Cause of Device-Related Incident
Support system failures

Clinical Specialty or Hospital Department
Cardiopulmonary Perfusion

Device Factors
*Not stated

Document Type
User Experience Network (UEN) reports

External Factors
*Not stated

Mechanism of Injury or Death
Coagulopathy; Embolism (gaseous or particulate); Hemolysis; Infection

Support System Failures
Failure to train and / or credential

Tampering and/or Sabotage
*Not stated

User Errors
*Not stated

UMDNS
Autotransfusion Units [10-239]; Autotransfusion Units, Blood Processing [17-537]; Autotransfusion Units, Whole Blood Recovery [17-538]

Training Recommendations for Autotransfusion Unit Operators



User Experience Network™ [Health Devices Apr 1995;24(4):162]

Hospital

What is the minimum training recommended by ECRI for operators of autotransfusion units?

ECRI

Although we are not aware of any general minimum training requirements for autotransfusion unit operators, we recognize that improper use of these devices can jeopardize patients' health, and even their lives. Therefore, we recommend that all operators required to use autotransfusion units, regardless of their level of experience, be formally trained in a course that includes supervised hands-on operation of the machines (e.g., with bovine blood or expired banked blood; on patients) before they attempt to use the machines unsupervised. This in-service training may also be incorporated into the acceptance testing program for new machines.

We are aware that autotransfusion unit operators may have educational backgrounds that range from high school diplomas with some perfusion training to nursing degrees. Depending on their background, it may also be necessary for operators to learn about extracorporeal blood handling, bloodborne pathogens, and potential complications (e.g., air embolism, hemolysis, disseminated intravascular coagulopathy [DIC]).

We understand that some states require that an autotransfusion machine operator have a Certified Clinical Perfusionist (CCP) certification, available from the American Board of Cardiovascular Perfusion (located in Mississippi). Other locales may also have regional requirements; hospitals should check with local perfusionists to learn what credentials are necessary. To obtain information on classes, contact manufacturers or perfusion schools, or contact the Commission on Accreditation of Allied Health Education programs.

UMDNS Terms

  • Autotransfusion Units [10-239]
  • Autotransfusion Units, Blood Processing [17-537]
  • Autotransfusion Units, Whole Blood Recovery [17-538]

Cause of Device-Related Incident

Support system failure: Failure to train and/or credential

Mechanism of Injury or Death

Coagulopathy; Embolism; Hemolysis; Infection


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