SANTOS,JOIADDA JOYCE M.

BSN2A

BLOOD TRANSFUSION THERAPY

Purposes:
1. To administer required blood component by the patient.
2. To restore the blood volume.
3. To improve oxygen-carrying capacity of the blood.

Procedures:
1. Verify doctor's order. Inform client and explain the the purpose of the procedure.
-To achieve and maintain good health.

-For the Patient will understand their health condition and what the proposed treatment is.

2. Check for cross-matching and blood typing.

- To test your blood against a donor's blood to make sure they are fully compatible.

3. Obtain and record baseline vital signs.

- To the administer a blood transfusion, and prior to surgery and other invasive procedures.

4. Practice strict ASEPSIS.

- To protect patients from harmful bacteria and other pathogens during medical procedures, healthcare
providers use aseptic technique.

5. At least 2 nurses check the label of the blood transfusion.

• Check the following:
° serial number-To verify the numbers/information to match exactly.

° blood component-To be completed by two trained staff members competent in blood transfusion
administration process as set out by the agency.

° blood type-To confirm the patient blood type and Rh are compatible with the donor blood type
and Rh

° Rh factor-To indicates whether the blood of two different people is compatible when mixed

° expiration date-To know If there are any discrepancies, stop the process and contact the TMS for
resolution and direction. Do not proceed.

° screening tests-To Ensure the blood product matches the physician’s orders (red blood cells or
platelets).

6. Warm blood at room temperature before transfusion.

-To avoid iatrogenic hypothermia, raising core temperatures in hypothermic individuals and preventing
coagulation abnormalities
7. Identify client properly. Two nurses check client's identification.
- To prevent instances of mis-identification and near-miss error, The Joint Commission requires that two
identifiers such as a patient's full name, date of birth and/or medical identification (ID) number be used
for every patient encounter.

8. Use needle gauge 18 or 19.

-To administer blood, pushing fluids rapidly.

9. Use BT (blood transfusion) set with filter.

-To remove clots and small clumps of platelets and white blood cells that form during collection and
storage.

10. Start infusion slowly at 10gtts/min. Remain at bedside for 15 to 30 minutes.

- To prevent administration of blood clots and particles.

11. Monitor VS.

- To obtain basic indicators of a patient's health status.

12. Do not mix medications with blood transfusion.

• Do not incorporate medication into the blood transfusion
• Do not use blood transfusion line for IV push of medications
-To prevent infectious diseases and other medical issues before they are allowed to donate blood for
transfusion.

13. Administer 0.9% NaCl before, during or after BT. Never administer IV fluids with dextrose.
-To replace (e.g., dehydration, hypovolemia, hemorrhage, sepsis)

14. Administer BT for 4 hours ( whole blood, packed RBC). For plasma, platelets, cryoprecipitate,
transfuse quickly (20 minutes)
- Preventing GVH disease by ensuring irradiation of blood products containing viable WBC’s (i.e., whole
blood, platelets, packed RBC’s and granulocytes) before transfusion; irradiation alters ability of donor
lymphocytes to engraft and divide.

15. Observe for potential complications. Notify physician.

-To prevent missing information.

Prepared by:

Anita N. Manalo, RN, MAN