BLOOD TRANSFUSION

It is the introduction of prepared compatible

OM/NUR 009.1.31
 DEFINITION OF POLICY
This policy describes the role of a registered staff
nurse in handling, use and administartion of blood
and blood products

PURPOSE
• To provide standard guide on proper handling,
use and administration of blood and blood
products with emphasis in the delivery of safe
and quality care
 POLICY STATEMENT
 Clear written order by treating physician
and signed consent from the patient or
guardian with the presence of staff nurse
 Patient identification must be verified by (2)
health care workers
 Intravenous access must be patent and large
enough
Must be carried out by two (2)
Registered Nurses
All staff must be knowledgeable of the
signs of BT reactions.
• Blood that is not used within 30 minutes
from the time it was taken from
bloodbank must be returned
immediately to the bloodbank
• Blood unit must be warmed only by an
AGH-J approved warming device
• Blood products must not be stored in the
ward or unit refrigerator at any time
• A new blood transfusion set must be
used for each unit of blood
• If the blood is not possible to be transfused in
one preparation due to patient fluid
restriction, notify the blood bank in charge
• Blood or blood products must be properly
screened, type and crossmatched before
transfusion
• Emergency Blood transfusion policy
(OM/LAB-009.8.3.3)
• Blood products mustbe properly checked
• Medication must not be added to the blood
bag or BT set prior or during infusion
• Patient having multi lumen central
nervous access device
• The AGH-J blood collection box must be
used in transporting blood
• All necessary blood investigations
according to doctor’s order must be
carried out before blood transfusion
• Patient Vital signs must be monitored
and documented properly
• All staff must be familiar with the specific
blood or blood products
• Use Red ink when documenting the
start, completion or termination of
Blood transfusion in the nurse’s progress
notes
• Post transfusion hemoglobinmust be
checked within 24-48 hours as ordered
by physcian.
 EQUIPMENT
•Disposable blood administration set
•Blood as ordered
•Torniquet,alcohol swab, plaster
•Cannula, largest gauge as possible
•Normal Saline
•Drip Stand
•Gloves
•Blood warmer or warming coil (only for
emergency with written order)
•Prophylactic antihistamines
PROCEDURE AND RESPONSIBILITY
RESPONSIBLE
PROCEDURE PERSON
1. Check the doctor’s order Registered SN
2. Make sure that the attending physician request for Attending
blood typing, ABO and Rh compatibility Physician
Collection of blood sample for typing and Laboratory
crossmatching Technician & SN
3. Note: Patient’s identification must be verified by
two (2) health care workers with proper
documentation
4.Once all necessary blood results are available, notify Registered SN
the blood bank in charge to prepare the blood.
5. The nurse will inform attending physician that Registered SN
blood is rady for collection
6.The nurse will collect the blood from the blood bank
with following documents:
 Patient Blood Group type, ABO
Checklist for Blood Transfusion
and Rh compatibility
Consent
•The attending nurse together with the blood
bank in charge will verify the following
a. Patient complete name
b. Medical record number
c. Patient blood g
roup & Rh type
d. Donor blood group and Rh type
e. ABO and Rh compatibility result
f. Blood and blood products
g. Blood or blood product expiration date
Blood collection date or extraction date
 2. Identify the patient properly
3. Explain the procedure and the purpose of
blood transfusion
4. Prepare allequipments
5. Obtain baseline vital sign and document properly
6 Check the blood product with another nurse
7.Perform hand hygiene and wear PPE
8. Mix the unit of blood by gently inverting the blood
9. Prime the blood administration set with normal saline
• The attending nurse will aknowledge the
checking and receiving of the blood products
and will complete necessary documentation in
the designated part of the blood transfusion
checklist and the issuance logbook
ADMINISTRATION OF BLOOD AND
BLOOD PRODUCTS
 1. The ordering physician together
with the attending nurse will verify the
ff details:
a. Patient’s complete name
b. MR number
c. Patient’s blood group and Rh type
d. Donor blood group and Rh type
e. ABO and Rh compatibility result
f. Blood and blood products
g. Blood or blood product expiration date
h. Blood collection or extraction date
Madam, we
will give
blood for Because
your baby , your
baby….
USE OF BLOOD WARMER

OM/NUR-009.1.32