Consent/Physician Order
Blood Product Verification
Transfusion Setup & Equipment
Documentation
Blood Transfusion Reactions
100
This person is responsible for obtaining consent
What is the provider
100
Blood products are verified here
What is at the bedside
100
These three pieces of equipment are needed in order to administer a blood transfusion.
What is blood tubing with filter, normal saline flush bag, infusion pump
100

This intervention is added to PCS in order to document all blood transfusions; it adds all interventions that the RN is required to document on

What is a blood transfusion Sheet

100
This is the first thing that should be done if a transfusion reaction is suspected
What is stop the transfusion and hang a new bag of normal saline with new tubing, in order to flush the IV
200
This is the role of the RN in the consent process
What is witness consent
200
These two people verify blood products at the bedside.
What is 2 RN's or higher, in front of the intended recipient.
200
Blood can be out of the blood bank for this long prior to the start of the transfusion
What is 30 minutes
200
Baseline vitals need to be obtained within ________ minutes prior to starting a blood transfusion.
What is 30 minutes
200

After two tubes of blood are drawn following a suspected transfusion reaction, they need to be sent to the blood bank _______________.

What is immediately; goal within 30 minutes

300
The RN should look here to verify that consent exists and is valid prior to starting a blood transfusion
What is the physical paper chart
300
These three items are verified when we compare the actual blood product versus the attached transfusion tag
What is the unit #, ABO/Rh compatibility, and the expiration date
300
This is the starting rate for all blood transfusions
What is 2ml/min for the first 15 mins (120ml/hr)
300
Following baseline vitals, vitals are obtained at these three intervals for each unit of blood given, and as needed
What is 15 minutes after the start, at completion, 1 hour after completion
300
These two transfusion reactions both initially present with shortness of breath and dyspnea.
What is TACO & TRALI
400

The patient should have on this color wrist band if they do not consent to the use of blood products

What is blue/green

400
These two items (minimally) are verified when we compare the transfusion tag to the intended recipient
What is the name and MR # OR DOB
400
Blood tubing is good for this long (in hours)
What is 4 hours
400
At these two times (minimally) the patient needs to be taught about blood transfusions
What is prior to the transfusion, and at discharge
400
This transfusion reaction initially presents with shortness of breath and dyspnea, along with hypertension and JVD, usually improved with the treatment of diuretics
What is TACO
500
These 2 components (orders) make up the physician order for blood products
What is the blood bank order & nurse transfusion order
500
These two people are notified if there are any discrepancies noted during the verification process
What is the blood bank and the provider
500
A policy change that took place in late 2017, this situation requires 2 different type and screens to be drawn on the same patient prior to blood being issued
What is if a patient has never had a type and screen completed before 
500

These two Care Notes must be added to the patient instructions tab in the Med Chart for all blood transfusions

What is blood transfusion and blood transfusion reaction

500

This transfusion reaction initially presenting with shortness of breath and dyspnea, along with hypotension and fever, can improve with fluids

What is TRALI

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