Orde Administering a Blood Transfusion

Orde Administering a Blood Transfusion
Orde Administering a Blood Transfusion
1. Verify the medical order for transfusion of blood product.
Verify the completion of informed consent documentation
in the medical record. Verify any medical order for
pretransfusion medication. If ordered, administer medication at least 30 minutes prior to initiating transfusion.
2. Gather all equipment and bring to bedside.
3. Perform hand hygiene and put on PPE, if indicated.
4. Identify the patient.
5. Close curtains around bed and close door to room if
possible. Explain what you are going to do and why you
are going to do it to the patient. Ask the patient about
previous experience with transfusion and any reactions.
Advise patient to report any chills, itching, rash, or
unusual symptoms.
6. Prime blood administration set with the normal saline IV
fluid. Refer to Skill 40-2.
7. Put on gloves. If patient does not have a venous access in
place, initiate peripheral venous access. Refer to Skill 40-1.
Connect the administration set to the venous access device
via the extension tubing. Refer to Skill 40-1. Infuse the
normal saline per facility policy.
8. Obtain blood product from blood bank according to
agency policy. Scan for bar codes on blood products if
required.
9. Two nurses compare and validate the following information
with the medical record, patient identification band, and
the label of the blood product:
• Medical order for transfusion of blood product
• Informed consent
• Patient identification number
• Patient name
• Blood group and type
• Expiration date
• Inspection of blood product for clots
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