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Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com

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Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com

  1. 1. BloodTransfusion Nursing Procedure http://nursesinfosite.blogspot.com
  2. 2. *Whole blood transfusion replenishes the circulatories: Volume Oxygen-carrying capacity*Packed Red Blood Cells (RBCs) restores: Oxygen-carrying capacityBoth treat decreased hemoglobin and hematocrit. http://nursesinfosite.blogspot.com
  3. 3. Two nurses must identify the:1. Patient2. Blood productsbefore administering a transfusion (to prevent errors & potentially fatal reaction) http://nursesinfosite.blogspot.com
  4. 4. If a patient is a Jehova’s Witness, a transfusion requires special written permission. http://nursesinfosite.blogspot.com
  5. 5. Equipments needed1. Blood recipient set (filter & tubing with drip chamber for blood, or combined set) http://nursesinfosite.blogspot.com
  6. 6. Equipments needed2. I.V. pole3. Gloves4. Gown5. Face Shield http://nursesinfosite.blogspot.com
  7. 7. Equipments needed6. Multi-lead tubing http://nursesinfosite.blogspot.com
  8. 8. Equipments needed7. Whole blood or packed RBC’s http://nursesinfosite.blogspot.com
  9. 9. Equipments needed8. 250 ml of Normal Saline Solution http://nursesinfosite.blogspot.com
  10. 10. Equipments needed9. Venipuncture equipment, if necessary (should include 20G or larger catheter) http://nursesinfosite.blogspot.com
  11. 11. Equipments needed10. optional: ice bag, warm compresses http://nursesinfosite.blogspot.com
  12. 12. Getting ReadyAvoid obtaining either whole blood or packed RBC’s until you’re ready to begin the transfusionPrepare the equipment when you’re ready to start the infusion. http://nursesinfosite.blogspot.com
  13. 13. The ProcedureExplain the procedure to the patientMake sure an informed consent has been signedRecord baseline vital signs http://nursesinfosite.blogspot.com
  14. 14. The ProcedureObtain whole blood or packed RBCs from the blood bank within 30 minutes of the transfusion start time. http://nursesinfosite.blogspot.com
  15. 15. The Procedure Check the expiration date on the blood bag, & observe for abnormal color, RBC clumping, gas bubbles, & extraneous material. Return outdated or abnormal blood to the blood bank. http://nursesinfosite.blogspot.com
  16. 16. The ProcedureCompare the name & number on the patient’s wristband with those on the blood bag label. http://nursesinfosite.blogspot.com
  17. 17. The ProcedureCheck the blood bag identification number, ABO blood group, and Rh compatibility.Also, compare the patient’s blood bank identification number, if present, with the number on the blood bag. http://nursesinfosite.blogspot.com
  18. 18. The ProcedureIdentification of blood & blood products isperformed at the patient’s bedside by twolicensed profesionals, according to thefacility’s policy. http://nursesinfosite.blogspot.com
  19. 19. http://nursesinfosite.blogspot.com
  20. 20. The ProcedureWash your hands.Put on gloves, a gown, & a face shield. http://nursesinfosite.blogspot.com
  21. 21. Remove IV administration set and fluid from packaging http://nursesinfosite.blogspot.com
  22. 22. Remove the cover from the selected spike and the cover from the bottle/bag of fluid. http://nursesinfosite.blogspot.com
  23. 23. The ProcedureThen insert the spike of the line you’re using for the normal saline solution into the bag of saline solution aseptically. http://nursesinfosite.blogspot.com
  24. 24. When fluid drips out of the end of the distal tubing turn off the infusion rate clamp. http://nursesinfosite.blogspot.com
  25. 25. The ProcedureUsing a Y-type set, close all the clamps on the set. http://nursesinfosite.blogspot.com
  26. 26. The ProcedureNext, open the port on the blood bag & insert the other spike. http://nursesinfosite.blogspot.com
  27. 27. The ProcedureHang the bags on the I.V. pole, http://nursesinfosite.blogspot.com
  28. 28. The Procedureopen the clamp on the line of saline solution, http://nursesinfosite.blogspot.com
  29. 29. The Proceduresqueeze the drip chamber until it’s half full. http://nursesinfosite.blogspot.com
  30. 30. The ProcedureIf the patient doesn’t have an I.V. line in place, perform venipuncture, using a 20G or larger-diameter catheter. http://nursesinfosite.blogspot.com
  31. 31. The ProcedureAvoid using an existing line if the needle or catheter lumen is smaller than 20G.Ventral venous access devices also may be used for transfusion therapy. http://nursesinfosite.blogspot.com
  32. 32. The ProcedureIf you’re administering whole blood, gently invert the bag several times to mix the cells. http://nursesinfosite.blogspot.com
  33. 33. The ProcedureAttach the prepared blood administration set to the venipuncture device, & flush it with normal saline solution. http://nursesinfosite.blogspot.com
  34. 34. The ProcedureThen close the clamp to the saline solution, & open the clamp between the blood bag & the patient. http://nursesinfosite.blogspot.com
  35. 35. The ProcedureAdjust the flow clamp closest to the patient to deliver the blood at the calculated drip rate. http://nursesinfosite.blogspot.com
  36. 36. The ProcedureRemain with the patient, & watch for the signs of a tranfusion reaction, such as fever, chills, & wheezing. http://nursesinfosite.blogspot.com
  37. 37. The ProcedureIf such sign develop, record vital signs and stop the transfusion. http://nursesinfosite.blogspot.com
  38. 38. The ProcedureInfuse saline solution at a moderately slow infusion rate, & notify the doctor at once. http://nursesinfosite.blogspot.com
  39. 39. The ProcedureIf no signs of a reaction appear within 15 minutes, you’ll need to adjust the flow clamp to the ordered infusion rate. http://nursesinfosite.blogspot.com
  40. 40. The ProcedureA unit of RBCs may be given over 1-4 hours as ordered. http://nursesinfosite.blogspot.com
  41. 41. The ProcedureAfter completing the transfusion, you’ll need to put on gloves & remove & discard the used transfusion equipment. http://nursesinfosite.blogspot.com
  42. 42. The ProcedureThen remember to reconnect the original I.V. fluid, if necessary, or disconnect the I.V. infusion. http://nursesinfosite.blogspot.com
  43. 43. The ProcedureReturn the empty blood bag to the blood bank, & discard the tubing & filter. http://nursesinfosite.blogspot.com
  44. 44. The ProcedureRecord the patient’s vital signs. http://nursesinfosite.blogspot.com
  45. 45. Practice PointersAlthough some microaggregate filters canbe used for up to 10 units of blood, alwaysreplace the filter & tubing if more than 1hour elapses between transfusions.
  46. 46. Practice PointersWhen administering multiple units of blood, use blood warmer to avoid hypothermia. http://nursesinfosite.blogspot.com
  47. 47. Practice PointersFor rapid blood replacement, know thatyou may need to use a pressure bag. http://nursesinfosite.blogspot.com
  48. 48. Practice PointersIf you’re administering packed RBCs withY-type set, you can add saline solution tothe bag to dilute the cells by closing theclamp between the patient & the dripchamber & opening the clamp from theblood http://nursesinfosite.blogspot.com
  49. 49. Practice PointersThen lower the blood bag below the salinesolution container & let 30-50ml of salinesolution flow into the packed cells. http://nursesinfosite.blogspot.com
  50. 50. Practice PointersFinally, close the clamp to the blood bag,rehang the bag, rotate it gently to mix thecells & saline container http://nursesinfosite.blogspot.com
  51. 51. Documenting Blood TransfusionIn your notes, record:Date & time of the transfusion.Type & amount of transfusion product.Patient’s vital signs.Your check of all identification data.Transfusion reaction & nursing actions taken. http://nursesinfosite.blogspot.com
  52. 52. “Nurses Information”http://nursesinfosite.blogspot.com

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