Blood Transfusion Process - Overview

8/13/2019 Blood Transfusion Process - Overview

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2 Patient Identifiers 2 patient Identification must be done prior

to sample collection/ product administration

Ask patient to state

Name First, Middle, Last

Date of BirthCheck patients armband

Name

Hospital number

Barcode Patient ID band (PID) must be on

the patient or an approved location.


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1-2-3 Scan1. Scan at the Point of Care

Take the COW to thebedside

2. Identify the Patient with 2

Identifiers before youScan

3. Always Scan in order:

1. Scan the patient2. Scan the Paper

3. Scan the Blood Tube/

Product


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Error Messages If 3 scans do not match

red screen appears

Take corrective action

before proceeding

Visually compare for

matching PIDs

Rescan

Remember Restart thescans if you ever leave the

bedside


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Blood Transfusion:

5 Step Process Sample CollectionPerformed by nursing/

phlebotomy/ anesthesia at the time of specimen collectionat the patients side.

Sample Arrived in LabPerformed by Blood Bank

at the time the sample and requisition are received in theBlood Bank

Blood Product Dispensed - Performed by the BloodBank at the time the blood product is dispensed.

Blood Product AdministrationPerformed byNursing/ Anesthesia at the time the blood product isadministered at the patients side.

Blood Product Return Performed by Blood Bankwhen unused blood products are returned to the BloodBank


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Computer on Wheels COWsALL SCANS MUT BE DONE AT THE

PATIENTS SIDE


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All Blood Products MUST be Scanned

prior to AdministrationAT THE BESIDE SCAN IN THIS ORDER:

1. Patient ID band bar code label

2. Paper label on blood/product bag tag label

Patient ID bar code - Upper barcodelabel scan down from the top

Product unit number barcode lowerbarcode label scan up from thebottom

Click OK to transmit scans3. Sign the chart copy blood label, date and

time when blood product is started/ stopped

IF INTERUPTED & YOU LEAVE THE BEDSIDE:

Restart the scan using steps outlined above

IF THE COMPUTER SYSTEM IS DOWN: Use the downtime process

A witness verifies patient ID and allblood bag information

Both parties sign the chart copy label


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Trigger Scanners

Scan best when held 4-8 inches frombarcode

Never take a scanner from one machine toanother they need to be electronically

linked to that specific computer.


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COW Not Working

Call 155 if the IPR program is functioningand the COW is not working.

Help desk will immediately replace COW


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Clean Machine

COW is considered a low risk for infection

After use in an isolation room

Wipe with Super Sani-wipes any parts ofmachine you touched

Remove from room


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O Negative

Emergency Release Blood

DO NOT BARCODE No changein process

4 units of Emergency Release/ O Negative

blood are in the ETC/ Critical Care Lab

Complete the bag label and return to blood

bank to replace the Emergency Release/ O

Negative units


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Blood Transfusion Process - Overview

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