Components or Products?
Red blood cells, plasma, platelets, and cryoprecipitate all belong to this category.
What are blood components?
Baseline assessment and vital signs should be completed within this time period before beginning the transfusion.
What is within 30 minutes before initiation?
Bedside verification of a blood component requires this many health-care providers, one of whom must be the transfusionist.
What are two HCPs?
A transfusion is initially run at a reduced rate for this amount of time.
What is 15 minutes?
Your patient develops a new symptom during a transfusion. This is your first action.
What is STOP the transfusion?
IVIG, RhIG, albumin, and coagulation factors all belong to this category.
What are blood products?
Before starting, the transfusionist must verify both of these are in place: one tells you what to give and the other confirms the patient has agreed to receive it.
What are the transfusion order and consent?
Bedside verification of a blood product requires this many health-care providers.
What is one HCP — the transfusionist?
For the first part of a transfusion, the patient requires direct bedside observation for this many minutes.
What is 5 minutes?
After stopping a transfusion because of possible reaction symptoms, the nurse must repeat this safety process.
What is the bedside verification check?
This is the key compatibility distinction between blood components and blood products.
What is that blood components have an ABO designation, while blood products do not?
Before requesting the blood component or product, the nurse checks or establishes this to make sure there is a usable route for administration.
What is a patent venous access device (VAD)?
IH requires bedside verification to be performed this way, rather than stopping midway to answer the phone, grab supplies, or complete another task.
What is one uninterrupted process?
The patient has tolerated the first 15 minutes without signs of a reaction. Before increasing to the ordered rate, the nurse does this.
What is reassess the patient and repeat vital signs?
A suspected transfusion reaction must be reported promptly to these two parties.
Who are TMS and the authorized prescribing practitioner?
In addition to the facility ID band, a patient receiving a blood component must also be wearing this identification band.
What is the TMS ID band?
The blood arrives on the unit and the transfusion must be started within this many minutes of the TMS time of issue.
What is 30 minutes?
When possible, the patient should state these two identifiers aloud during bedside identification.
What are their full name and date of birth?
A unit of blood component must be completed within this length of time from the TMS time of issue.
What is 4 hours?
A patient being discharged shortly after a transfusion needs teaching that some transfusion reactions may not appear immediately. They should continue watching for symptoms over approximately this time frame.
What is 24 hours to several weeks after transfusion?
Your patient has orders for one unit of RBCs followed later by albumin. This transfusion requires two HCPs for the bedside verification; this infusion requires only the transfusionist.
What are RBCs and albumin, respectively?
A third-year BSN student has demonstrated competence and is preparing to initiate a transfusion. The RN must provide this level of supervision during the bedside check, initiation, first 5 minutes, 15-minute assessment, and response to an acute reaction.
What is direct supervision? (RN physically present at the point of care.)
Your patient's ID band reads Maria Lee, while the TMS compatibility tag reads Marie Lee. The DOB and room number are correct. This is your next action.
What is STOP and resolve the discrepancy with TMS before beginning the transfusion?
Complete this sentence: Change the administration set between product types or after ________, whichever comes first.
What is 4 hours or 2 units?
Fifteen minutes into an RBC transfusion, your patient develops sudden dyspnea and hypotension. You stop the transfusion. Someone suggests flushing the blood remaining in the existing tubing into the patient with saline. Your response?
What is NO — do not allow the blood in the tubing to be transfused; disconnect the blood administration set and use a new administration set primed with compatible solution?