Blood transfusion with Packed RBC

BLOOD DATE BLOOD SERIAL NO. EXPIRATION DATE & TIME

TRANSFUSION & TIME COMPONENT, DATE CONSUMED
UNIT NO. STARTED TYPE AND
VOLUME
1 04/03/2023 PRBC 250 cc B+ 23-2212 04/28/2023 4/3/23
3:30 AM 7:30 AM
2 04/03/2023 PRBC 250 cc B+ 23-2534 05/07/2023 4/3/23
8:00 AM 11:30 AM
3 04/03/2023 PRBC 250 cc B+ 23-2487 05/08/2023 04/03/2023
12:00 PM 4:00 PM
4 04/04/2023 PRBC 250 cc B+ 23-2575 05/08/2023 04/04/2023
1:15 PM 4:44 PM
5 04/04/2023 PRBC 250 cc B+ 23-2591 05/08/2023 04/04/2023
7:00 PM 11:30 PM
6 04/05/2023 PRBC 250 cc B+ 23-2570 05/08/2023 04/05/2023
3:00 AM 7:00 AM
7 04/07/2023 PRBC 250 cc B+ 23-2587 05/08/2023 04/07/2023
5:05 PM 8:10 PM
8 04/08/2023 PRBC 250 cc B+ 23-2497 04/08/2023 04/08/2023
11:15 PM 2:15 AM
9 04/08/2023 PRBC 250 cc B+ 23-2524 04/08/2023 04/08/2023
2:15 AM HOLD BT
2:35 AM
10 04/08/2023 PRBC 250 cc B+ 290010982- 04/22/2023 04/08/2023
2:00 PM 6 6:00 PM
11 04/08/2023 PRBC 250 cc B+ 2900109829 04/22/2023 04/09/2023
8:30 PM -6 12:30 AM
12 04/09/2023 PRBC 250 cc B+ 23-2533 05/07/2023 04/09/2023
4:30 PM
13 04/09/2023 PRBC 250 cc B+ 2900209668 05/28/2023 04/09/2023
-6 5:00 PM

Ordering Physician: Dr. Castro

Brief description: A blood transfusion is a routine medical procedure in which donated blood is
provided through a narrow tube placed within a vein in the arm.

Purpose: This was given to our patient to raise the level of Hgb and Hct within the normal
range.

Nursing Responsibilities Rationale

1.     Secure the consent for Blood  To provide a structure for a patient to make
transfusion an informed choice regarding the
indications, risks, possible alternatives, and
benefits of a blood transfusion.

2.     Change the present IVF of D5LR 1L to  To match the concentration of the blood
PNSS IL because the concentration of the IV fluid is
 similar to the blood, the fluid stays in the
intravascular space and osmosis does not
cause fluid movement between
compartments and it flushes the line for
later use.

3.     Take the initial vital signs and  To detect acute transfusion reactions that
recorded may need immediate investigation and
treatment.

4.     Prepare the blood bag by warming it.  To prevent hypothermia, hemolysis, or

breakdown of the blood cells.

5.     Prime the BT set.  To remove air from the tubing causing air
embolism.

6.     Check for the patient’s identity (e.g  To ensure the right blood is given to the
name and birthdate) right patient.

7.     Check the crossmatching result and  To promote correct administration of blood

the blood bag with the NOD including the product.
serial number, blood type, and expiration
date.

8.     Transfuse the packed RBC B+  To prevent the blood from becoming

damaged and unsafe.

9.     Monitor the patient for BT reactions  To identify signs of reactions or adverse

events.

10. Take the vital signs and record them  To continuously monitor the patient’s body
every 15 minutes for the 1st hour then reactions to the blood transfusion.
every hour thereafter.

11. Document all the pertinent data and  For monitoring and legal purposes, those
rendered nursing care. that are not documented are considered not
  done.