It has to be said that I get rather
frustrated with the BTLP-TACT
simulator. It could be such a good thing but it is most definitely a work
in progress on which all work seems to have stopped. As was illustrated today.
But I had a go… It gave me one case – a nineteen
year old woman with factor VIII deficiency needing cryoprecipitate tomorrow.
She grouped as O Rh(D) Positive with a
negative antibody screen.
But section 5.5.3 of the
latest guidelines says “For patients with hemophilia, cryoprecipitate is
not recommended due to concerns about the safety and quality… The use of
cryoprecipitate can only be justified in situations where clotting factor
concentrates are not available as there is no proven advantage for their use
over CFCs. It is strongly encouraged that viral-inactivation procedures be
used, if available”.
So bearing in mind the stuff wasn’t
needed until tomorrow I didn’t issue cryoprecipitate. Plenty of time to get the
proper stuff.
But how was I supposed to put this onto
the exercise? I chose not to select the issue at all as I’ve not seen any
option to cancel it once requested. In reality we would have a conversation
with the requestor.
It would seem not requesting the stuff
was the right option as I got the green light.
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