Low-Titer O-Positive Whole Blood: Lessons From the Battlefield for Civilian Rural Hospitals

Author(s): Sean O’Hollearn, MSN, CCRN, Randall Schaefer, DNP, RN, ACNS-BC, CEN, Cassandra DuBose, MSN, RN, Darin Smith, BSN, RN, CEN, TCRN, Carl Goforth, PhD, RN, CCRN

Contact Hours 1.00

CERP A 1.00

Expires Oct 01, 2027

Topics: Hemodynamics, Trauma

Role: Staff

Fees
Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Incorporation of low-titer O-positive whole blood (LTOWB) into rural facilities not only directly benefits the patients and staff members but can also improve the overall trauma system of care by allowing for a seamless resuscitation strategy from point of injury until definitive care. Studies have consistently shown that the use of LTOWB is feasible, safe, and effective in the management of hemorrhagic shock in trauma patients, and it is now the standard of care in the military setting. The military’s success in using LTOWB has renewed the practice in the civilian setting, with recent research confirming its safety and efficacy. This article describes the benefits for patients, staff members, and the overall trauma system of using LTOWB in rural hospitals.

Objectives

  • Discuss the benefits of low-titer O-positive whole blood (LTOWB) compared to traditional blood component therapy.
  • Explain how LTOWB can be used effectively in the rural hospital setting.
  • Identify barriers to successful implementation of a LTOWB program in a rural setting.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.