Blood transfusions Flashcards
Validity of T&S
Valid for 72hours from date of thawing
uspec ion,
-If patient is an INPATIENT but is to be
30г:
discharged and readmitted within 14days
imn
for SURGERY, samples can be kept for
tent
14days. The doctor in charge / nurse in
ne u
charge must call the blood bank before sending the specimen because the validity period of T&S cannot be changed once specimen has been processed.
Is blood transfusion approved to
-Blood, platelets, plasma, albumin
be performed in your ward? What blood products?
Yes ,
-Blood, platelets, plasma, albumin
ADMINISTRATION OF BLOOD
-Obtain baseline parameters within
AND BLOOD PRODUCTS
15minutes before administration
-Verification must be done at patient’s bedside by 2 confirmed RN/ 1Dr and 1 confirmed RN
-Check the consent
-Check the patient’s name and identification number on the identification band tallies with the following: “Blood Request Form”, Blood Bank Transfusion Slip
- Check that the following tallies with the transfusion slip and blood label:
* Name and Identification Number
Blood Type/ group
* Donor code
* Product code
* Amount of the blood
* Expiry Date
-Prime the blood transfusion set with filter with new pint of IV NS
-Run the blood slowly for 15minutes and monitor patient closely for any adverse reaction
-Monitor vital signs half hourly for hour, then hourly until the end of transfusion
-Monitor for signs and symptoms of adverse reaction
-After completion, disconnect and flush the cannula with NS to maintain patency. Do not flush the blood administration set before disconnecting
-Activate porter to return cooler blood boxes to blood bank with completed blood bag, transfusion slip and administration set within 24hours
What are the managements of a suspected adverse transfusion reaction?
-If transfusion reaction is suspected (patient experience fever, hypotension, breathlessness, chills and rigor:
* Stop the transfusion immediately and keep the cannula patent with one pint of IV normal saline using new administration set
* Report transfusion reaction immediately to the doctor
* Check on both the patient and unit identification again if discrepancy is noted, the Doctor or Nurse must notify the blood bank immediately
* Notify the blood bank immediately whenever a transfusion reaction has occurred
* For transfusions reaction involving only urticaria/ rashes without accompanying dyspnea, significant oedema/ GI symptoms a transfusion reaction investigation is not required
* Monitor the patient’s vital signs and urine output hourly
* Fill up the “Transfusion Reaction
Notification and Investigation Order’
* Obtain post transfusion sample of blood specimens from patients: Red
Top, Pink Top and Urine sample
* Put the following in the Blood Bank cooler blood box and activate porter as “emergency” to return them to blood bank: Remaining blood in bag and infusion set, Post transfusion sample panel 1, Transfusion Reaction
Investigation
* After 24hours collect another set of blood sample
