Proposta de um novo protocolo de reservas de hemocomponentes para cirurgias em um hospital universitário de Recife-Pernambuco

Abstract

Blood transfusion is a complex procedure involving risks, which can be minimized through activities to maintain process quality. For this, it is necessary to establish well-defined flows to improve processes and minimize unnecessary expenses. The objective of this work is to propose a new protocol for the reservation of blood components for surgeries in a university hospital in Recife-PE. Initially, the work process related to transfusion and reserve of blood components was mapped and, based on the 511 requests for blood transfusion-STS analyzed between February and June 2018, it was possible to describe the indicators "Conformity of STS", "Frequency of data missing in STS; and "Number of concentrates red cells-CH for surgeries ". After this previous evaluation, we performed the construction of the protocol for the reservation of blood components for surgeries. The critical points encountered in the mapping were the STS completion and the excessive number of requested CHs returning to the stock. It was verified that almost half of the cares studied were incomplete or shaved. The most absent data in STS were age, laboratory results, weight, sex and patient location. In the period studied, of the requests for CH reserves made, only 5.3% were used. This shows a high number of blood requested unnecessarily. With the use of the protocol of reserve of blood components for surgeries the expenses with the reserves would have fallen in 50%. The use of the proposed protocol generates an economy with a direct impact on blood stock levels, therefore, by making only the necessary reserves, less time and materials will be wasted and especially fewer blood components will be handled unnecessarily, thus reducing the risk of loss of this important asset that is human blood.