PBM Learning Modules can be purchased as a customized package by institutions with multiple users. AABB is pleased to provide packages and pricing to give you the flexibility to tailor your purchase for your team.

*Unlimited seats are provided for each institutional offering. Single location refers to unlimited attendees from the same physical location. Multi-Site location refers to more than one location where employees will be accessing the module(s). AABB will monitor IP addresses used to access the modules.

PBM Training Bundle: Convenient and On-Demand

Enrich your hospital’s training programs in blood transfusion and blood components. Or applying for the AABB/The Joint Commission PBM Certification? Ensure your hospital satisfies the PBM Standard 2.1.4 Facility-Defined Credentials with the PBM Training Bundle. Learn more.

Eight PBM Learning Modules are available for purchase as a bundle or by individual module. Access is provided for 1 year from the date of purchase. Individual pricing is not applicable to an institution; the person registered for the module(s) is the individual who will be provided access. If you are interested in purchasing for more than one individual or for your company visit the Institutional Pricing tab.

Cater to your individual training needs by selecting some or all of the modules. Take advantage of the new pricing when purchasing 3 or more modules at the same time:

*Price is per module; excludes the Patient Blood Management Introduction module.

How to Register?

Click on the Purchase button that appears under each module description below and you will be directed to the AABB Marketplace to register. Register for the PBM module bundle here. If purchasing 3 or more of the modules, the reduced pricing will be reflected in your cart once you have added each module (the Patient Blood Management Introduction module is not included in the 3 or more module discount package).

Access is granted via email within 48-72 hours after registration.

Continuing education credit is provided upon the successful completion of each quiz per learning module. AABB designates the following credit/contact hours for each Patient Blood Management module:

• Physicians: AABB is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AABB designates each Patient Blood Management Learning Module for a maximum of 1 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
• California Nurses: AABB is approved by the California Board of Registered Nursing as a provider of continuing nursing education activities. AABB designates each Patient Blood Management Learning Module for a maximum of 1 contact hour.
• California Clinical Laboratory Personnel: AABB is an approved accrediting agency for continuing education for California-licensed clinical laboratory personnel. AABB designates each Patient Blood Management Learning Module for a maximum of 1 contact hour.
• Florida Clinical Laboratory Personnel: AABB is approved by the Florida Board of Clinical Laboratory Personnel as a provider of continuing education programs for Florida-licensed clinical laboratory personnel. Each Patient Blood Management Learning Module has been approved for a maximum of 1 contact hour.
• All Others/General Participation: AABB designates each Patient Blood Management Learning Module for a maximum of 1 AMA PRA Category 1 Credit^TM.

This learning module introduces viewers to patient blood management (PBM) - the evidence-based, multidisciplinary approach to optimizing the care of patients who might need transfusion. It reviews the history of PBM, the benefits of PBM practices to patients and steps for implementing a PBM program within a hospital.

Objectives

• Explain the concept and scope of PBM to other health-care professionals
• Explain the risk of allogeneic as well as autologous transfusion to other health-care providers as well as patients.
• Identify the organizations that provide evidence-based information and resources on PBM that result in better patient outcomes.
• List the steps that are key to implementing a PBM program.
• Prepare an outline for a PBM program business plan.

Author: AABB

Intended Audience: All clinicians who order and transfuse blood products, as well as clinicians and administrators seeking to start a PBM program within their institutions. Also applicable to medical technologists, perfusionists and anyone interested in patient blood management.

Numerous recent studies have investigated a variety of circumstances in which a transfusion is routinely given, and the results of these clinical trials have helped refine our thinking about which sets of patients really benefit from the therapy. This program highlights studies that help identify those patients who will or will not likely benefit so that benefits can be maximized and risks minimized. The application of these concepts are illustrated in five clinical case studies and linked to the underlying principles of patient blood management.

Learning Objectives

• Apply the knowledge generated by clinical trials regarding the use of blood components to practical clinical situations.
• Explore the complexities of attempting to apply retrospective data to the issue of appropriate clinical indications for transfusion.
• Discuss how some simple changes in clinical practice can have a profound impact on the need for transfusion and the mindset with which it is approached.

Author: James P. AuBuchon, MD, FCAP, FRCP(Edin), President and Chief Executive Officer of Puget Sound Blood Center, and Professor of Medicine and of Laboratory Medicine, University of Washington, Seattle

Intended Audience: This learning module is intended for clinical physicians who deal with a variety of patient situations in which transfusion may be considered as an option. Medical technologists, nurses and perfusionists will also find the module helpful in understanding the rationale for transfusion and in encouraging and supporting the application of objective evidence in medical decision making.

Intended for perioperative clinicians, this learning module focuses on practical and effective intraoperative patient blood management (PBM) strategies. The material is presented with easily processed overviews and illustrative examples on how to employ the PBM strategies. The liberal use of related photographs and videos taken from real, working patient care environments is present throughout this module, which is organized by sections that include the following:

• Blood conservation strategies
• Transfusion strategies
• Surgical techniques

The blood conservation strategies section includes a brief consideration of the importance of preoperative assessment and preparation as well as extensive discussion on how to employ the following: clinically useful hemostasis monitoring practices, acute normovolemic hemodilution, cell salvage and pharmacologic-based bleeding prophylaxis adjuncts. The transfusion strategies section focuses on the use of evidence-based transfusion guidelines combined with the use of laboratory/point-of-care-testing-based customized transfusion algorithms. The presented algorithms include the use of allogeneic blood products as well as pharmacologic hemostatic adjuncts. The surgical techniques section includes instruction on the use of controlled hypotension, topical hemostatic agents and fibrin sealants as well as specially designed blood conservation devices that preserve a patient's autologous red blood cell mass.

Learning Objectives

• Gain practical knowledge of basic preoperative anemia management, assessment of the hemostatic system, how to address antithrombotic/antiplatelet medications, and when to involve hematology consultants.
• Gain practical knowledge of point-of-care coagulation monitoring, surgical and pharmacologic strategies to reduce the need for blood component therapy, as well as evidence-based indications for appropriate administration of blood components.
• Describe specialized devices used both intraoperatively and postoperatively that promote conservation of a patient's red cell mass.

Authors: Edwin G. Avery, IV, MD, CPI, Chief of Cardiac Anesthesia, Chairman of the Transfusion Committee and Co-Chairman of the Patient Blood Management Committee, University Hospitals Case Medical Center, and Associate Professor of Anesthesiology, Case Western Reserve University School of Medicine; John Klick, MD, Co-Director of the Surgical Intensive Care Unit, University Hospitals Case Medical Center, and Assistant Professor of Anesthesiology, Case Western Reserve University School of Medicine

Intended Audience: This learning module is prepared for clinicians involved in the perioperative care of patients, including anesthesiologists, surgeons, perfusionists, intensivists and nurses.

The presentation is designed to provide an overview of patient blood management for coagulopathy. It consists of an initial didactic section followed by nine case-based review questions, and finally a 12-question exam.

Learning Objectives

• Describe the nature of clinical bleeding.
• Identify blood component function and effectiveness.
• Discuss ways of treating coagulation abnormalities.
• Review case studies.

Authors: John R. Hess, MD, MPH, FACP, FAAAS, Professor of Laboratory Medicine and Hematology, University of Washington, Seattle; Aaron S. Hess, MD, PhD, Resident in Anesthesia, University of Wisconsin Hospital and Clinics

Intended Audience: This learning module is intended for physicians, advanced duty nurse practitioners, and nurses who need to make informed decisions about blood use.

An approach to anemia in the preoperative patient has been shown to decrease perioperative morbidity, postoperative infection and length of hospital stay. This module focuses on this treatment paradigm, referred to as patient blood management. Ancillary tools of blood conservation, intravenous iron and erythropoiesis-stimulating agents are highlighted.

Learning Objectives

• Discuss basic patient blood management concepts.
• Describe available treatment modalities including transfusion for anemic patients who are to undergo elective surgical procedures.
• Evaluate an established algorithm for the detection, diagnosis and treatment of anemia in elective surgical patients.
• Apply practical knowledge about blood transfusions in the surgical population.

Authors: Michael Auerbach, MD, FACP, Auerbach Hematology and Oncology, Baltimore, Maryland; Clinical Professor of Medicine, Georgetown University School of Medicine, Washington, DC; Aryeh Shander, MD, FCCM, FCCP

Intended Audience: This learning module is prepared for anesthesiologists, certified registered nurse anesthetists, surgeons, hospitalists and operating room nurses.

This learning module presents an overview of red blood cell (RBC) transfusion practice in the intensive care unit. The module first reviews the issues facing the clinician making a decision whether or not to transfuse a patient. Discussed are the etiology and tolerance of anemia in the critically ill, as well as current transfusion practice. The risks of RBC transfusion are reviewed as well as the evidence on RBC transfusion efficacy in specific clinical situations. Transfusion guidelines and the barriers to guideline adherence are reviewed as well as strategies for transfusion reduction. Finally alternatives to RBC transfusion are discussed including iron supplementation and erythropoiesis-stimulating agents.

Learning Objectives

• Describe the etiology and tolerance of anemia in the critically ill.
• Identify the risks and benefits of RBC transfusion.
• Discuss alternatives to RBC transfusion.
• Describe potential strategies for RBC transfusion reduction.

Author: Howard L. Corwin, MD, Professor of Medicine, Surgery and Anesthesiology; Director, Critical Care Services, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Intended Audience: This learning module is prepared for clinicians involved in the care of patients in the intensive care unit.

Understanding current blood utilization is the start to improving patient blood management. The authors provide an overview of strategies to evaluate blood utilization, including common tools, mechanisms and processes, as well as standard measurements. Different techniques that have been used to improve transfusion practice are reviewed as well as potential avenues to improve blood utilization.

Learning Objectives

• Identify the central role of blood utilization in principles of patient blood management.
• Discuss the different types of audits available to assess blood utilization, including their associated strengths and weaknesses.
• Describe the different metrics to monitor blood utilization.
• Discuss the effectiveness of different strategies associated with audits to improve blood utilization.

Authors: Alan Tinmouth, MD, FRCPC, and Elianna Saidenberg, MD, FRCPC, Ottawa Hospital and University of Ottawa Centre for Transfusion Research, Ottawa Hospital Research Institute, Ottawa, Canada

Intended Audience: This learning module is intended for physicians, patient blood management coordinators, transfusion safety officers, quality managers, administrators, and nurses to understand the role of blood utilization in improving patient blood management.

The ethical and legal aspects involved in informed consent are reviewed in this module.

Learning Objectives

• Describe the ethical and legal basis for obtaining informed consent, be able to explain at least one of the ethical principles and the meaning of “competence” and “disclosure” as they relate to informed consent.
• List the key elements of informed consent.
• Name three obstacles to good communication, which if not overcome, can hinder obtaining truly “informed” consent.

Authors: Christopher P. Stowell, MD, PhD, Associate Professor of Pathology, Harvard Medical School; Director, Blood Transfusion Service, Massachusetts General Hospital, Boston

Intended Audience: This learning module is intended for physicians, nurses, patient blood management coordinators and transfusion safety officers.