Rules and Storage
Blood products must be started within this amount of time after pickup from the Blood Bank.
What is 30 minutes?
Every blood product must be administered through this.
What is an infusion set with a filter?
Vital signs must be obtained within this time before transfusion begins.
What is within 30 minutes prior to initiation?
Rash, hives, and itching are characteristic of this reaction.
What is urticaria?
The first action when an acute hemolytic reaction is suspected.
What is stop the transfusion and notify the provider and Blood Bank immediately?
Blood products must be completed within this amount of time from Blood Bank pickup.
What is 4 hours?
This is the only IV solution that may be used with blood products.
What is 0.9% Normal Saline?
Vital signs are first reassessed this long after blood reaches the patient.
What is 15 minutes?
Fever, chills, flank pain, hypotension, and red or black urine are signs of this reaction.
What is an acute hemolytic reaction?
During anaphylaxis, this emergency team should be activated in non-critical care areas.
What is the Rapid Response Team (RRT)?
The optimal infusion duration for most blood products.
What is 2 hours?
The recommended IV catheter size for rapid transfusion.
What is 16–18 gauge?
Nurses should remain near the patient for this amount of time after starting a transfusion.
What are the first 15 minutes?
Sudden fever greater than 2°F above baseline with chills and headache describes this reaction.
What is a febrile reaction?
When TACO is suspected, this should be done to the transfusion rate.
What is slow the transfusion rate per provider orders?
These blood products should never be refrigerated.
What are platelets and cryoprecipitate?
This type of access should not be used to transfuse blood products in NICU patients.
What is a NICU PICC line?
After the 15-minute check, vital signs are recorded at this frequency.
What is hourly during the transfusion?
Dyspnea, crackles, JVD, and hypertension are signs of this reaction.
What is TACO (Transfusion-Associated Circulatory Overload)?
A blood warmer is indicated when a pediatric patient receives more than this volume.
What is 20 mL/kg?
If a transfusion is delayed or canceled, the blood product should be returned to this department immediately.
What is the Blood Bank?
These clinicians can perform the required dual sign-off.
Who are two RNs or one RN and one LPN?
Vital signs must be documented this long after transfusion completion.
What is 20 minutes after completion?
Acute respiratory distress occurring within 1–6 hours of transfusion is known as this.
What is TRALI (Transfusion-Related Acute Lung Injury)?
If an infiltration prevents completion of the transfusion within 4 hours, this must occur.
What is document the amount transfused and discard the remaining blood unit?