The NWH massive transfusion protocol is designed to provide continuous blood products to an actively hemorrhaging patient until they achieve hemostasis.
When the need for massive transfusion is identified, have the charge nurse call for “Code Fusion”. As you will be actively managing the patient, you will not have to enter orders or make any calls until products are no longer needed. The moment you are nearing hemostasis, you do need to call the blood bank and end the Code Fusion.
To meet the needs of the blood bank, the nurse has to fill in a provider’s name when they start the MTP. That counts as the order. Once they do that, an order goes to your inbox for you to sign after it’s all over. There is no separate order for the providers to fill out.
