BLOOD TRANSFUSION

REQUIREMENTS #

1. General requirement for administration of intravenous fluids
2. Blood giving set
3. Unit of blood or blood product
4. Pre-medication as ordered
5. Patient folder (Manual or Electronic)

STEPS #

1. Establish rapport (Refer to steps)
2. Explain procedure to the patient (Refer to steps)
3. Obtain formal consent from the patient
4. Perform hand hygiene
5. Prepare trolley and send to the bedside
6. Verify the following information with a colleague from the patient’s folder and label on the unit of blood or blood product:
   1. Full name of patient
   2. Ward
   3. Blood group
   4. Rhesus factor
   5. Blood unit number
   6. Expiry date
7. Monitor vital signs and record
8. Ensure cannula is in situ
9. Protect the patient and bed with mackintosh and dressing towel
10. Perform hand hygiene and wear sterile gloves
11. Administer premedication if prescribed
12. Insert the giving set into the pack, fill the chamber and expel air
13. Tighten the clip on the giving set
14. Insert the giving set into the cannula
15. Regulate number of drops per minute accordingly
16. Remove gloves and perform hand hygiene
17. Record the amount of blood set up and the number of the unit on the fluid intake and output chart
18. Continue to observe patient for any adverse reaction and report appropriately
19. Dispose off used items and decontaminated
20. Discuss findings with patient and relatives