Blood Products
What components make up whole blood?
Red blood cells + platelets + plasma + anticoagulant + preservative
Who may collect type & cross samples?
Physician, PA, RN, ARNP, CRNA
Which identifiers must be verified immediately before transfusion?
Patient's full name, DOB, and full SS#
Fever, chills, flank pain, hypotension suggest which reaction?
Acute hemolytic reaction
When must initial vitals be recorded?
Before starting the transfusion.
PRBCs are indicated for which primary situations?
Symptomatic chronic anemia; active bleeding/hypovolemia; pre-op Hgb <9 g/dL with expected major blood loss; sickle cell disease
72 hours
Which tag must remain attached to the blood container throughout infusion?
VA Form 10-2984 (Caution Tag)
Dyspnea and cyanosis post-transfusion suggest?
TRALI
When are the 15-minute vitals recorded?
15 minutes after starting transfusion
Which blood product contains fibrinogen and Factor VIII?
Cryoprecipitate
How soon must administration begin once blood is released?
Within 30 minutes
Which IV fluid must be infusing prior to pickup?
Normal saline
FIRST action for severe allergic reaction?
Stop the transfusion immediately
Which CPRS template is used to document the transfusion?
Blood Transfusion Record
Which product is used for warfarin reversal?
Fresh Frozen Plasma (FFP)
Maximum time a unit may hang?
4 hours from release
What documentation must accompany the specimen to the blood bank?
Printed CPRS order
Shock and anuria point toward which reaction?
Anaphylactic reaction
What must the addendum include when transfusion is complete?
Stop date/time and post-transfusion vitals
Primary indication for platelet transfusion?
Bleeding due to critically low platelets or dysfunctional platelets; pre-procedure platelet count <50,000
What role can an LPN serve during verification?
Second verifier only
True/False: Only one unit is released at a time from the blood bank.
True
Name the specimens/items sent to the blood bank after suspected hemolytic reaction.
Blood samples (pink top), urine specimen, remaining blood and tubing, and Transfusion Reaction order
Verification signatures must be entered when?
In real transfusion time by two qualified verifiers