Blood Administration RPI Education Roll out

1. Blood Administration RPI Education Roll out • Problem-there is a need for the blood administration process and associated documentation to be 100% accurate • Mission-to define a safe, accurate, and efficient blood administration process (to reduce errors)

2. OBJECTIVES • Understand the proper blood administration process • Define safe, accurate, and efficient blood administration • Adhere to the blood administration process according to policies and procedure

3. Reminder Revised Re-format Informed blood consents Correct labeling Clot directly to Blood bank Witness eliminated Blo03 policy revised Form 901542 eliminated Read back verification VS after 15-30 ml Blood Bag Tag Blood ID Band Yellow Blood Tube System 3 “R”s TO REMEMBERBLOOD ADMINISTRATION UPDATE

4. REMINDERBlood Consent • Surgical consent is only valid up to 72 hours after surgery • Single informed blood consent is sufficient for the course of therapy • Serial medical outpatients, a single informed consent is valid for 6 months

5. REMINDERBlood Clot • Blood clot collection tube correctly labeled

6. REMINDERBlood Clot • Blood clot specimens go directly to Blood Bank • Blood supplies are all centrally located • Blood clot can be drawn 7 days prior to surgery but only good for 3 days once patient is admitted

7. REVISED POLICIES Blood Bank ID Bands • The witness for the blood clot draw will be eliminated in the policy due to the initiation of : • Patient ID verification • Blood ID banding • Bar coding

8. REVISED POLICIESBL003 policy • 5 policies into one policy- Administration of Blood Products (Attachment A) • The read back verification is added in the policy • Vital signs will be documented after 15-30 mls of blood instead of 15 minutes

9. REVISED POLICIES • The form #905412 will be eliminated • Blood transfusion will be included in the Handoff Communication policy • Patient will not be transferred until 15-30 mls of blood transfused

10. REFORMATBlood Bag Tag • The 15 minutes vital signs will be changed to vital signs after 15-30 mls transfused except for NICU and Pediatrics will be following their specific policy • Respiration is also added to the vital signs

11. Blood Bag tag • Checklist is added to the blood bag tag to remind nurses to check and complete the documentation. • The time of transfusion is separated to follow the sequence of event in the blood administration process

12. RE-FORMATBLOOD ID BAND • Apply the smallest patient EZ ID label to the “R” band • The blood band is now ¾’’ wide to accommodate the patient ID label

13. RE-FORMATBLOOD TRANSPORT • The blood transport using the pneumatic tube system will now have yellow lining that indicates safety • The pneumatic tube system will only be used during night shift

14. RE-FORMATBLOOD TRANSPORT • The front of the tube says BLOOD and the back says RETURN TO BLOOD BANK

15. Certification of Completion • Upon completion of this review, please click on the following link and print out the Certificate of Completion • Certificate of Completion • Only print Current Slide!!!! • Give this certificate to your educator for your files.