Preparation
This must be obtained prior to administering any blood product
Blood consent
I compare my patient's name and MRN on the blood product tag with this
Patient ID band
This is how long I must stay in the room after I start 1 unit of packed red blood cells
15 minutes
This must be changed on a central line within 24 hours of giving any blood product
Clave
When my blood must be ordered in mls instead of units
My patient is less than 20 kg
The length of time before my blood tubing expires
4 hours
Name 3 symptoms you watch for when a patient is receiving a blood product
tachycardia, tachypnea, hypotension, hypertension, hives, SOB
Length of time a Type and Screen is good for
72 hours
Ordering my blood with this special consideration reduces the risk of GVHD
Irradiated
Because we've been having so many issues with pumps beeping air in line while running blood, this is what I must do when getting ready to gather my supplies to prime my tubing.
Keep the packaging until the end of the transfusion.
The first thing I must do if I suspect my patient is having a reaction
Stop the infusion
The location I document a blood reaction
Bridge
Ordering my blood with this special consideration reduces the risk of CMV transmission
Leukocyte reduced
You hung a bag of packed red blood cells and the bag says 500 mls. How many mls do you program your pump for?
300-350 mls
The two groups I must call if I suspect my patient is having a reaction
Provider and blood bank
A patient newly diagnosed with ALL has continuous IVF ordered and running in a right hand PIV to prevent tumor lysis syndrome because they are getting their port placed in the morning. Where will you run the 1 unit of PRBC and 1 unit of platelets that the team just ordered?
Place a second PIV in order to maintain hyperhydration
This can happen if I prime my blood tubing with D5W or LR
Hemolysis
This is how often I need to take vital signs for a patient receiving a platelet drip.
The reason I must not request my blood until I am for sure ready to hang it when it arrives on the floor
Temperature constraints. According to transfusion protocol, RBC products are not suitable for return to inventory if the temperature exceeds 10°C
My Day +6 BMT patient's 0400 labs came back and platelets are 8. There is a standing order to transfuse 1 unit for platelets <10. How do I proceed?
Administer 1 unit of platelets on 19L.