kings College Hospital, to introduce a single unit transfusion policy for non-bleeding medical patients in an acute medical unit which resulted in a 40 - 45% reduction in red cell use over a 6 month period.
Royal Derby Hospital
North Bristol Hospital
South Warwickshire Foundation Trust
Salford Royal Hospital
NHSBT PBM flyer
The Patient Blood Management (PBM) recommendations endorsed by NHS England state (2014):
'Transfuse one dose of blood component at a time e.g. one unit of red cells or platelets in non-bleeding patients and reassess the patient clinically and with a further blood count to determine if further transfusion is needed.'
Single unit transfusion applies to stable, normovolaemic adult in-patients who do not have evidence of clinically significant bleeding.
If you would like more information, please contact your Patient Blood Management Practitioner.