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Nursing Responsibilities For Blood Transfusion

Nursing responsibilities for drug transfusion include verifying the doctor's order, checking for compatibility, monitoring vital signs before and during the transfusion, ensuring strict asepsis, having two nurses check the blood product label and patient identification, administering the transfusion slowly over 15-30 minutes while monitoring for adverse reactions, and observing for complications.

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Mark James Gavina
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262 views1 page

Nursing Responsibilities For Blood Transfusion

Nursing responsibilities for drug transfusion include verifying the doctor's order, checking for compatibility, monitoring vital signs before and during the transfusion, ensuring strict asepsis, having two nurses check the blood product label and patient identification, administering the transfusion slowly over 15-30 minutes while monitoring for adverse reactions, and observing for complications.

Uploaded by

Mark James Gavina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Nursing Responsibilities for Drug Transfusion

1. Verify doctor’s order. Inform the client and explain the purpose of the procedure.
2. Check for cross matching and typing. To ensure compatibility
3. Obtain and record baseline vital signs
4. Practice strict asepsis
5. At least 2 licensed nurse check the label of the blood transfusion. Check the
following:
o Serial number o Blood component o Blood
type o Rh factor o Expiration date
o Screening test (VDRL, HBsAg, malarial
smear) – this is to ensure that the blood is
free from blood-carried diseases and
therefore, safe from transfusion.
6. Warm blood at room temperature before transfusion to prevent chills.
7. Identify client properly. Two Nurses check the client’s identification.
8. Use needle gauge 18 to 19 to allow easy flow of blood.
9. Use BT set with special micron mesh filter to prevent administration of blood clots
and particles.
10.Start infusion slowly at 10 gtts/min. Remain at bedside for 15 to 30 minutes. Adverse
reaction usually occurs during the first 15 to 20 minutes.
11.Monitor vital signs. Altered vital signs indicate adverse reaction (increase in temp,
increase in respiratory rate)
12. Do not mix medications with blood transfusion to prevent adverse effects. Do not
incorporate medication into the blood transfusion. Do not use blood transfusion lines
for IV push of medication.
13. Administer 0.9% NaCl before; during or after BT. Never administer IV fluids with
dextrose. Dextrose based IV fluids cause hemolysis.
14.Administer BT for 4 hours (whole blood, packed RBC). For plasma, platelets,
cryoprecipitate, transfuse quickly (20 minutes) clotting factor can easily be destroyed.
15.Observe for potential complications. Notify physician.

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