Blood Transfusions
What do you do if you see any signs or symptoms of a blood transfusion reaction
What is STOP!?
Critical values must ultimately be reported to this person
Who is the provider?
This bedside test is most commonly performed in hospitals for glucose monitoring.
What is an Accu-Chek (or blood glucose test)?
Specimens must be labeled with at least blank patient identifiers
What is two?
All laboratory policies must be reviewed and updated at this interval.
What is every two years?
This must be documented at regular intervals during a transfusion.
What are vital signs (baseline, 15 minutes, hourly, and post-transfusion)?
The timeframe for communicating critical values to the Physician
What is within 60 minutes?
Before performing POCT, staff must have this.
What is competency validation (or annual training)?
The time between collection and labeling should be:
What is immediate (at bedside, never pre-labeled)?
This must be completed before a new test is implemented in the lab.
What is a validation?
Any unused unit of blood or blood derivatives will not be accepted by the Blood Bank, unless returned within this timeframe.
What is thirty (30) minutes?
Staff must perform this process when receiving a critical value over the phone.
What is read-back verification?
POCT generally requires this to be ran at a set interval unless there is an IQCP on file
What is a QC?
This is the most commonly mislabeled specimen.
What is urine?
Staff must be assessed for this at orientation and annually thereafter.
What is competency?
Blood products should never hang longer than this amount
What is 4 hours?
These elements are required to be documented when reporting a Critical Result to the Provider
What is who was notified, when, the result, and any orders.
This product is used to disinfect the glucometer between each patient use
What is/are Super Sani Wipes?
Specimens for blood cultures must be drawn using this technique.
What is aseptic technique? (or sterile technique)
In addition to state (CDPH) license and Joint Commission accreditation, the Lab also must have this license/certification
What is CLIA?
The RN must closely monitor the patient for the first blank minutes of the transfusion and immediately report any adverse reactions.
What is 5 minutes?
This is the National Patient Safety Goal associated with Critical Result communication
What is NPSG.02.03.01
Other than Accucheck, name two other tests that are considered POCT
What are Clinitek Urine Dip, HCG testing, Hemochron ACT, or iVox
Generally specimens that may be mislabeled are sorted into two different categories to determine if the sample must be recollected - name the 2 categories
What is non-retrievable vs retrievable?
This quality control option allows laboratories to customize their QC plans based on their specific testing environment and needs.
What is an IQCP, or Individualized Quality Control Plan?