Putting the Patient First in Patient Blood Management: Starting a Patient Blood Management Program at Your Facility (1 Class A CE with .25 Pharm)

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Class A Credits: 1.00

Pharmacology Credits: .25

Format: Video

Course Launch Date: 3/25/21

Course Expires: 3/24/24

The majority of blood products are given by anesthesia in the OR. CRNAs should be current on both infectious and non-infectious risks of blood components, indications for blood component therapy, transfusion triggers, and management of transfusion complications such as hemolytic reactions, TACO, and TRALI. Special emphasis will be placed on developing a Blood Management Program and implementing Patient Blood Management Bundles for surgical patients in a healthcare facility. PBM patient care bundles will be outlined including establishing a preoperative anemia clinic, utilizing oral and IV iron preoperatively, blood salvage, minimizing phlebotomy, clinician decision support tools, antifibrinolytics, point-of-care testing, audits with feedback, and education for practitioners and patients.

The American Association of Nurse Anesthetists is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

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The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • Describe the recommended indications for blood transfusion according to the latest randomized trials and published society guidelines.
  • Identify six interdisciplinary blood conservation modalities in PBM practice that will result in a reduction in blood use enhanced patient safety and reduce costs.
  • List the initial steps and resources for developing a PBM Program.

Dawn B. Lewellen, DNP, CRNA

Staff CRNA, Parkland Hospital

Dawn Borth Lewellen, CRNA has practiced trauma anesthesia for 30 years and is currently at Parkland Hospital, Dallas, TX, a Level 1 Trauma Center.  She serves as the CRNA Education Coordinator, co-chair of the Patient Blood Management Committee, and is involved with trauma quality improvement.

She attended Texas Wesleyan University graduating in 1990 with a Master in Health Science in Nurse Anesthesia and in 2020, she completed her Doctor in Nursing Practice from Texas Christian University.  She is adjunct faculty at Texas Wesleyan University. 

Dawn was selected as the 2014 APRN of the Year at Parkland Hospital, Dallas-Fort Worth Great 100 Nurse in 2016, and D Magazine Excellence in Nursing Award in 2019.



Steven M. Frank,

Professor, Dept. Anesthesiology/Critical care Medicine, Johns Hopkins Medical Institutions

Dr. Steven Frank is a Professor in the Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins Medical Institutions, where he specializes in anesthesia for vascular, thoracic, and transplant cases. Dr. Frank is the Medical Director of the Johns Hopkins Health System Blood Management Program.  

His recent work relates to clinical studies in the area of collection and analysis of transfusion data from electronic medical records and methods for using such data to improve practice.  He is currently on the Editorial Board of the journal TRANSFUSION, and he has served on the Board of Directors for the American Association of Blood Banks (AABB). He is also on the Patient Blood Management Committee for the American Society of Anesthesiologists. He has written over 150 peer-reviewed publications in the field of transfusion and patient blood management.


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