Podcast
Questions and Answers
What information should be documented before transfusion?
What information should be documented before transfusion?
What should be recorded during transfusion?
What should be recorded during transfusion?
What is essential for communication between clinical staff and the laboratory?
What is essential for communication between clinical staff and the laboratory?
Why is good communication important during staff handover?
Why is good communication important during staff handover?
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What should be obtained and documented for blood transfusion?
What should be obtained and documented for blood transfusion?
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What must the transfusion 'prescription' contain?
What must the transfusion 'prescription' contain?
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What should be included in requests for transfusion?
What should be included in requests for transfusion?
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Why is documentation important in transfusion?
Why is documentation important in transfusion?
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What is essential for diagnosing and transfusing patients?
What is essential for diagnosing and transfusing patients?
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How should pre-transfusion blood sampling be performed?
How should pre-transfusion blood sampling be performed?
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What information must be on the sample tube label?
What information must be on the sample tube label?
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Why should handwritten labels be used?
Why should handwritten labels be used?
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Who should collect blood components from the laboratory?
Who should collect blood components from the laboratory?
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What must be checked before delivering blood components to the clinical area?
What must be checked before delivering blood components to the clinical area?
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Where should the final check be conducted before administering the blood component?
Where should the final check be conducted before administering the blood component?
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Why is it essential to positively identify patients before transfusion?
Why is it essential to positively identify patients before transfusion?
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What is the minimum time frame for completing a transfusion after leaving controlled temperature storage?
What is the minimum time frame for completing a transfusion after leaving controlled temperature storage?
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What is the purpose of using a blood administration set with an integral mesh filter?
What is the purpose of using a blood administration set with an integral mesh filter?
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What should be monitored and recorded during a transfusion reaction?
What should be monitored and recorded during a transfusion reaction?
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What should be done to patients within 24 hours of transfusion?
What should be done to patients within 24 hours of transfusion?
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What is essential for achieving blood transfusion safety in a hospital?
What is essential for achieving blood transfusion safety in a hospital?
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What is a component of the clinical transfusion process?
What is a component of the clinical transfusion process?
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What is the role of the transfusion safety officer?
What is the role of the transfusion safety officer?
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How can risks associated with transfusion be reduced at the hospital level?
How can risks associated with transfusion be reduced at the hospital level?
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What is the primary goal of maintaining safe and effective procedures around blood collection and storage?
What is the primary goal of maintaining safe and effective procedures around blood collection and storage?
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What is the minimum information required on a patient identification band for blood transfusions?
What is the minimum information required on a patient identification band for blood transfusions?
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Why is it essential to ask patients to state their full name and date of birth during blood sampling or transfusion?
Why is it essential to ask patients to state their full name and date of birth during blood sampling or transfusion?
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What is the benefit of using electronic transfusion management systems in patient identification and blood component tracking?
What is the benefit of using electronic transfusion management systems in patient identification and blood component tracking?
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What is a critical aspect of transfusion documentation in the clinical record?
What is a critical aspect of transfusion documentation in the clinical record?
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What is the estimated number of people infected with HIV globally through the transfusion of unsafe blood?
What is the estimated number of people infected with HIV globally through the transfusion of unsafe blood?
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What is the purpose of using a patient identification band or risk-assessed equivalent in blood transfusions?
What is the purpose of using a patient identification band or risk-assessed equivalent in blood transfusions?
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Why is it essential to print the ID band from the hospital's computerized patient administration system, ideally at the bedside?
Why is it essential to print the ID band from the hospital's computerized patient administration system, ideally at the bedside?
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What is a crucial component of a national blood program?
What is a crucial component of a national blood program?
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What is the purpose of Haemovigilance system?
What is the purpose of Haemovigilance system?
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What should be included in requests for transfusion?
What should be included in requests for transfusion?
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What is the primary goal of rational use of blood products?
What is the primary goal of rational use of blood products?
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What is the purpose of quality systems and ongoing training?
What is the purpose of quality systems and ongoing training?
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What is the primary role of the hospital blood bank/transfusion laboratory?
What is the primary role of the hospital blood bank/transfusion laboratory?
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What is the purpose of red cell serology testing?
What is the purpose of red cell serology testing?
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What should be included in the national blood policy and plan?
What should be included in the national blood policy and plan?
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Study Notes
Blood Transfusion Safety
- Blood transfusion is a vital component of healthcare delivery systems, but it carries the risk of infectious diseases transmission.
- Maintaining safe and effective procedures around blood collection, storage, and use is essential to prevent infections transmission.
Patient Identification
- A patient identification band or equivalent should be worn by patients receiving a blood transfusion.
- The minimum identifiers on the band include last name, first name, date of birth, and unique patient ID number.
- Patients should be asked to state their full name and date of birth, which must match the information on the identification band.
Documentation
- All transfusion documentation should include minimum patient identifiers.
- Pre-transfusion documentation should include the reason for transfusion, risks, benefits, and alternatives discussed with the patient, and consent.
- During transfusion, documentation should include staff members starting the transfusion, date and time of transfusion, donation number, and observations made before, during, and after transfusion.
- Post-transfusion documentation should include management and outcome of any transfusion reactions or adverse events.
Communication
- Verbal communication between clinical staff and the laboratory may result in misunderstanding or transcription error, so written or electronic communication is preferred.
- Good communication is essential at times of staff handover between shifts, both on the wards and in the laboratory.
Patient Consent
- Valid consent for blood transfusion should be obtained and documented in the clinical record.
- Signed consent for transfusion may be required locally.
Authorising the Transfusion
- The transfusion prescription must contain minimum patient identifiers, components to be transfused, date of transfusion, volume or number of units, and special requirements.
Requests for Transfusion
- Requests for transfusion must include minimum patient identifiers, diagnosis, and reason for transfusion, component required, volume or number of units, and special requirements.
- The request should also include the name and contact number of the requester.
Pre-transfusion Blood Sampling
- All patients being sampled must be positively identified, and their details must match those on the request form.
- Sample tubes must be labelled with minimum patient identifiers, date and time of sampling, and identity of the person taking the sample.
Collection and Delivery of Blood Components
- Trained and competent staff should collect blood components from the laboratory.
- Authorized documentation with minimum patient identifiers must be checked against the label on the blood component.
Administration to Patient
- The final check must be conducted next to the patient by a trained and competent healthcare professional.
- Minimum patient identifiers on the patient's identity band must exactly match those on the blood component label.
Monitoring the Patient
- Patients should be under regular visual observation, and minimum monitoring should include pulse, blood pressure, temperature, and respiratory rate before, during, and after transfusion.
Hospital Requirements for Blood Transfusion Safety
- A hospital must have an adequate stock of safe blood products, qualified and trained staff, a system for patient identification, patient information and consent, a transfusion safety officer, and a clinical transfusion process integrated into the hospital quality system.
Transfusion Chain
- Effective blood donor selection, effective donor blood testing, and use of new technology to increase blood safety can reduce risks associated with transfusion.
Transfusion Guidelines and Protocols
- Clinical and laboratory indications for the use of blood products, standard blood request forms, and standard operating procedures for the clinical transfusion process are essential.
Education and Training
- Training on blood safety and quality systems is essential for undergraduate and postgraduate programs, in-service training, and continuing medical education.
National Blood Policy and Plan
- A national blood policy and plan are essential components of an efficient and cost-effective national blood program.
- The policy should include an appropriate regulatory and legislative framework, quality systems, and ongoing training.
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Description
Test your knowledge on blood transfusion, a vital component of healthcare delivery systems, and the importance of maintaining safe and effective procedures around blood donation and use.