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Blood and Component Administration

Administering Blood and Blood Components. Policy and Guidelines can be obtained from:Nursing Policy, Procedure and Protocol (PP

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Blood and Component Administration

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    1. Blood and Component Administration Blood and Blood Component Administration Requirements for Product Identification Requirements for Patient Identification Requirements for Proper Assessment and Documentation

    3. Obtaining the Blood or Component Hospital employee obtaining blood/component from Transfusion Medicine must state the patients name and hospital (unique) number. An issue report will be given to them along with the blood/component. Blood and components are to be infused immediately when received on the ward. If unable to do so, the product must be returned to Transfusion Medicine ASAP. Blood that is out of approved storage for longer than 30 minutes MUST NOT be transfused.

    4. Blood must NEVER be stored in a fridge on the nursing unit unless specifically monitored, e.g., OR

    5. Issuing blood from Transfusion Medicine

    6. Blood Component Verification 2 nurses (RN + RN/ RPN/ consolidation student) must verify the blood component with issue report: The blood component The blood component unit number Group and Rh of the blood component A visual assessment of the blood unit should be performed.

    7. Visual Assessment of Blood

    8. Patient Verification Compare the patients name and hospital unique number on their ID armband with the blood/component label and the issue report. The same 2 nurses must sign the issue report. In case of any discrepancy: blood/component must NOT be transfused

    9. Proper Assessment and Documentation Perform vital signs just prior to start of transfusion and at 15 and 45 minutes after start of each unit. The blood administration set must be changed after 2-4 units or every 4 hours A unit of red cells must be infused within 4 hours Nursing documentation includes: Type of blood product, unit/product number (do not affix sticker) Time infusion starts and ends Total volume infused (I&O) Vital signs and patients response during and after the transfusion Documentation should appear on the appropriate patient record (flow sheet, multidisciplinary notes, fluid balance record).

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