Patient Blood Management (BPM)
What is PBM? PBM “… improves patient outcomes by improving the patient’s medical and surgical management in ways that boost and conserve the patient’s own blood.
As a consequence of better management, patients usually require fewer transfusions of donated blood components thus avoiding transfusion-associated complications.
The National Blood Authority (NBA) is funding and managing the development of evidence-based, Patient Blood Management Guidelines.
A multidisciplinary team determines, with the patient, the specific management plan, which makes every reasonable endeavour to optimise the patient’s own blood volume, minimise blood loss, and optimise the patient’s physiological tolerance of anaemia.” (National Blood Authority,
Pillars of PBM:
1st Pillar - Optimisation of blood volume and red cell mass
2nd Pillar - Minimise bleeding and blood loss
3rd Pillar - Optimisation of the patient's tolerance of anaemia
NBA Patient Blood Management Guidelines
Module 1 Critical Bleeding/Massive Transfusion
Module 2 Perioperative
Module 3 Medical
Module 4 Critical Care
Module 5 Obstetrics and Maternity
Module 6 Paediatrics/Neonates
The NBA has many programs in place to help promote safe and appropriate use of blood and blood products. One of these is the
National blood and blood product wastage reduction strategy 2013-2017 has been developed to reduce unnecessary wastage of blood and blood products. A part of this strategy involves displaying the
Cost of blood products on fresh blood product labels.
RCH Patient Blood Management Guidelines
Patient blood management in the surgical setting guideline (State wide guideline)
Anaemia guideline (State wide guideline)
Iron deficiency guideline (State wide guideline)
Guidelines for the Administration of Blood Products, 3rd Edition, January 2018. Australian and New Zealand Society of Blood Transfusion and Royal College of Nursing Australia.
Australian Red Cross Blood Service
Australian and New Zealand Society of Blood Transfusion
Blood Matters Program
BloodSafe eLearning Australia
Commonwealth Serum Laboratories (CSL)
International Society of Blood Transfusion (ISBT)
National Blood Authority (NBA)
Serious Hazards of Transfusion (SHOT)