REVIEW OFBLOOD/BLOOD PRODUCTS

POLICY, TRANSFUSION RECORD, CONSENTS

Education Self Learning Module

For any questions contact

Education Resources

Ext 4212

New Policy

Combines many policies into one. This is a extensive policy, so

there are some helps built into the policy to help you navigate quickly to the information you need

The idea is one stop shopping

Helpful pointers

At the beginning of the policy there is a table of contents that you can click on any subject that is in blue

The computer will take you to that section of the policy

New Forms

The updated policy references required forms, they are:

Consent for Blood/Blood Products Consent for Refusal of Blood/Blood Products Blood/Blood Product Transfusion Record

The Consent for Blood/Blood ProductsConsent for Refusal of Blood/Blood

Products

The consent is two parts.I. Informed consent II. Attestation by the MD/Provider

The nurse needs to assure the consent is completed, and in the chart prior to giving the blood/blood product (except in an emergent situation)

• Refusal for Blood/blood Product If the patient refused the transfusion, the

refusal sticker is still place on the chart, as with prior practice

Consent witnessing:

The nurse no longer witnesses or signs the consent.

This is physician’s responsibility.

The Consent for Blood/Blood Products

This consent is good for the entire current hospitalization

A new consent is to be used for each admission

Blood/Blood Products Transfusion Record

The form walks you through the process of administering the unit Read each line carefully

Complete this form and place the top copy in the patient’s chart and the yellow copy is to be returned to the blood bank transfusion center.

Each form will be reviewed for completeness prior to separating and verified with a signature

Key Points

Be sure you have:Blood issue Time and DateIs the start time of the transfusion within 30 minutes of issue from the blood bank transfusion center?

If not, return the Blood/Blood Product to the blood bank transfusion center

Key Points

Make sure the consent is signed Make sure a written order is verified

for transfusion If emergency release is necessary for

uncross matched blood, MD must sign the Blood/Blood Products Transfusion Record

Verification by two qualified professionals: MD/Provider/RN, RN/RN, Transfusing RN/LPN

Key Points

Verification of two unique identifiers, medical record number, and name if the patient is identified

If a unidentified patient, the medical record number and account number are used

Key Points

Verification is to include three steps at the bedside or chair side: Verify patient using two unique identifiers

on the patient’s ID arm band Match the above with the Blood/Blood

Products Transfusion Record Match the above to the blood unit

identification information

Key Points

Verify the patient’s name and blood band I.D. are identical, if not do not proceed with the transfusion.

Key Points

Transfusion must be completed with in four hours of the time the product leaves the blood bank transfusion center

Vital signs

Three sets are required: Pre (just prior to starting) 15 minutes after starting Post transfusion (at the time you stop)

Record the date/time transfusion is started and stopped

Change in LPN Scope of Practice LPNs are now able to complete all

aspects of blood and blood product transfusion EXCEPT: Pick up the blood product from

transfusion center. Monitor the pt in the first 15 minutes

after start of transfusion, including the vitals signs.

These two must be completed by an RN.

Key Points

The Blood/Blood Products Transfusion form includes the criteria for Transfusion Reactions

Was there a suspected reaction? Yes or No (please circle one)

If a reaction is suspected instructions are included how to proceed

Review of Blood Transfusion Policy

Please review the updated policy in the Indige System: PH1572

A major change is in the re-banding procedure addressed in Section VI- Item F on page 18 of the policy.

This policy is reviewed and updated annually.

Competency Examination

A short examination in HealthStream has been assigned to you for verification of competency for understanding the current process at CMC for blood/blood product administration.

Please complete during allowed timeframe