Term
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Definition
-confirm that has been subscribed
-patient’s blood has been typed and cross-matched
-patient has signed a written consent
-Explain the procedure to the patient. Instruct patient in signs and symptoms of transfusion reaction
-5. Take patient’s vital signs to establish a baseline and auscultate lungs; assess for jugular vein distention to serve as a baseline for comparison during transfusion.
-hand hygiene and wear gloves
-7. Use a 20 gauge or larger needle for insertion in a large vein. Use special tubing that contains a blood filter to screen out fibrin clots and other particulate matter. Do not vent the blood container. |
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Term
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Definition
-Obtain PRBC’s from the blood bank after the intravenous line is started.
-2. Double-check the labels with another nurse or physician to make sure that the ABO group and Rh type agree with the compatibility record.
-Check to see that the number and type on the donor blood label and on the patient’s medical record are correct.
-Check the patient’s identification by asking the patient’s name, DOB, and by checking the identification band.
-Check the blood for gas bubbles and any unusual color or cloudiness.
-4. Make sure the PRBC transfusion is initiated within 30 minutes after removal of the PRBC’s from the blood bank refrigerator.
-5. For the first 15 minutes, run the transfusion slowly- no faster than 5ml/minute. Observe the patient carefully for adverse effects. If no adverse effects occur during the first 15 minutes, increase the flow rate unless the patient is at risk for cardiac overload.
-Monitor closely for 15-30 minutes to detect signs of reaction
-administration should not exceed 4 hours because of the increased risk of bacterial growth.
-Change the blood tubing after every 2 units transfused, to decrease the chance of bacterial contamination. |
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Term
| Why should the nurse check for gas bubbles and any unusual color or cloudiness? |
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Definition
| Gas bubbles may indicate bacterial growth. Abnormal color may indicate hemolysis(destruction of rbc) |
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Term
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Definition
-Obtain vital signs and compare with baseline measurements
-Dispose of used materials properly
-Document procedure in patient’s medical record, including patient assessment findings and tolerance to procedure
-Monitor patient for response to and effectiveness of the procedure |
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Term
| When should you add medication to blood products? |
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Definition
| NEVER ADD MEDICATION TO BLOOD PRODUCTS |
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