Page 48 - JSOM Spring 2024

FIGURE S2 Ukrainian emergency fresh whole blood transfusion (EFWBT) assessment rubric.

Operation Gunpowder Blood Transfusion Assessment

Student name: Group/Platoon: Evaluator name: Date:

Skills Assessment Checklist for Emergency Fresh Whole Blood Transfusion
C = critical failure worth 2 points, each other step worth 1 point
1. Donor Collection. Evaluator starts time: (MM:SS) C P F
a. Student verbalizes activation of the walking blood bank and states ALL indications for initiating
blood transfusion:
• Penetrating trauma to chest abdomen, or junctional areas
• Any above the knee amputation or multiple amputations
• Suspected pelvic fracture
• Any uncontrolled non-compressible hemorrhage
S/S of hemorrhagic shock:
• HR >100bpm
• SysBp <90mmHg
• Altered mental status in the absence of head injury
Activates walking blood bank:
• States that they are going to activate the walking blood bank and collect a unit of blood from
their low titer O donor
b. Blood collection bag inspected and labeled properly
• Collection bag inspected for expiration date, sodium citrate solution, rips or tears, infiltrates
• Needle inspected: not broken or bent
• Donor ID number and date/time clearly labeled
• Correct blood type and Rh factor circled
• Donor initials on label
• Collection start and finish time documented
• Collectors name
c. Student verbalizes venipuncture with and demonstrates aseptic technique C
• Tourniquet placed appropriately at least 3–4" above collection site
• Cleans 2–3 inch around site with Chlora prep for30s, allows to dry for 30s
d. Correct use of collection equipment
• Pre-placement of 2 loose knots in line
• Hemostats clamped 1–2" below collection needle, released AFTER vascular access is gained
e. Satisfactory Donor Care & Safety C
• Donor placed in a seated position
• Positive control of needle maintained OR line secured with tape
f. Agitate blood bag q2 minutes (once student appropriately demonstrates one agitation, instructor will
prompt “Your bag appears to be full.”
g. Appropriately discontinue collection
• Clamp line with hemostats
• Knots tied tight
• Verbalize direct pressure with gauze on venipuncture site
• Collection tubing secured with hemostats
h. Hangbag
*at this point the “dry” collection bag is switched for the simulated blood bag
(continues)

46 | JSOM Volume 23, Edition 1 / Spring 2024