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What are the nursing responsibilities during blood transfusion?

Nursing care of the patient undergoing a blood transfusion is of utmost importance. Nurses are responsible not only for the actual administration of the blood product and monitoring of the patient during its administration but also efficiently identifying and managing any potential transfusion reactions.

What is required for administering blood products?

There are common best practices that should be implemented. Unless in an emergency, a blood transfusion consent and blood typing and cross-matching is needed prior to blood administration. Checking blood products against the order and using two patient identifiers is critical.

What are the responsibilities of a nurse during blood transfusion?

Nursing has an important role in ensuring transfusion safety, because the nursing team is responsible for knowing the indications for transfusions, checking data to prevent errors, guiding patients on blood transfusion, detecting and acting in compliance with transfusion reactions and documenting the procedure(2,6-7).

What information should be obtained before the transfusion?

Before administering the transfusion, document that you matched the label on the blood bag to the patient's name, patient's medical record number, patient's blood ABO group and Rh factor, donor's blood ABO group and Rh factor, crossmatch data, blood bank ID number, and expiration date of the product.

What should you do first before you administer blood transfusion?

Safe transfusion requires a final patient identity check at the patient bedside before blood administration. This is vital to ensure the right blood is given to the right patient. Two clinicians must independently complete the patient and blood product identification check at the bedside.

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What is the nursing precautions for blood transfusion?

During the transfusion, stay alert for signs and symptoms of a reaction, such as fever or chills, flank pain, vital sign changes, nausea, headache, urticaria, dyspnea, and broncho spasm. Optimal management of reactions begins with a standardized protocol for monitoring and documenting vital signs.

What information do you need to educate patient before blood transfusion?

However, doctors take into account many different factors before referring a patient to a blood transfusion. These factors include patient age, fitness level, morbidity, the underlying medical condition causing the anaemia and if the patient has any risk factors for transfusion.

What information do you require before you can commence the blood transfusion?

Initiating the Blood Transfusion Patient's name, date of birth, and medical record number. Patient's blood type versus the donor's blood type and Rh-factor compatibility. Blood expiration date.

What are the 3 Ps before commencing blood product transfusion?

Pre-transfusion pulse (P), blood pressure (BP), temperature (T) and respiratory rate (RR).

What information should be checked before blood administration?

Your blood will be tested before a transfusion to determine whether your blood type is A, B, AB or O and whether your blood is Rh positive or Rh negative. The donated blood used for your transfusion must be compatible with your blood type.

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What are the nursing responsibilities during blood transfusion?

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