1 / 19

Review of Blood/Blood Products Policy, Transfusion Record, Consents

Review of Blood/Blood Products Policy, Transfusion Record, Consents. Education Self Learning Module For any questions contact Education Resources Ext 4212. New Policy. Combines many policies into one .

wesley-mccullough
Download Presentation

Review of Blood/Blood Products Policy, Transfusion Record, Consents

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Review ofBlood/Blood Products Policy, Transfusion Record, Consents Education Self Learning Module For any questions contact Education Resources Ext 4212

  2. New Policy • Combines many policies into one. • This is a extensive policy, so there are some helps built into the policy to help you navigate quickly to the information you need • The idea is one stop shopping

  3. Helpful pointers • At the beginning of the policy there is a table of contents that you can click on any subject that is in blue • The computer will take you to that section of the policy

  4. New Forms • The updated policy references required forms, they are: • Consent for Blood/Blood Products • Consent for Refusal of Blood/Blood Products • Blood/Blood Product Transfusion Record

  5. The Consent for Blood/Blood ProductsConsent for Refusal of Blood/Blood Products • The consent is two parts. • Informed consent • Attestation by the MD/Provider • The nurse needs to assure the consent is completed, and in the chart prior to giving the blood/blood product (except in an emergent situation) • Refusal for Blood/blood Product • If the patient refused the transfusion, the refusal sticker is still place on the chart, as with prior practice

  6. Consent witnessing: • The nurse no longer witnesses or signs the consent. • This is physician’s responsibility.

  7. The Consent for Blood/Blood Products • This consent is good for the entire current hospitalization • A new consent is to be used for each admission

  8. Blood/Blood Products Transfusion Record • The form walks you through the process of administering the unit • Read each line carefully • Complete this form and place the top copy in the patient’s chart and the yellow copy is to be returned to the blood bank transfusion center. • Each form will be reviewed for completeness prior to separating and verified with a signature

  9. Key Points • Be sure you have: • Blood issue Time and Date • Is the start time of the transfusion within 30 minutes of issue from the blood bank transfusion center? • If not, return the Blood/Blood Product to the blood bank transfusion center

  10. Key Points • Make sure the consent is signed • Make sure a written order is verified for transfusion • If emergency release is necessary for uncross matched blood, MD must sign the Blood/Blood Products Transfusion Record • Verification by two qualified professionals: MD/Provider/RN, RN/RN, Transfusing RN/LPN

  11. Key Points • Verification of two unique identifiers, medical record number, and name if the patient is identified • If a unidentified patient, the medical record number and account number are used

  12. Key Points • Verification is to include three steps at the bedside or chair side: • Verify patient using two unique identifiers on the patient’s ID arm band • Match the above with the Blood/Blood Products Transfusion Record • Match the above to the blood unit identification information

  13. Key Points • Verify the patient’s name and blood band I.D. are identical, if not do not proceed with the transfusion.

  14. Key Points • Transfusion must be completed with in four hours of the time the product leaves the blood bank transfusion center

  15. Vital signs • Three sets are required: • Pre (just prior to starting) • 15 minutes after starting • Post transfusion (at the time you stop) • Record the date/time transfusion is started and stopped

  16. Change in LPN Scope of Practice • LPNs are now able to complete all aspects of blood and blood product transfusion EXCEPT: • Pick up the blood product from transfusion center. • Monitor the pt in the first 15 minutes after start of transfusion, including the vitals signs. • These two must be completed by an RN.

  17. Key Points • The Blood/Blood Products Transfusion form includes the criteria for Transfusion Reactions • Was there a suspected reaction? Yes or No (please circle one) • If a reaction is suspected instructions are included how to proceed

  18. Review of Blood Transfusion Policy • Please review the updated policy in the Indige System: PH1572 • A major change is in the re-banding procedure addressed in Section VI- Item F on page 18 of the policy. • This policy is reviewed and updated annually.

  19. Competency Examination • A short examination in HealthStream has been assigned to you for verification of competency for understanding the current process at CMC for blood/blood product administration. • Please complete during allowed timeframe

More Related