Verify patient's identity and cross-reference with lab order
2
Collect sample for blood typing and crossmatch
3
Send the sample to the laboratory
4
Affix barcode to sample vial for tracking
5
Laboratory testing of the blood sample
6
Determine blood type and Rh factor of the patient
7
Cross-match patient’s blood with donor blood
8
Approval: Blood Compatibility
9
Request for suitable blood unit from blood bank
10
Inspect the blood unit for expiration date, abnormalities and compatibility tag
11
Prepare the patient for transfusion including checking vital signs
12
Setup the transfusion equipment with saline solution
13
Begin transfusion with a slow rate and monitor the patient for any adverse reactions
14
Increase the rate of transfusion if no adverse reaction
15
Monitor patient’s response throughout the transfusion
16
Approval: Transfusion Completion
17
Discontinue transfusion after completion
18
Remove transfusion equipment
19
Monitor patient post transfusion for any delayed reactions
20
Document the transfusion process and any observations
Verify patient's identity and cross-reference with lab order
Ensure the patient's identity matches the lab order to avoid any potential errors in the blood transfusion process. Verify their name, date of birth, and identification number. This task is crucial for patient safety and accurate blood matching.
1
Confirmed patient's identity
2
Cross-referenced with lab order
Collect sample for blood typing and crossmatch
Collect a blood sample from the patient to determine their blood type and conduct a crossmatch with potential donor blood. This step ensures compatibility and reduces the risk of adverse reactions during transfusion. Follow proper aseptic techniques during sample collection.
Send the sample to the laboratory
Package and send the collected blood sample to the laboratory for further testing. Ensure proper labeling and adherence to transportation guidelines to maintain sample integrity. Notify the laboratory of the sample's dispatch.
Affix barcode to sample vial for tracking
Label the blood sample vial with a unique barcode for efficient tracking throughout the transfusion process. Ensure the barcode is securely affixed and readable to avoid confusion or misplacement of the sample.
Laboratory testing of the blood sample
Perform laboratory tests on the blood sample to determine the patient's blood type and Rh factor. Use appropriate laboratory equipment and techniques to obtain accurate results.
1
Blood type determination
2
Rh factor determination
Determine blood type and Rh factor of the patient
Analyze the laboratory test results to determine the patient's blood type and Rh factor. This information is crucial for matching the patient with compatible donor blood.
1
A
2
B
3
AB
4
O
1
Positive
2
+
3
Negative
4
-
Cross-match patient’s blood with donor blood
Compare the patient's blood type and Rh factor with available donor blood units to find a suitable match. Ensure compatibility and minimize the risk of adverse reactions during transfusion. Follow established protocols for cross-matching.
1
A+
2
B-
3
AB+
4
O-
5
A-
Approval: Blood Compatibility
Will be submitted for approval:
Cross-match patient’s blood with donor blood
Will be submitted
Request for suitable blood unit from blood bank
Submit a request to the blood bank for a compatible blood unit based on the patient's blood type and Rh factor. Provide all necessary information and communicate any specific requirements to facilitate a smooth and timely supply of the blood unit.
1
Patient's blood type
2
Rh factor
3
Quantity required
4
Special instructions
Inspect the blood unit for expiration date, abnormalities and compatibility tag
Thoroughly inspect the received blood unit for its expiration date, abnormalities, and compatibility tag. Ensure that the blood unit meets all safety and compatibility requirements before proceeding with the transfusion.
1
Compatible
2
Incompatible
Prepare the patient for transfusion including checking vital signs
Ensure the patient is prepared for blood transfusion by assessing their vital signs, such as blood pressure, heart rate, and temperature. Monitor the overall condition of the patient before starting the transfusion to ensure their readiness.
Setup the transfusion equipment with saline solution
Prepare the transfusion equipment by assembling all necessary components and priming the intravenous (IV) line with a saline solution. Verify the proper functioning of the equipment and ensure sterility throughout the setup process.
1
Assembled transfusion set
2
Connected IV line to saline bag
3
Checked for leaks
4
Ensured sterility
Begin transfusion with a slow rate and monitor the patient for any adverse reactions
Initiate the blood transfusion at a slow rate as per standard protocols. Monitor the patient closely for any signs of adverse reactions, such as fever, chills, rash, or difficulty breathing. Stop the transfusion immediately if any adverse reactions occur.
1
Slow
2
Medium
3
Fast
1
Fever
2
Chills
3
Rash
4
Difficulty breathing
Increase the rate of transfusion if no adverse reaction
Gradually increase the rate of blood transfusion if the patient shows no signs of adverse reactions. Continuously monitor the patient's vital signs and overall response to ensure a safe and successful transfusion.
1
1 unit per hour
2
2 units per hour
3
3 units per hour
Monitor patient’s response throughout the transfusion
Closely monitor the patient's response during the entire transfusion process. Observe for any changes in vital signs, adverse reactions, or discomfort. Document any relevant observations for future reference or necessary actions.
1
Stable
2
Fever
3
Rash
4
Discomfort
Approval: Transfusion Completion
Will be submitted for approval:
Monitor patient’s response throughout the transfusion
Will be submitted
Discontinue transfusion after completion
Terminate the blood transfusion once the prescribed amount has been administered. Ensure the proper closure of the IV line and dispose of any used materials as per medical waste management guidelines. Document the completion time for accurate record-keeping.
Remove transfusion equipment
Properly remove and dispose of the transfusion equipment after completing the blood transfusion. Ensure the safe removal and disposal of any used needles, tubing, or other materials to prevent any potential hazards.
1
Disconnect IV line
2
Remove needle or catheter
3
Dispose of used materials safely
Monitor patient post transfusion for any delayed reactions
Continuously monitor the patient for any delayed reactions or complications that may occur after the blood transfusion. Watch for symptoms such as delayed fever, allergic reactions, or signs of infection. Promptly address any concerns and provide appropriate medical intervention if required.
1
Fever
2
Allergic reaction
3
Infection symptoms
4
None
Document the transfusion process and any observations
Thoroughly document the entire transfusion process, including the patient's vital signs, any adverse reactions, the transfusion duration, and other significant observations. Maintain accurate records for future reference and to ensure continuity of care.
