Consent
Who signs the consent form for a blood transfusion
Patient, doctor
Blood product are picked up from where & by whom?
Blood Bank
RN
LNA/HUC
Supplies needed to administer blood
Standard 170-260 micron filter blood tubing
0.9 Normal Saline
Primary tubing
IV pump
A symptom of transfusion reaction is fever. How high does the change have to be
1.0 degree C or 1.8 degree F above baseline
Consent is kept where
Patients chart
Discussed with patient about transfusion
Risks, benefits and treatment alternatives
What should you have for IV access
20-24 gauge
If rapid transfusion 14-18 gauge
What rate should the blood transfusion be started at?
50 ml/hr for first 15 min
Blood Pressure change of what is a sign of transfusion reaction
Adult - Decrease greater than 30 mmHg OR
Increase greater than 30 mmHg
Navigator
where amount of blood infused is recorded
Same diagnosis, one consent is used for how long?
Single admission
What does a Pre-transfusion assessment consist of?
B/P, HR, Temp, Resp
Also assess for and take note of presence of any SOB, rash, pruritis, wheezing, and chills
When is it ok to change the transfusion rate?
after the initial first 15 minutes of the transfusion if the patient had no problems
what is the immediate treatment for transfusion reaction
Stop transfusion - disconnect the blood adm tubing and verify patency of the line
Change adm set and run 0.9 N/S at 30 ml/hr
Do not discard blood or blood tubing- needs to go to blood bank
Notify blood bank and Provider- obtain order for transfusion reaction workup
V/S and assess patient
Place order in computer
send first voided or cathed spec to lab
DOCUMENT
How frequent are vital signs taken and where do you document them
Within 30 minutes pre transfusion
15 minutes after transfusion initiated
Whenever transfusion reaction suspected
At the end of transfusion (within 60 minutes)
Document in the Blood Administration Flowsheet
When a patient needs a blood transfusion for a different diagnosis during the same hospital stay does a new consent have to be obtained?
Yes
How soon before a blood transfusion do vital signs need to be obtained
within 30 minutes
Rate of a patients blood transfusion is based on what?
Patients size
Blood volume
Hemodynamic condition
What needs to be validated on a blood product bag, where, and by whom?
Perform validation check of ID tags and numbers at bedside
what are the infusion rates for RBC, Platelets
2-5 ml/kg/hr
1 ml/kg/hr if issues with fluid overload
must be infused with in 4 hours but can be given a quickly as 1-2 hours
Blood Consent for an outpatient is good for how many months
Six months
Verified by two RNs
Patient
Donor Identification Number Blood
Blood Type (ABO group and Rh type)
Provider Order
Expiration date
Visual Inspection of blood product for any clots or abnormal findings
Transfusions need to be completed within how many hours maximum
Four hours
Order needed
To do a blood reaction workup
Where is paper documentation kept
Patients chart