HEMA SKILLS LAB: BLOOD TRANSFUSION

ASSESSMENT should focus on the following:

 1. ___________________________; circulatory and respiratory status

 2. Skin status
 3. Physician's orders for ________, amount, and ________________________
 4. Size of IV catheter or needle for catheter insertion
 5. Baseline _________________________
 6. History of ______________________ and ________________
 7. Religious or other personal objections that client has to receiving blood.
 8. ____________________ of client to blood

DESIRED OUTCOMES

 1. Vital signs within normal range within 48 hours

 2. Client ambulates without complaints of dyspnea
 3. Client demonstrate adequate circulation
 4. Client remains free of any ___________________________ of transfusion reactions

SPECIAL CONSIDERATIONS

A. GENERAL
 1. _________________ should check that correct blood is being given to the correct client.
 2. Client ____________________ procedures.
 3. Closely monitor clients with history of transfusion and those with altered level of
consciousness for transfusion reaction.
 4. Infuse a unit of PRBC or WB over no longer than _________
 5. If client's size or condition does not allow infusion within 4 hours, the unit may be divided into
___________________
 6. Begin BT within ________________ after obtaining the blood from blood bank.
 7. Blood should be warmed before transfusion.
 8. Watch for transfusion reactions

B. PEDIATRIC
 Carefully assess small children for a transfusion reaction because they often cannot
_______________________________

C. GERIARTRIC
 Administer BT slowly

D. END-OF LIFE CARE

 it is usually limited in dying clients

E. HOME HEALTH
 Remain with the client during the entire BT period and for 1 hour afterward

F. TRANSCULTURAL
 _______________________witnesses
 Communicate clearly the rationale behind BT

G. DELEGATION
 The NURSE is responsible for all aspects of care including monitoring for complications