Blood Transfusion
Name 1 thing you need prior to giving a blood transfusion?
Consent
True/False. A family member can translate for the family.
False
You are about to clean an instrument. What do you put on yourself?
PPE
How long do you have to reassess pain for a PO pain medication?
90 minutes
How old does your patient have to be for ASQ?
10 years old
How long is your consent good for?
Admission, unless consent is withdrawn
Name a language access service at UCSF
In-house interpreters
On-demand telephone or video interpreters
Certified Bilingual Staff/Clinicians
Where do you put your to-go box with the soiled instrument?
Soiled Utility Room
How long do you have to reassess pain for an IV pain med?
30 minutes
Converting a room to a safe room is a coordinated effort. How do you make it happen?
MCSS ticket
When should the transfusion start?
When blood hits the patient
Your patient's mom declines an interpreter. What do you do?
Chart it & offer every time
What is important to do with a hinged instrument prior to cleaning?
Open it
You gave morphine PRN, in addition to a pain score, what else do you chart on reassessment?
sedation score
Your patient came in intubated and wasn't screened for ASQ. They are now awake and alert. What do you do?
Completing the blood doesn't mean the transfusion stopped. What do you need to do?
Chart rate 0
Where can you find the patient's preferred language?
Banner in the chart
No one can bring the instrument to SPD. What do you do?
Put an MCSS ticket for pickup.
How often, at minimum, do you need to assess your patient's pain?
Q4 hours
True/False. Caregiver must leave the room for you to do the screening.
False.
When do you chart vitals?
Within 1 hour of start
Exactly 15 minutes after start
At end of transfusion
What two things are required when documenting interpreter usage?
Source and language
Soiled instruments must be kept what prior to delivery to SPD?
Wet
True/False. A patient can experience pain even while sleeping.
True.
Your patient screens positive (acute or non-acute) What do you have the provider do?
Write for an order set