Evidence-Based Clinical Care

Coagulation Disorders DRG

MS DRG 813

Deliverables

Non-tunneled Central Venous Catheter

Removal Algorithm

Order Sets

Order Sets / Power Plans

Order Sets (Down Time Forms) Status Cerner Power Plan

SO-0031 EBCC Transfusion and Ordering

of Blood Products Updated

EBCC MED Transfusion and Ordering of

Blood Products

SO-0245 EBCC ED Transfusion and

Ordering of Blood Products Updated

EBCC ED Transfusion and Ordering of

Blood Products

SO-0001 Emergent Release of Blood

Product

Form Name

Change N/A

EBCC ED and MED Transfusion and Ordering

of Blood Products 1 of 2

EBCC ED and MED Transfusion and Ordering

of Blood Products 2 of 2

Education

eWINK+ - Central Venous Catheter Removal

Central Venous Catheter Removal-

RN Education in BHU

Evidence Based Research

Evidence Based Research

• (2016). Infusion therapy standards of practice. Norwood, MA: Infusion Nurses Society; Wolters Kluwer

• AABB, October 2107, Circular of Information: For the Use of Human Blood and Blood Components brochure, 74 pages,

ISBN 978-1-56395-956-1

• Alamri. (2011). Do We Need Premedication Before Coronary Angiography? A Controlled Clinical Trial. Cardiology

Research. doi: 10.4021/cr68w

• Baptist Hospital of Miami. (2013). Guidelines for Neuroaxial Anesthesia in the Anticoagulated Patient 2010 (Updated

2013). Provided by Neuroaxial Anesthesia

• Camp-Sorrell, D., & Matey, L. (2017). Access device standards of practice for oncology nursing. Pittsburgh, PA:

Oncology Nursing Society.

• Christopher, K. L. (2016). Spontaneous iris bleeding during cataract surgery in a patient with thrombocytopenia. Digital

Journal of Ophthalmology. doi: 10.5693/djo.02.2015.05.005

• Cuker, A., Arepally, G.M., Chong, B.H., Cines, D.B.,. . .Santesso, N (2018). American Society of Hematology 2018

guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia Blood Advances 2018

2:3360-3392; doi: https://doi.org/10.1182/bloodadvances.2018024489

• Davidson, J. C., Rahim, S., Hanks, S. E., Patel, I. J., Tam, A. L., Walker, T. G., . . . Sarode, R. (2019). Society of

Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in

Patients Undergoing Percutaneous Image-Guided Interventions—Part I: Review of Anticoagulation Agents and Clinical

Considerations. Journal of Vascular and Interventional Radiology. doi:10.1016/j.jvir.2019.04.016

Evidence Based Research

• Earhart, A. (2013). Central lines: Recognizing, preventing, and troubleshooting complications. American Nurse Today,

8(11), 1-9.

• Emergency Medicine: Coagulation Studies in Patients Presenting with Chest Pain with No Coagulopathy or Bleeding.

(n.d.). Retrieved from https://www.acepnow.com/article/emergency-medicine: coagulation-studies-in-patients-presenting-

with-chest-pain-with-no-coagulopathy-or-bleeding/

• Geiger, T. L., & Howard, S. C. (2007). Acetaminophen and Diphenhydramine Premedication for Allergic and Febrile

Nonhemolytic Transfusion Reactions: Good Prophylaxis or Bad Practice? Transfusion Medicine Reviews, 21(1), 1–12.

doi: 10.1016/j.tmrv.2006.09.001

• George, J.N. & Arnold, D.M. (2018). Approach to the adult with unexplained thrombocytopenia. In Wolters Kluwer (Ed.).

UptoDate. Retrieved June 11th, 2019, from https://www.uptodate.com/contents/ approach-to-the-adult-with-unexplained-

thrombocytopenia

• Hames, K. C. (2003). To premed or not to premed. Anaesthesia, 58(3), 297–297. doi: 10.1046/j.1365-

2044.2003.307327.x

• Heparin-Induced Thrombocytopenia (HIT). The Ohio State University Wexner Medical Center, Columbus, Ohio.

November 30th, 2016, Edition 4. The Ohio State University.

• Jaffe, T. A., Raiff, D., Ho, L. M., & Kim, C. Y. (2015). Management of Anticoagulant and Antiplatelet Medications in Adults

Undergoing Percutaneous Interventions. American Journal of Roentgenology, 205(2), 421–428. doi:

10.2214/ajr.14.13342. https://www.ajronline.org/doi/10.2214/AJR.14.13342

• Kaufman, R. M., Djulbegovic, B., Gernsheimer, T., Kleinman, S., Tinmouth, A. T., Capocelli, K. E., . . . Tobian, A. A.

(2015). Platelet Transfusion: A Clinical Practice Guideline From the AABB. Annals of Internal Medicine, 162(3), 205.

doi:10.7326/m14-1589

• Lee, T., Huang, J., Lee, K., Lai, C., Chen, S., & Kuo, C. (2014). The use of platelet transfusion in thrombocytopenic

patients for phacoemulsification. Taiwan Journal of Ophthalmology, 4(1), 52-55. doi:10.1016/j.tjo.2013.06.003

Evidence Based Research

• Lo GK, Juhl D, Warkentin TE, Sigouin CS, Eichler P, Greinacher A. Evaluation of pretest clinical score (4 T’s) for the

diagnosis of heparin-induced thrombocytopenia in two clinical settings. J Thromb Haemost 2006; 4: 759–65

• Mccarthy, C., Behravesh, S., Naidu, S., & Oklu, R. (2016). Air Embolism: Practical Tips for Prevention and Treatment.

Journal of Clinical Medicine, 5(11), 93. doi: 10.3390/jcm5110093

• Nagler, M., Bachmann, L. M., Cate, H. T., & Cate-Hoek, A. T. (2015). Diagnostic value of immunoassays for heparin-

induced thrombocytopenia: A systematic review and meta-analysis. Blood, 127(5), 546-557. doi:10.1182/blood-2015-07-

661215

• Patel, I. J., Rahim, S., Davidson, J. C., Hanks, S. E., Tam, A. L., Walker, T. G., . . . Weinberg, I. (2019). Society of

Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in

Patients Undergoing Percutaneous Image-Guided Interventions—Part II: Recommendations. Journal of Vascular and

Interventional Radiology. doi:10.1016/j.jvir.2019.04.017

• Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy. (2018). Regional Anesthesia and

Pain Medicine, 43(5), 566. doi: 10.1097/aap.0000000000000807

• Sarai, M., & Tejani, A. M. (2012). Loop diuretics for patients receiving blood transfusions. Cochrane Database of

Systematic Reviews. doi: 10.1002/14651858.cd010138

• Sharma, S., Sharma, P., Tyler, L.N. (2011). Transfusion of Blood and Blood Products: Indications and Complications.

American Family Physician. 2011 Mar 15;83(6):719-724

• Slichter, S. J., Kaufman, R.M., Assmann, S.F., McCullough, J., Triulzi, D.J., Staruss, R.G.,…Granger, S. (2010). Dose of

Prophylactic Platelet Transfusions and Prevention of Hemorrhage. New England Journal Of Medicine 2010; 362:600-613.

DOI: 10.1056/NEJMoa0904084

• Stanworth, S. J. (2007). The Evidence-Based Use of FFP and Cryoprecipitate for Abnormalities of Coagulation Tests and

Clinical Coagulopathy. Hematology, 2007(1), 179-186. doi:10.1182/asheducation-2007.1.179

Evidence Based Research

• Szczepiorkowski, Z. M., & Dunbar, N. M. (2013). Transfusion guidelines: When to transfuse. Hematology, 2013(1), 638-

644. doi:10.1182/asheducation-2013.1.638

• Thacker, S., (2019). Long Term Strategies for Blood Products. Managing Outdating. 2019 Premier Annual Breakthroughs

Conference and Exhibition. Nashville, Tennessee, June 23rd-26th, 2019. Premier Connect.

• Veen, J. J., Nokes, T. J., & Makris, M. (2010). The risk of spinal haematoma following neuraxial anaesthesia or lumbar

puncture in thrombocytopenic individuals. British Journal of Haematology, 148(1), 15-25. doi:10.1111/j.1365-

2141.2009.07899.x

• Warkentin, T. E., & Anderson, J. A. (2016). How I treat patients with a history of heparin-induced thrombocytopenia.

Blood, 128(3), 348-359. doi:10.1182/blood-2016-01-635003

• Wong RSM, Saleh MN, Khelif A, et al. Safety and efficacy of long-term treatment of chronic/persistent ITP with

eltrombopag: final results of the EXTEND study.Blood. 2017;130(23):2527-2536. Blood, 131(6), 709–709. doi:

10.1182/blood-2017-12-823252

• Yuan, S. & Goldfinger, D. (2019). Clinical & laboratory aspects of platelet transfusion therapy. In Wolters Kluwer (Ed.).

UptoDate. Retrieved July 19th, 2019, from https://www.uptodate.com/contents/clinical-&-laboratory-aspects-of-platelet-

transfusion-therapy