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    Transfusion Checklist Poster June 2021 Ver 1.0 1

    Uploaded by

    Naresh Singh
    1) The transfusion checklist outlines the steps that must be followed before, during, and after a blood transfusion to ensure patient safety. 2) Key steps include verifying patient identity, obtaining informed consent and a physician order, compatibility testing, preparing the patient and equipment, monitoring the patient during the transfusion, and documenting the procedure. 3) The checklist provides details on assessing the patient, preparing and administering the blood components, monitoring for transfusion reactions, and completing documentation.

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    Download as PDF, TXT or read online from Scribd

    Transfusion Checklist Poster June 2021 Ver 1.0 1

    Uploaded by

    Naresh Singh
    213 views1 page
    1) The transfusion checklist outlines the steps that must be followed before, during, and after a blood transfusion to ensure patient safety. 2) Key steps include verifying patient identity, obtaining informed consent and a physician order, compatibility testing, preparing the patient and equipment, monitoring the patient during the transfusion, and documenting the procedure. 3) The checklist provides details on assessing the patient, preparing and administering the blood components, monitoring for transfusion reactions, and completing documentation.

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    1) The transfusion checklist outlines the steps that must be followed before, during, and after a blood transfusion to ensure patient safety. 2) Key steps include verifying patient identity, obtaining informed consent and a physician order, compatibility testing, preparing the patient and equipment, monitoring the patient during the transfusion, and documenting the procedure. 3) The checklist provides details on assessing the patient, preparing and administering the blood components, monitoring for transfusion reactions, and completing documentation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    213 views1 page

    Transfusion Checklist Poster June 2021 Ver 1.0 1

    Uploaded by

    Naresh Singh
    1) The transfusion checklist outlines the steps that must be followed before, during, and after a blood transfusion to ensure patient safety. 2) Key steps include verifying patient identity, obtaining informed consent and a physician order, compatibility testing, preparing the patient and equipment, monitoring the patient during the transfusion, and documenting the procedure. 3) The checklist provides details on assessing the patient, preparing and administering the blood components, monitoring for transfusion reactions, and completing documentation.

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    © All Rights Reserved
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    TRANSFUSION CHECKLIST

    For references, refer to Bloody Easy Blood Administration Version 3, Summary: Transfusionist’s Accountability: Transfusion Checklist (page 80-89).
    Unequivocal (unmistakeable) identification of the patient is mandatory.
    Patient must be wearing a patient identification armband. Patient identification information must remain attached to the blood for the duration of the transfusion.

    PRE-TRANSFUSION TRANSFUSION POST-TRANSFUSION


    ✓ Informed Consent ✓ Checking Blood Components/Blood Products ✓ Completing the Transfusion
    • Per policy/procedure, questions addressed • Blood received matches transfusion order • Comply with expiry time specific for blood
    • Exception: emergent, life-threatening bleed • At bedside, in physical presence of patient component/blood product
    ✓ Transfusion Order • 1. Patient Identification: surname, first name, Outside the expiry time, discard remainder
    • Indication supported: labs, signs, symptoms unique identification number identical on • Component tubing: flush with 0.9 % NaCl
    • Complete, required information included armband, order, transfusion & chart label/tag • Products given IV: flush (tubing/IV site) with
    ✓ Group & Screen Testing • 2. ABO, Rh(D) Blood Groups (only for compatible IV fluid
    • Required for compatible blood components Components): identical/compatible on Group • Some hospitals require returning the empty
    & screen test, CBS (Canadian Blood Services)
    • ABO, Rh(D) blood groups, antibody screen blood bag to TML
    label, transfusion & chart label/tag
    (clinically significant antibodies) Otherwise dispose of blood tubing/bags in
    • 3. Unit (Components) / Lot (Products)
    • Label tube of blood at patient’s bedside biohazardous waste
    Number: identical on CBS label (Components)
    ✓ Prepare the Patient • Re-assess patient and re-check vital signs:
    / manufacturer label (Products), transfusion &
    • Educate: symptoms indicative of reaction - at end of transfusion
    chart label/tag
    • Assess for transfusion history and TACO risk - periodically post-transfusion (reactions
    • 4. Visual Inspection & Expiry
    factors; follow up if indicated Components: no clots, usual colour, ports
    may occur 4 hours post-transfusion; for
    ✓ Prepare the Equipment intact, expires 4 hours after issue from TML dyspnea reactions up to 24 hours post
    • Dedicated, patent IV (peripheral or central) Products: packaging/seal intact, colour as per transfusion)
    • Compatible IV fluid (only 0.9 % NaCl manufacturer, vials/glass bottles – once
    [sodium chloride] for blood components) entered/spiked, expires after 4 hours ✓ Documentation
    • Blood components – tubing/filter (170-260 ✓ Patient Assessment and Vital Signs (for each unit) • File completed chart label/tag for each
    microns); change after 4 units or 4 hours • Close monitoring/observation required component or product transfused on
    • Platelets – always NEW/FRESH tubing/filter • Minimum: within 30 minutes of starting, patient’s health record (include start and
    15 minutes after starting, upon completion stop times)
    • Prime tubing/filter: blood or compatible IV
    fluid • Temp, BP, pulse, respiratory rate, oxygen • Some hospitals require a completed
    saturation; if TACO risk - chest auscultation “transfusion record” form returned to TML
    • IV setup to stop abruptly & maintain TKVO:
    ✓ Infusion Rate (for each unit) • Record volume transfused, vital signs and
    0.9% NaCl flush syringes + any fluid IV line
    • 50 mL/hour for first 15 minutes; can be deferred patient assessments
    or 0.9% NaCl IV line
    if acute bleeding • If a transfusion reaction is suspected:
    • Infusion Devices: if Health Canada
    • Re-check after 15 minutes, if no indication of report to TML, document signs and
    approved reaction then increase to rate as ordered
    ✓ Pick Up Blood from TML (Transfusion Medicine Lab)
    symptoms, patient care
    ✓ Possible Transfusion Reaction
    • Patient identification (surname, first name, • If any adverse/unexpected/serious symptoms,
    unique identification number) and order STOP transfusion; refer to TTISS Reaction Chart

    June 2021, version 1.0 Ontario Regional Blood Coordinating Network

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