Blood Transfusion

Order Blood

Patient ID
Name
DOB
Gender
HN

Background Info
Why?
What type?
How much?
Special requirements eg CMV -ve
Needed when?
Needed where?

Legal
Requesting doctor
Bleep
Signature

Sample
Confirm ID
Name
DOB
Gender
HN

Checks
Verbally confirm with patient
Confirms matches wristband 
Matches requesting form
Label tube
NO PRE-PRINTED LABELS on TUBE

Send sample to blood bank

Pre-transfusion Checks
Match ID on blood pack to any form of patient ID
Sign out blood

Check pack
Record patient obs before transfusion
Verbal check with patient
Check with wristband
Check with compatibility form
Check form with blood pack

Record
Why transfusion
Date and time
Sign pre-transfusion checks

Transfusing...
Blood
- within 4hrs from ridge
- within 30mins from out of fridge
- over 3-4hrs
- after platelets

Platelets
- ASAP
- over 30-40mins

Reactions
Symptoms?
Stop and get help
Obs
- Temp <1.5 degrees, slow transfusion and give paracetamol
- Mild urticaria - chlorphenamine 10mg IV and slow transfusion
- ABO incompatibility - stop, return to blood bank, IV fluids, urine output, furosemide if necess
- Severe allergy - stop, return, IV chlorphenamine 10mg, O2, salb nebs, adrenaline
- ?bact - blood cultures, BSp antibiotics