12 easy steps to perform a blood transfusion
Question Answer Step 1 Consent form is signed prior to blood administration. Step 2 Type & cross match is done when a blood transfusion is ordered. Step 3 Blood bank ID band is placed on pt. Step 4 2 nurses id blood bank #, blood type of donar, blood type of pt, donor #, ordered components, & expiration date. Step 5 Once the identification process happens, both nurses sign the blood tag. Step 6 Blood is given via a large gauge IV catheter (18 or 19 gauge). Step 7 Blood must be hung within 30 mins of getting it from blood bank. Step 8 Blood is administered w/ a Y set which has 2 ports so NS can be used to prime the line and to make sure all blood has been infused. Step 9 LR & dextrose are contraindicated because they result in hemolysis of RBCs. USE NS!!! Step 10 VS are taken 15 mins after start of infusion, every 30 mins during infusion, & 30 mins after infusion is complete. Step 11 Blood must infuse within 4 hours. Step 12 At any time if there is a sign of a reaction in the pt transfusion is stopped, & the blood tubing & bag is sent to the lab. Physician is notified & IV line is kept patent w/ saline.
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