Who must verify blood transfusions?
What is 2 RN's
This is the nurse's first action when a transfusion reaction is suspected
What is stop the infusion and call the ordering provider
The blood tubing needs to be changed with every unit of blood product (true or false)
What is true
What patient assessment does the nurse need to complete before administering blood? (name at least 3)
What is Resp/CVS assessment, VS including temp, IV site, size and condition, additional IV site for medications prn, previous hx of transfusion reactions, patient teaching
What do you do if you have a unit of blood that is discolored, contains excessive bubbles, or is cloudy?
What is do not infuse and return to blood bank.
This blood product is given is the patient has a Hgb level of 7.0 or less and is symptomatic
What is PRBC
During the baseline assessment the nurse notices that the patient's temp is 101.5. What should he/she do?
What is delay hanging blood and notify ordering provider.
What should you verify before hanging blood? (name at least 3)
What is client’s name and identification number, number on the blood bag label, ABO group and Rh type on the blood bag label
Administered faster than the circulation can accommodate
What is transfusion associated circulatory overload. (TACO)
Length of time you should stay with the patient when first administering blood?
What is 15 minutes
If you have a transfusion reaction, what should you do with supplies and patient?
What is return remaining blood together with a post transfusion blood sample and other required specimens to blood bank, along with tubing, and treat patient according to reaction experiencing