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.
