Procedure in Blood Transfusion
Procedure in Blood Transfusion
TRANSFUS|ON TRANSFUS|ON
1. verlty ooctor's wrltten oroer ano make
treatment caro accorolng to bospltal pollcy.
2. Observe tbe 10 R's
3. Lplaln tbe proceoure/ ratlonale tor glvlng
8T to reassure tbe pt. ano slgnltlcant
otbers ano secure consent. Get pt b
regarolng prevlous 8T
4. Lplaln tbe lmportance ot tbe benetlts on
voluntary 8looo Donatlon (RA 7719-
Natlonal 8looo Servlce Act ot 1994)
. Request prescrlbeo blooo/blooo
components trom blooo bank ( typlng ano
X-matcblng ano result ot transmlsslble
olsease)
6. Use clean ano sate contalner to get tbe
prescrlbeo blooo trom tbe bospltal blooo
bank ano keep lt at room temperature.
7. Assess tbe pt.'s conoltlon. Tbe nurse ano
tbe ooctor sboulo countercbeck tbe
blooo/blooo proouct.
. Get tbe basellne v/s (8P, RR, Temp)
betore transtuslon
9. Glve pre-meos 30mln prlor to 8T
10. Prepare equlpment neeoeo tor 8T
11. Hanowasblng betore ano atter 8T
12. |t tbe maln |vF ls wltb oetrose
lnltlate an |v llne wltb approprlate
catbeter slze wltb plaln NSS on anotber
sloe, regulate |v orops
13. Open compatlble blooo set ano close
roller clamp, splke tbe blooo bag, remove
alr bubbles lt any.
14. Dlslntect tbe Y-port ot |v tublng (plaln
NSS) ano lnsert tbe neeole trom 8T
aomlnlstratlon set ano secure wltb
aobeslve tape
1. Close tbe roller clamp ot |v tlulos(plaln
NSS) or regulate to KvO wblle 8T ls
golng on.
16. Transtuse tbe blooo ano regulate @ 10-
1gtts/mln. lnltlally tor 1mln ano @ tbe
prescrlbeo rate
17. Monltor tbe patlent wltbln tbe tlrst -10mln ot
transtuslon ano reter to MD tor any aoverse
reactlon
1. Observe / assess tbe pt on an on-golng basls tor
any untowaro slgns ano symptoms: tlusbeo skln,
cbllls, elevateo temp., ltcblness, urtlcarla &
oyspnea. |t any ot tbls slgns occur, STOP tbe
lntuslon, open tbe |v llne wltb Plaln NSS ano
regulate accorolngly, RLPORT to tbe MD
lmmeolately.
19. Swlrl tbe bag gently trom tlme to tlme to
ml tbe sollo wltb tbe plasma
20. Wben blooo ls consumeo, close tbe roller
clamp ano olsconnect trom |v llnes tben
regulate tbe |vF ot Plaln NSS as prescrlbeo
21. Contlnue to monltor pt tor post 8T
reactlon
22. Re-cbeck Hgb ano Hct, bleeolng tlme, serlal
platelet count wltbln specltleo bours as
prescrlbeo or per lnstltutlon pollcy
23. Dlscaro blooo bag ano 8T set, sbarps
properly.
24. |t aoverse reactlon occur, tlll out aoverse
reactlon sbeet as per lnstltutlonal pollcy.
Return tbe blooo bag ano wbole set to tbe
blooo bank or laboratory tor eamlnatlon.
2. Remlno tbe ooctor about tbe
aomlnlstratlon ot Calclum Gluconate lt
patlent bas several unlts ot 8T, (3-unlts ot
blooo)
26. Documentatlon.