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Safety
Transfusion safety
Recognise
React
M
ake sure the right patient gets the right blood (always adhere
tothebedside pretransfusion check on the back of the Blood
Transfusion record)
Fever
M
onitor your patient for adverse effects of transfusion,
observecloselyduring the first 15 minutes
Chills
Urticaria (hives)
Hypotension/hypertension
K
eep IV line open with N/Saline (flush IV cannula
orattach side arm)
S
tart blood products within 30 minutes of issue and complete
within4hours
T
he blood transfusion record is a legal document and must be filed
inthe medical record on completion of the transfusion
B
lood products should only be stored in approved refrigerators
NOTON THE WARD
Dark urine
Report
C
alculate the transfusion volume as stipulated in the formulas
in Common Blood Products table
before starting
15 minutes after commencement
hourly
at completion
4/24 hourly for 24 hours if inpatient
C
omplete transfusion reaction form,
documentreaction in patient notes
R
ecord vital signs (T, P, RR, BP and O2 saturations also document
condition of the site being used to transfuse):
Blood product
Filter type/
giving set
MIS prescribed
wt(KG) 0.4
Pack sizes
Irradiation required
Rate
250300 mL packs
5060 mL pedipacks
4 hours
Variable
No
Pump blood*
cell salvage
Purpose
Clinical indication
Filters how
manypacks?
Can be flushed
with N/saline?
Emergency/rapid transfusion
Yes
Yes
Platelets
FFP***
1020 mL/kg
300 mLs
50 mL pedipack
No
4 hours
Cryo***
510 mL/kg
3040 mL
No
4 hours
Yes
Yes
4 hours
*See section on irradiation below **Post cardiac bypass ***Please note blood bank require 30 minutes to defrost FFP and cryo prior to collection
Irradiation
G
roup identical blood products should be given. However in circum
stances where this is not possible, a non-identical but compatible
groupmay be issued
ERC: 100404
Which products?
cellular products (platelets, red cells, granulocytes)
Why do it?
AB
Group
AB
AB
B
O
AB
Sample requirements
C
rossmatch meets lab criteria (blood bank will inform requesting
clinician if not eligible):
What is it?
Which patients?
Group