As equine veterinary practice evolves, so too does the vital role of the equine veterinary nurse. Blood transfusion, once seen as a specialist intervention, is now a critical procedure where trained nurses are increasingly empowered to be involved and form an integral part of the procedure. This presentation explores the multifaceted role of the equine nurse in blood transfusions, from donor selection and patient preparation to transfusion monitoring and post-transfusion care.

In the face of advancing clinical knowledge and shifting team dynamics, equine nurses are stepping into expanded responsibilities, coordinating cross-matching processes, managing blood storage logistics, recognising transfusion reactions, and monitoring patients. By developing protocols, engaging in case-based learning, and advocating for best practice, nurses are not only supporting veterinarians but actively shaping the success of these lifesaving interventions.

Aligning with the 2025 VNCA conference theme "Waves of change - empowering our profession", this session highlights how embracing these expanded clinical roles enables equine nurses to lead from within. Attendees will leave with a renewed understanding of their scope, confidence to take initiative, and inspiration to contribute to the transformation of equine critical care.