Disconnects

Question 1

What to do during RBC Spillover

Answer 1

-check for signs of hemolysis
-lead or higher verify
-if there is no hemolysis, place on last return
-if return is successful, donor is put on 56 day watch
-if they have a second rbc loss in 56 days, they will be deferred for 56 days

-give Gatorade and have donor wait 5 minutes
-take Machine out of service

Question 2

What to do if there is a bowl break

Answer 2

-determine the reason and have management verify
-check for signs of hemolysis
-end the procedure
-check the plasma valve, if it is unlocked, the bottle is air contaminated
-inform the donor of the rbc loss
-follow the steps for not receiving saline
-log defect if applicable

Question 3

What to do during a citrate reaction

Answer 3

Slow the return, reassure donor, slowly turn up return if they feel better

Question 4

Symptoms of a citrate reaction that DO NOT require CMS

Answer 4

Metallic taste in mouth, tingling/numbness in hands/feet/lips

Question 5

Symptoms of citrate reaction that DO require CMS

Answer 5

Tingling/numbness past the extremities, muscle tightness, convulsions, symptoms last more than 10 minutes

Question 6

What to do during hypotensive reaction

Answer 6

Place donor in return, elevate their feet, fan them off, talk and reassure them to reduce anxiety, place ice pack on chest/behind neck

Question 7

Symptoms of hypotensive reaction that DO NOT require CMS

Answer 7

Pale, clammy, lightheaded, dizzy, auditory or visual disturbances, nausea, feeling hot

Question 8

Symptoms of hypotensive reaction that DO require CMS

Answer 8

Vomiting, passing out, chest pain, bluish tint to skin, symptoms lasting longer than 10 minutes

Question 9

What to do during hemolysis reaction

Answer 9

Stop the procedure and notify management and CMS. Contact EMS. Take machine out of service

Question 10

What to do during a power outage

Answer 10

-turn off all machines
-hold down donor valve and turn blood pump towards donor 5 times to prevent clotting
-if power does not come back in 5 minutes, perform gravity infusion
-if infusion is successful, give donor saline and have them wait 5 minutes
-if all blood cannot be returned, follow saline steps and inform donor of RBC loss deferral period of 56 days

Question 11

What to do during wet DPM

Answer 11

-perform gravity infusion
-give gatorade
-clean dpm with wet tech wipe

Question 12

What to do during ac runout

Answer 12

-end procedure
-place donor in last return if possible
-gravity infuse if not
-counsel donor on hydration
-if donor doesn’t receive saline, give gatorade