20 gauge or larger - IV gauge size for blood transfusion, Filter tubing - Can be used up to 2 units of blood if administered within 4 hours, 30 minutes - Amount of time you have to start blood transfusion after blood issued from blood bank, 4 hours - Amount of time to complete blood transfusion after blood issued from blood bank, large air bubbles, blood clots, abnormal color - Inspect blood for these abnormalities, must be completed by two licensed nurses, one must be an RN - Bedside verification, signed consent - Must be obtained prior to blood transfusion, Name, DOB, MRN - Check on patient's armband against information on the blood unit compatibility label and information on the blood component transfusion record (blood tie tag) , Bar code unit number, blood type and expiration date. - Must match information on the blood component transfusion record, Scanning the blood unit number - Allows access to blood product administration on epic, Vital signs - Must take before starting transfusion, at 15 minutes and at completion, stop blood transfusion, start saline infusion, record event, notify physician and blood bank - Steps to take after blood reaction, filled out Blood Component Transfusion Record, bag of remaining blood including tubing - Walked to the lab after a blood transfusion reaction, Pink top, first voided urine specimen post reaction. - Collect these specimens after a blood transfusion reaction and send to the lab for transfusion reaction workup, up to 2 weeks - Amount of time when a transfusion reaction can occur, Biohazard trash - Where to dispose of blood bag and tubing, Patients name or designated alias - Minimum information to provide lab when requesting emergent blood after provider has ordered unmatched products in epic, red blood drop icon - Lets nurse know in epic that blood is ready , order for pick-up request - Nurse places this order in epic when ready to transfuse, Patient name, MRN, OPID and reason for transfusion - Information nurse gives the lab when calling for blood, Start volume - Do not enter this information at the start of tranfusion, Stop/Save - Does not complete blood transfusion, it allows the unit to be re-started, Stop/Complete - Completes blood transfusion in epic, Hemolytic reaction - A temperature increase of 1 degree C or more, chills, rigors, respiratory distress, anxiety, pain at the infusion site, flank or back pain, hypotension, or oliguria,

Blood Administration

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