In Canada who is responsible for ensuring quality and safety of blood ?
Canadian federal government
Which blood type is the universal blood donor?
O-
Which blood type is the universal blood recipient?
AB+
What is the purpose of separating blood components?
Different components can be given to various people depending on the needs
Autologous blood transfusion refers to?
Transfusion of own blood.
What are the primary objectives of blood transfusions?
- increase circulating blood volume
- increase number of RBCs, increases Hbg + iron levels
- replacement therapy
Blood component that is only ever given to correct anemia, is not given for any other reason
Packed red blood cells
What is included on label of blood product?
- lot #
- type of blood product (Component description)
- blood group
- expiration date and time
- special instructions
Type of blood component transfused when coagulation factors are needed?
Plasma
Type of blood component transfused when client has platelet deficiency ?
Platelet
Blood component transfused to support blood pressure in dialysis and acute liver failure?
Albumin
, Blood component used as replacement therapy in autoimmune or inflammatory conditions
or chemo pts?
Immunoglobulins
Once blood product is dispensed and arrived to unit it must be hung within?
30 minutes
What lab work must be done prior to ordering a blood transfusion?
- blood group
- antibody screen
- cross match
Transfusion orders must include the following:
- client's full name
- client's MRN
- type of blood product
- volume to administer (# of units)
- rate of infusion /duration
- date and time of transfusion
- special infusion devices if needed
- modifications, if any
- special transfusion requirements, if any
- medications related to transfusion, if any
If the pt has multiple blood products ordered, what must be included in the doctors order?
Sequence in which products are to be infused
Who is responsible for ensuring informed consent is obtained prior to blood transfusions?
The nurse
Who must obtain informed consent for a blood transfusion?
Doctor
Prior to initiating blood transfusion, nurse must check the following:
- check order
- understand rationale
- confirm G&S and T&C
- verify client ID + allergies
- ensure client has functioning IV access
What are the gauge sizes used for routine blood transfusion for adults?