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Flap 2 |
| 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. |
