Prior to Blood Transfusion
Consent & Blood Bands
Process
Policy
100

Before starting blood, ensure the patient has signed..

a Blood Consent

100

Who applies the blood band to the patient?

The person who draws the type & Screen

100

You have started your blood transfusion. When you do you need to chart your next set of vitals? 

15 minutes

100

#14-#22

IV gauges blood can be transfused through 

200

You have just received your patient's blood; how long do you have to start the infusion? 

30 minutes

200

What portion of the blood band goes down to lab with the type and screen? 

The written patient information and the "tail" 

200

When do you chart your last set of vital signs? 

At the time you stopped your blood

200

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

300

When should you record your pre-transfusion vital signs?

Within 30 minutes prior to blood start time

300

Where do you print the blood consent? 

FormFast

300

At what rate do we start our blood transfusion?

50mL/hr

300

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.

400

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)

400
At what point would we need to get a new type & screen and blood band? 

72 hours

400

When can you increase your blood infusion rate from 50 mL/hr? 

15 minutes

400

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

500

Blood can only be infused with 

Normal Saline

500

What do you do if blood reaction occurs? 

Stop blood transfusion, start NS with new tubing, call physician for orders, notify blood bank 
500

The blood transfusion should be complete within

4 hours

500

OSHA

Follow OSHA guidelines for preventative exposure to blood products