MTP Tabletop Simulation — Thompson ICU
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Phase 1 of 4
Initial Clinical Trigger

68-year-old male admitted for new-onset atrial fibrillation with RVR. Started on heparin infusion 6 hours ago — therapeutic aPTT achieved. Now reporting sudden coffee-ground emesis with frank blood visible. Abdomen distended.

BP 88/54 HR 128 (AFib) RR 22 SpO₂ 94% on 4L NC GCS 13 Hgb 11.2 on admit

Two large-bore IVs in place. Covering APP is at bedside.

What would you do first? Think through your priorities before tapping to reveal each action.
Actions Required

Clinical indicators: Hypotension (SBP < 90), tachycardia, altered LOC (GCS 13), signs of active bleeding. This patient meets multiple shock criteria in the context of active GI hemorrhage.

  • MTP trigger: ongoing hemorrhage with hemodynamic instability
  • Assessment of Shock Index (HR/SBP): 128/88 = 1.45 — significantly elevated
  • Volume replacement alone is insufficient — blood product therapy is indicated

Immediate: Stop heparin infusion now. Document time of discontinuation.

Reversal discussion (protamine):

  • Protamine 1 mg per 100 units heparin received in past 2–3 hours (max 50 mg IV slowly)
  • Risk/benefit: Protamine reversal has cardiac risks (hypotension, bradycardia, anaphylaxis) — weigh against bleeding severity
  • AFib consideration: Reversing anticoagulation may increase thromboembolic risk — decision made by provider
  • Nurse role: Hold infusion immediately; anticipate protamine order; do not administer without explicit order

At Thompson: a nurse can activate adult MTP when hemorrhagic shock is assessed. Provider blood product administration orders and documentation still need to be completed, but they are not what starts the MTP workflow.

  • Nurse role: Recognize hemorrhagic shock, stop/hold heparin per provider direction, notify charge/provider, activate MTP, and call Blood Bank
  • Provider role: place blood product administration orders and document activation in eRecord
  • Do not wait for lab confirmation — activation is a clinical decision
  • Call Blood Bank at x6544 to activate MTP

Blood Bank cannot issue type-specific products without a Type & Screen. If not already done:

  • Order T&S stat in eRecord immediately
  • Draw in the correct pink-top tube with patient label, handwritten date/time, and collector initials
  • Runner delivers directly to Blood Bank — time matters
  • Until type-specific available: O-negative (male: O-positive acceptable) can be emergency-released
  • CRITICAL SAFETY: If no historical blood type on file, an initial AND confirmatory T&S specimen must be collected at DIFFERENT times. Collecting specimens at different times reduces the risk of mislabeled specimens with incorrect patient information. This type of error could result in the death of a patient.

MTP gets moving through the activation workflow and the Blood Bank call. The provider still needs to enter blood product administration orders and document activation, but the room should not wait on an order before calling when criteria are met.

  • Activate the workflow and call Blood Bank when criteria are met
  • Provider places needed blood product administration orders in eRecord and documents MTP activation as required
  • Blood product orders support documentation and product tracking; they do not replace Blood Bank communication

Call Blood Bank at x6544 to activate MTP. Provide:

  • Patient full name
  • Date of birth
  • MRN
  • Location (unit name, room number)
  • Unit phone number (for Blood Bank to call back when ready)

Blood Bank will confirm receipt and advise on T&S status and product readiness.

  • Primary RN: Notify Charge RN, confirm T&S is ordered/resulted, prep IV lines and warmer for transfusion
  • Charge RN: Notify nursing supervisor, assign runner for Blood Bank transport
  • APP/Attending: Place blood product administration orders in eRecord, document MTP activation as required, notify GI for urgent consultation
  • Runner/designee: Label specimens at bedside → deliver directly to Blood Bank → await products
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Phase 2 of 4
MTP Activation & First Shipment

MTP activated. Heparin is stopped, the patient remains on the monitor in AFib, and products are being prepared. Charge RN has contacted the nursing supervisor. Runner/designee is headed to Blood Bank with a label. The provider team is completing blood product orders/documentation and notifying GI.

Patient on continuous monitoring — remains in AFib. First shipment en route.

Actions Required
  • Blood Bank completes emergency release paperwork
  • Prepares initial shipment of products
  • Notifies American Red Cross of ongoing MTP per policy
  • Contacts unit phone when cooler is ready for pickup

Blood Bank calls the unit when products are ready — do not send runner prematurely.

  • Nursing supervisor coordinates runner to retrieve cooler
  • Runner goes directly to Blood Bank — no stops
  • Runner returns cooler directly to bedside team
  • Cooler temperature must be verified upon arrival (acceptable range: 1–10°C; cannot exceed 10°C)
  • Check cooler temp before adding new PRBC units — if approaching 10°C, contact Blood Bank (x6544) immediately; coolants must be changed

Standard first MTP release pattern:

  • 4 units Packed Red Blood Cells (PRBC) — in cooler (1–10°C)
  • 4 units Fresh Frozen Plasma (FFP) — thawed at 37°C and released separately/as available, often 2 at a time; thawed FFP should NOT be placed in the MTP cooler because it can make PRBCs/CSP unusable
  • 1 dose platelets — cold-stored platelets travel in the cooler; SDP platelets do not

Cryoprecipitate AHF is thawed and issued after 4 units FFP have been released. It comes as 1 dose (2 pre-pooled bags), is stored at room temperature, does NOT go in the cooler, and must NOT be run through a warmer or rapid infuser.

Platelets should be administered through standard blood tubing with a blood product filter and should NOT go through a warmer or rapid infuser. Read the label; do not identify products by appearance.

Subsequent coolers dispatched on request or per protocol. All products require Blood Bank emergency release paperwork.

PRBC + FFP: Administer via blood warmer. May use rapid infuser if rate dictates.

Rate consideration: This patient has AFib and underlying cardiac history — discuss with provider before using maximum rapid infusion rates. Fluid overload risk is real.

  • Use clinical judgment and provider orders to guide infusion rate
  • Monitor for signs of fluid overload: increasing respiratory distress, SpO₂ decline
  • Balance resuscitation with cardiac risk

Per Thompson MTP policy, vital signs are documented every 15 minutes during active transfusion phase.

  • Set monitor alarms appropriately
  • Document in eRecord with product unit numbers and start/stop times
  • Notify provider of any significant hemodynamic changes

Two-RN verification required before hanging each unit:

  • Two-patient identifiers: name + DOB (or MRN)
  • Blood product tag signed by verifying nurses
  • Emergency release paperwork signed by provider before administration
  • Product matches order in eRecord
  • Inspect product for abnormal color, clots, or damage

Do not rush verification — shortcuts here create patient safety risk.

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Phase 3 of 4
Complication — Branching Scenario

4 units PRBC and 2 FFP administered. BP improved to 96/60, still in AFib HR 110. Attending orders first dose of platelets via rapid infuser. The room also has a separate blood warmer available.

Next 2 FFP are in transit from Blood Bank.

⚠ Complication 1 — Platelet Administration Error
Say to the group: "Before we hang this — anything to clarify with the provider?"
Great catch. The RN questions the order: "Platelets should not be run through the rapid infuser or any warmer." Attending acknowledges — order corrected. The platelets are then administered via standard blood tubing with a blood product filter, without heat or pressure.

Next 2 FFP arrive. Cooler temperature reads 12°C. Proceed to Complication 2.
Teaching moment. Platelets should not be infused through a rapid infuser or any blood warmer. The rapid infuser has a warmer built in, and a separate warmer is also unsafe. Heat and pressure damage platelet function and reduce efficacy.

Facilitator: Return to scenario. Correct the order and continue. Next 2 FFP arrive. Cooler temperature reads 12°C. Proceed to Complication 2.
⚠ Complication 2 — Cooler Temperature
The runner returns the cooler. Temperature reads 12°C. What does the team do?
Correct process followed. Team identifies cooler temperature exceeds acceptable range (1–10°C; policy states cannot go above 10°C). Blood Bank notified at x6544 immediately. Cooler returned — coolants changed and replacement dispatched. New cooler arrives at 6°C. Transfusion continues.
Patient safety issue. Products should not be administered if cooler temperature is outside acceptable range. Next cooler arrives reading 13°C — products must be discarded.

Discuss: Time implications of discarded products during active hemorrhage. Who is responsible for verifying cooler temp? What does this reveal about the handoff workflow?

Attending asks: "Should we reverse anticoagulation?"

Discussion points — by agent:

  • Heparin → Protamine: Decision authority is provider only. Dosing: 1 mg per 100 units heparin in the last 2–3 hours; max 50 mg IV slowly over 10 min. Adverse reactions: hypotension, bradycardia, anaphylaxis (fish allergy / prior exposure) — resuscitation equipment at bedside. Nurse role: anticipate order; know where protamine is stocked.
  • Warfarin or DOACs: Consider emergency reversal agents per provider order (e.g., vitamin K, 4-factor PCC, andexanet alfa, idarucizumab — agent-dependent). Nurse role: confirm agent, dose, and route; have pharmacy involved early.
  • Aspirin: Provider may request additional plasma or platelets to compensate for platelet dysfunction. No direct reversal agent exists.
  • AFib risk (all agents): Reversing anticoagulation increases thromboembolic risk — ongoing clinical conversation between provider, cardiology, and patient/family.
  • Documentation: Time of administration, dose, patient response, any adverse effects for all reversal agents.
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Phase 4 of 4
Stabilization & MTP Discontinuation

After 8 units PRBC, 6 FFP, 1 dose platelets — patient stabilized:

BP 108/66 HR 96 (AFib) SpO₂ 96% on 4L NC GCS 15

Emesis resolved. Attending discontinues MTP. Patient remains in ICU. 1 unit FFP still infusing.

Wrap-Up Actions

Provider OR designee must call Blood Bank (x6544) to discontinue MTP as soon as possible. Blood Bank continues preparing and issuing products until notified — delay costs resources and product.

  • Provider or designee calls x6544 to notify Blood Bank of discontinuation
  • Provider also closes related blood product orders/documentation in eRecord as appropriate
  • 1 unit FFP currently infusing may be completed — confirm with provider
  • No additional products are released after Blood Bank is notified
  • All remaining products and the cooler must be returned to Blood Bank

Document in eRecord:

  • Total units by product type: 8 PRBC, 6 FFP, 1 platelet dose
  • Duration: MTP start time to discontinuation time
  • Vital signs at time of discontinuation
  • Any adverse events or reactions
  • Provider who ordered discontinuation and time

All unused products and the cooler must be returned to Blood Bank immediately upon MTP discontinuation.

  • Do not store unused products on the unit
  • Runner returns cooler, products, and paperwork to Blood Bank
  • Blood Bank documents receipt and disposition of returned products

The MTP paper record (emergency release paperwork, product tags, cooler log) is sent to medical records per Thompson policy.

  • Primary RN ensures all paper documentation is complete before submission
  • Do not discard any MTP-related paperwork

Post-MTP monitoring priorities:

  • Repeat CBC and coagulation studies (per provider orders)
  • Continuous cardiac monitoring — patient remains in AFib; watch for rate changes and rhythm shifts with volume shifts
  • Reassess anticoagulation plan: GI bleed vs. AFib thromboembolic risk — cardiology consultation recommended
  • GI follow-up: scope planning, source control
  • Monitor for transfusion reactions (delayed hemolytic, TACO, TRALI)
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Structured Debrief
Reflection & Discussion

Use these questions to guide the team discussion. In self-guided mode, reflect on each question before moving on.

What went well during the scenario?
Where was there difficulty or hesitation? What caused it?
Was the MTP policy and process clear to the team before this simulation?
Were roles clearly defined? Did anyone feel unsure of what they were supposed to do?
Was the correct process followed in the complication scenarios? If not, what contributed to that?
Do your current daily workflows align with the written MTP policy? Why or why not?
What safety issues — or potential safety issues — came up during the scenario?
What one change would make the MTP process easier or safer in real life?
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Post-Simulation Survey
Confidence Check
Before this simulation

How confident were you in your ability to manage an MTP in the ICU?

1 = not at all → 5 = very confident
After this simulation

How confident do you feel now in your ability to manage an MTP in the ICU?

Thank you!

Your reflection is complete.

Thompson Health Education Team