Dispensing PRBC/ PLT
RNs, MAs and PCTs may obtain or handle blood products, but these unlicensed learners and helpers are not.
Students and Volunteers
Dual verification should occur in this location
At the patient's bedside
All transfusions require these two types of orders
Product order and a transfusion order
PRBC and Whole Blood should be primed with only this
This range of temperature increase from baseline could indicate an ACUTE transfusion reaction
1 degree Centigrade
or 2 degrees Fahrenheit from patient's baseline
Document this intervention prior to submitting an order for dispensing a blood product
BCTA Pre-Issue Checklist
This item is scanned first when performing Dual Verification
A patient's wrist band
Type and cross samples are good for this length of time before a new sample should be obtained
72 hours
Vital signs must be obtained by an RN in this amount of time after a transfusion begins.
15 minutes
This sign of delayed transfusion reaction means "yellowing of the skin."
Jaundice
From the time the time that the product is issued from the Blood Bank, the transfusion should completed within ____ hours.
4 hours
Upon visual inspection of a unit of PLT or PRBC, name at least one disqualifier that would cause a unit to be returned to the Blood Bank.
abnormal color,
PRBC clumping,
bubbling
and/or extraneous material
Bone marrow transplant patients, by policy, should receive only this type of prepared product
Irradiated
After this length of time has passed and vital signs have been obtained, the patient's transfusion may be titrated according to their condition
30 minutes
If a provider orders to resume a transfusion, vital signs and patient assessments should be documented within these intervals.
Vital signs and patient assessment must be obtained and documented after 15 minutes of resuming the transfusion; then documented hourly until the resumed transfusion is completed.
This many units of blood product may be requested at a time from Blood Bank.
One Unit
Name these six components of verbal/ electronic verification of a blood product
A new blood administration set should be used if either of these two limitation have been met
4 hours have passed
2 units of PRBC have been transfused
Vital signs and assessment are obtained at this interval once the transfusion has passed the 15 minute mark.
Hourly
A hemolytic reaction will trigger this type of specimen being ordered by lab.
Urine
From the time that a blood product is issued from the Blood Bank, the window to BEGIN the transfusion is this long.
30 minutes
These 4 licensed professionals may participate in dual verification of a blood product
licensed nursing staff member,
physician,
perfusionist, or
Respiratory Therapist with ECMO Specialist Training
Ensure this is patent prior to obtaining a product from the Blood Bank
IV Site
Dispose of the blood product bag and administration set in this color and type of container
Red Biohazard
If a physician orders to stop a transfusion, these materials will need to be sent to the blood bank.
Blood product bags transfused in the last 2 hours with attached IV fluid and tubing