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(30 minute and 4 hour rule are to reduce the risk of bacterial contamination of the unit). Except for urgent restoration of blood volume the first 25-50 mL should be given slowly and the patient closely observed (particularly in the first 15 min) as per hospital/clinical unit protocols.
Patients should be under regular visual observation and, for every unit transfused, minimum monitoring should include: Pre-transfusion pulse (P), blood pressure (BP), temperature (T) and respiratory rate (RR). P, BP and T 15 minutes after start of transfusion if docHub change, check RR as well.
Because tissue oxygen delivery is dependent on hemoglobin and cardiac output, past medical practice has supported the use of the golden 10/30 rule, by which patients are transfused to a hemoglobin concentration of 10 g/dL or a hematocrit of 30%, regardless of symptoms.
The blood transfusion record which includes: date and time the transfusion commenced and completed. type of blood component used and number of units transfused. donation or batch number. signature of person administering the transfusion, and. signature of person confirming the identity of the patient.
Since the 1970s, blood operators have limited the length of time red blood cells (RBCs) can be exposed to uncontrolled temperatures to 30 minutes. Called the 30-minute rule, this international standard was put in place to keep cells usable and limit bacterial growth.
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Blood components must be transfused within 4 hours of issue. If the transfusion is interrupted for any reason, administration must be discontinued after 4 hours even if the transfusion is not complete.
The primary reason for such a time limit is to reduce the risk that small numbers of contaminating bacteria could grow to lethal numbers before the blood is administered.
Since the 1970s, blood operators have limited the length of time red blood cells (RBCs) can be exposed to uncontrolled temperatures to 30 minutes. Called the 30-minute rule, this international standard was put in place to keep cells usable and limit bacterial growth.
Because tissue oxygen delivery is dependent on hemoglobin and cardiac output, past medical practice has supported the use of the golden 10/30 rule, by which patients are transfused to a hemoglobin concentration of 10 g/dL or a hematocrit of 30%, regardless of symptoms.

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