Blood Management

How does the program work?

Program nurses are available for more information or physician referrals. Our nurses make sure resources are in place for you. Once your doctor determines which method(s) are best, we coordinate your care with the healthcare team.

During registration, you will be asked your preference regarding the use of blood products in your care. The following options are available:

  • Conserve:
    Patients who wish to avoid blood products if at all possible in their care. If you choose this option, a small blood conservation sticker is placed on your hospital wrist band. A large blood conservation sticker is placed on the front of your medical chart.
  • Refuse:
    Patients who refuse blood products under all circumstances including life threatening situations. If you choose this option, you will asked to sign a release form. A small no blood sticker is placed on your hospital wrist band and a large no blood sticker is placed on the front of your medical chart. A safety mechanism is engaged in the hospital computer system that prevents requests for blood products to be processed.
  • No Preference:
    Patient who do not have a preference regarding the use of blood products in their care.

Please Note: Not all patients may be candidates for "no blood" care; however, blood management techniques can be utilized on all patients. Please consult with your doctor or health care provider for advice about a specific medical condition and to discuss your treatment options.

How is Blood Management & Surgery Performed?
Understanding your blood needs

When a blood transfusion is needed, it falls under one of the following:

  • Red cells > carry oxygen
  • Plasma > supports blood volume
  • Platelets > stop bleeding

When any of these are low, if can affect your heart, lungs, kidneys and brain. Low blood can weaken your health and recovery. Ask your doctor about your treatment needs and options. This checklist may help you:

  • Why do I need a transfusion?
  • How will it benefit me?
  • What are the risks?
  • What are the alternatives?
Choices for blood transfusion
  • Unknown donor
  • Donate your own blood
  • Build up your blood with medications
  • Recycle your own blood
Blood Management Options

A combination of techniques and strategies may be used.

Anemia or before surgery

Techniques are utilized prior to treatment to stimulate a person's ability to make blood through enhanced nutrition and certain medications.

  • Synthetic erythropoietin - a hormone that stimulates production of red blood cells.
  • Iron therapy - a mineral essential for formation of red blood cells.
  • B12, folic acid and vitamin C - vitamins necessary for red blood cell growth.
During surgery

Using a number of well-researched techniques, blood loss is minimized during surgery and any blood that might have otherwise been lost is recycled when possible.

After surgery

The amount of blood used for laboratory testing is minimized by carefully choosing the tests to be performed and using significantly smaller tubes for blood draws. Additionally, techniques are utilized to stimulate a person's ability to make blood through enhanced nutrition and certain medications.

What is Blood Management & Surgery?

Blood is critical, but more so when it may be needed for surgery or an ongoing condition. Blood management focuses on reducing blood loss, building up your own blood or both. We bring the safest alternatives to you.

No matter what the need, you can choose from our treatment options.

Your doctor can help you with the benefits and risks of treatment options.

Treatment Options:

  • Medications to make blood cells
  • Prepare for or prevent blood loss
  • Recycle your own blood during surgery
  • Other treatments and techniques to reduce blood loss
Will My Insurance Cover Bloodless Techniques?

Bloodless medicine and surgery is an accepted form of healthcare.

If your health insurance is normally accepted at Fairview Hospital, care from our Center for Advanced Bloodless Medicine & Surgery would be similarly covered.

There are no additional costs for bloodless care.

About the Program Coordinator

The Advanced Center for Bloodless Medicine and Surgery at Fairview Hospital offers the services of a Program Coordinator 24 hours a day.

These services include:

  • Physician referrals
  • Assistance with outpatient services
  • Scheduling
  • Patient advocate
  • Clinical staff support
  • Crisis management

The Program Coordinator is trained and experienced as a facilitator in all aspects of bloodless medicine and surgery. The coordinator's goal is to ensure the highest quality medical care while respecting your individual preference regarding specific medical procedures.

The coordinator will be directly involved with you as a patient to see that your needs are understood and accommodated by our staff. This person will also serve as an educational and supportive resource for patients, their families and the medical staff.

Contact Us

If you have any questions, please contact the Blood Management Program at bloodmgmtmain@ccf.org

Fairview Hospital
Blood Management Program
18101 Lorain Avenue
Cleveland, Ohio 44111