Blood Banking

Project Description:

The project will look at how blood crossmatching is done. The content will leverage presentation used for teaching blood to first year medicine students  UNSW and provide an upgraded with an Adaptive Tutorial with interactive elements.

User Group:

Medical students and junior doctors.

Subject area:

Blood Banking- how blood crossmatching is done

Estimated timeline:

June 2013: Storyboard Adaptive Tutorial requirements.

June 2013: Research existing content including interactive elements

July 2013: Consultation with Smart Sparrow to finalise requirements.

October 2013: Development of Adaptive Tutorial. Robert Lindeman UNSW and other subject matter experts will work with Smart Sparrow as necessary throughout the technical development of the Adaptive Tutorial.

November 2013: Commence testing of the Adaptive Tutorial and interactive elements

February 2014: Fix any issues that occur with the Adaptive Tutorial in testing, ready for deployment in semester 1 of 2014.

Semester 1 2014: Deploy completed Adaptive Tutorial to trial with first year medicine students (or as appropriate)

Key Participants and budget:

Robert Lindeman: Project Lead

BEST Network: Technology provider

Educational Outcomes:

Help target audience understand the processes that happen in a haem lab when they order a “Group and Hold” or crossmatch”. The goal is NOT

–          to make the student proficient in doing the cross matching (this is a separate and specialised skill)

–          to train them in the steps involved in setting up a blood transfusion (this could be a separate module – more administrative procedures, and would need to be for nurses as well

Project Sponsor:

Dr Robert Lindeman UNSW

Deliverable:

Adaptive tutorial of approximately 15-20 minutes

Approach:

1. Provide some background information
   1. About the risks and benefits of blood transfusion (leverage existing content ref UNSW Ist Year Haematology Prac – slide 3 also info from slide 4-7)
   2. About blood groups – slides 17-19
   3. About principles of blood group testing

i.      Detecting red cell antigens using test sera (using existing “genetics” materials, also slide 19-23)

ii.      Detecting patients serum antibodies using test red cells (would need modified visuals)

1. Pose a scenario in which urgent cross match is needed (can leverage existing content ref UNSW Ist Year Haematology Prac )
2. Ask students to select the correct unit for transfusion (leverage existing content ref UNSW Ist Year Haematology Prac – slide 16) and record the time they take (clock running, maybe tracing of patients HR and BP from operating theatre!)
   1. Determine ABO group
   2. Determine presence of antibodies
   3. Administer the blood chosen by the students feedback on how there patient is going/went.
      1. Did the blood support them haemodynamically
      2. Did they get a transfusion reaction (and why)
      3. It might be reasonable to have a few scenarios where they give the wrong blood – let them see what happens over time (ie graphical readout of various parameters such as)

i.      Temperature

ii.      Heart rate, blood pressure

iii.      Urine output

iv.      Oxygen saturation

v.      Blood levels of X/Y/Z

Risk Management:

Risk	Mitigation Strategy
The Adaptive Tutorial is not completed in time to run for semester 1 20140	This risk is a low priority, as the tutorial can simply be run in semester 2 of 2014.
Intellectual Property	Author should be recognised by the BEST Network as the creator of Adptive Tutorial
Communication	Communication between the technical provider and author is essential to the development of a useful learning resource. The project lead will work closely with the technology provider to ensure the requirements of the Adaptive Tutorial are met in full.