Prior to Blood Transfusion
Before starting blood, ensure the patient has signed..
a Blood Consent
Where do you go to print the blood consent?
FormFast
You have started your blood transfusion. When you do you need to chart your next set of vitals?
15 minutes
#14-#22
IV gauges blood can be transfused through
What vital signs should be documented pre, during, and post blood transfusion?
HR
RR
BP
SpO2
**Temp**
Blood can only be infused with
Normal Saline
Who applies the blood band to the patient?
The person who draws the type & Screen
When do you chart your last set of vital signs?
At the time you stopped your blood
101 degrees
If the patient has a temperature of 101 degrees or greater, notify the physician, unless pre-existing condition exists accounting for the temperature elevation
What do you do if blood reaction occurs?
Stop blood transfusion
start NS with new tubing
call physician for orders
notify blood bank & order transfusion reaction workup in the EMR
save all blood tubing and bag for lab
obtain post-transfusion blood specimens
obtain urine specimen within eight hours
You have just received your patient's blood; how long do you have to start the infusion?
30 minutes
What portion of the blood band goes down to lab with the type and screen?
The written patient information and the "tail"
The blood transfusion should be complete within
4 hours
1-6 degress Celcuis
Blood or blood components that have been returned to the blood bank will be accepted into inventory for reissue only if the container has not been entered into with an administration set, the appropriate temperature of 1-6°C has been maintained, and a visual inspection of the unit finds it acceptable for future use.
The blood tubing must be changed after every ___ unit(s) of the same blood product.
2
When should you record your pre-transfusion vital signs?
Within 30 minutes prior to blood start time
72 hours
When can you increase your blood infusion rate from 50 mL/hr?
15 minutes
108 mL/hr
The flow of blood products should be 50ml/hour during the first 15 minutes. The following is a guideline for the rate of the remainder of the infusion per the desired time the blood products are to be infused: Packed Cells Approximately 325 ml
4 hours 81 ml / hr
3 ½ hours 93 ml / hr
3 hours 108 ml / hr
2 ½ hours 130 ml / hr
2 hours 163 ml / h
What should you do if the patient expires during the administration of a blood product?
The nurse must notify the blood bank of the death and a transfusion workup must be initiated
Who can complete the blood verification process?
1 person must be an RN, 1 must be a qualified staff member (someone who knows the blood verification process)
While obtaining consent, you should educate the patient on signs/symptoms of blood reaction. Name 3 of the most common blood reaction symptoms
1. Fever (Increase of 1.8 degrees)
2. Chills
3. Nausea
4. Dyspnea (rapid respiration or breathlessness)
5. Pain (in legs, abdomen, lower back or IV site)
6. Low blood pressure (less than 90/60)
7. Headache
8. Flushing (of face or chest)
9. Chest Pain
10. Confusion or Anxiety
11. Rash or Hives (face, chest, inner arms and thighs)
At what rate do we start our blood transfusion?
50mL/hr
OSHA
Follow OSHA guidelines for preventative exposure to blood products
What blood products need thawed, therefore you need to call the blood bank 30 minutes to 1 hour before infusion time so they can begin the process?
FFP (call 45-60 mins before infusion time)
Cryoprecipitate (call 30 mins before infusion time)