Acquire the Blood Products:
Call the Blood Center (6-2561) to insure availability of blood products.
|On a 3x5 card imprint the transfusion recipient's addressograph and list the product to be obtained. Take the card to the blood center.|
|Blood unit labeling is completely checked by a Blood Center staff member and a Nursing Staff member before the release of the product. The unit bag label, transfusion "chart copy" and the addressograph imprinted 3x5 card are read aloud. After verifying that all patient and labeling information is correct, the blood product is released to the Nursing staff member, who records receipt of the blood product in the Blood Center log book.|
Immediately before transfusion of each unit of blood or component, the RN who will be the transfusionist and another staff member must completely check all blood unit labeling and patient identification in the presence of the patient. The transfusionist reads aloud from the primary label and the blood center label on the unit. The witness compares the information to the Blood Center "chart copy".
|Verify: The Primary label on the unit|
|The Donor Center Label on the unit|
The "Chart Copy" label
The Transfusionist and the Witness verify the patient identification and Typenex bands to the Blood Center label and "chart copy" label.
|The patient ID and Typenex bands are verified.|
The following is read aloud:
19 gauge or larger needle (23-gauge needle may be used for pediatric patients)
Y-type blood infusion set with 80-micron filter
0.9 percent normal saline. (saline is the only solution approved for direct mixing with blood.)
|Prime the Tubing:
Prime the tubing with NS.
immediately before starting the transfusion, mix the blood unit by gentle inversion.
|No medication should be added to the IV while blood is transfusing.
In multi-lumen catheters, medications may be added to the lumens not being
used for the transfusion.
Blood received on the unit from the Blood Center must not be out of the Blood Center controlled refrigeration longer than 15-20 minutes before it is to be transfused. If the transfusion cannot be started within this time, return blood units to the Blood Center for proper storage.
Simultaneous transfusion of more than one unit of blood or component should not be performed unless patient condition indicates a critical need. If transfusion of more than one unit or component is necessary, each transfusion unit should be administered via separate IV access.
Initial--at a rate not to exceed a total infused volume of greater than 50ml in the first 15 min.
Remainder of transfusion--PRN to maintain the desired rate
An external pressure type blood pump may be used with a physician's order. To prevent lysis of cells do not inflate the bag above 250 mm Hg.
|Transfusion assessment/intervention must be documented on the "chart copy" issued by the Blood Center and either on the Nursing Notes/Flowsheet, Transfusion Flowsheet, or online via Blood Products Administration/NIC.|
* The volume
to be transfused or the condition of the patient may preclude initial
administration at a decreased rate.
|When the Infusion is Complete
Complete the chart copy label and place it on form G9 Blood Transfusion Record, and insert it in the Chart