Before you Hang
The 1st 15
Reaction Red Flags
Protocol Pearls
100

This is the suggested "ml/kg" volume of blood to transfuse in patients less than 40kg

What is 10-15ml/kg?

100

This is how many times vitals need to be taken in the first 15 minutes.

What is twice, at the beginning and at 15 minutes?
100

These are some signs of transfusion reaction.

What are rash, itchiness, hives, fever, chills, hypotension, tachycardia, nausea and vomiting?

100

This is the maximum amount of time blood can be out of the fridge to completely transfused.

What is 4 hours?

200

The typical validity period of a type & crossmatch.

What is 96 hours?

200

This is the minimum number of required RNs (or CEPI's) required at the bedside during the entire first 15 minutes.

What is one RN?

200

If a patient develops difficulty breathing, or stridor during a transfusion, it may indicate this type of reaction.

What is anaphylaxis?

200

This is how long the blood bag must be kept in the dirty utility after the transfusion is over.

What is 24 hours?

300

Blood can safely run with this (or these) IV fluids.

What is Normal Saline

300

This is the rate the blood needs to run in the first 15 minutes.

What is 15ml/hr or 1/4 of the final rate? (maximum 50ml/hr)

300

When a patient develops fever, chills, back pain, within the first 15 minutes, it is most likely this type of reaction.

What is a hemolytic reaction?

300

This is the place that blood cannot be checked or prepared.

What is the medication room?

400

When a patient or parent is stressed about the transfusion, these are some ways you can help.

What is age-appropriate distraction, clear explanation, relaxation techniques, offer choices, and encourage parental presence?

400
This is the first thing you do if a patient faints during a transfusions.

What is stop the transfusion?

400

This is the only type of reaction that does not require a full workup.

What is a mild allergic reaction?

400

This is the best way to ensure the temperature is consistent between measurements.

What is always using the same technique (temporal, oral, rectal) between measurements and nurses?

500

These are the 5 things you need before starting your transfusion

What is: Informed consent, an order, recent vitals, double verification of blood, double verification of patient ID?

500

This number is considered a temperature change.

What is 1 degree Celsius?

500

This subtle behavioural change can signal an early transfusion reaction.

What is unusual irritability?

500

These are the 2 options if a patient needs to be transported during their transfusion.

What are being accompanied by an RN or MD

or stopping the transfusion, recording stop time, and restarting it after (provided the 4 hour time limit is respected)