SIM Scenario Exchange

Hidden Compatibility – Emergency Blood Issue Protocol

Contributed on July 11, 2023, last updated September 29, 2023.



Rachel McKellar, BSc (MLS) MLT

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Entry-level MLT’s will work their way through the basics of preparing and issuing packed red blood cells safely when there is no time to perform any serological investigations. They will then move onto ‘Master Blood Bank’ training, in which a simple procedure becomes more complicated when Patient History is revealed. More products and different types are required. The MLT’s will have to apply expeditious critical-thinking to ‘Escape the Blood Bank’ for this shift on time!

Learning Objectives:

  1. Understand the unique challenges faced by transgender and non-binary patients in diagnostic imaging.
  2. Review definitions and terminology around gender, gender identity and expression.
  3. Consider supportive communication techniques that promote accessible and equitable care.
  4. Reflect on communication strategies relevant to your own practice.

Simulation Modality:

Virtual gaming simulation / virtual patient


This simulation’s scenario and script were formally peer-reviewed by two external institutions, then the final simulation was pilot tested by several students on a student testing committee then as part of the Virtu-WIL Student Program’s rollout.


237, Affinity Learning


McKellar R. Hidden Compatibility – Emergency Blood Issue Protocol. Simulation resource published by Simulation Canada; 2023. Available from

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Target Learners




Medical Laboratory Science


Undergraduate / post-secondary

Fields / Disciplines:


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