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Steps to ensure safe storage, handling and admin of blood (Administration,…
Steps to ensure safe storage, handling and admin of blood
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Handling (before admin)
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Visual inspection
Tamper-proof port intact, no blood present in port
Blood intact, not discoloured and no unusual particulate matter
Document
Indication, consent, prescription, product number, names/signatures of staff checkers, start/finish times, adverse reactions...
Administration
If appropriate, check consent
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Standard precautions (gloves, eyes)
Blood giving set
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Change set every 12 hours, with platelets or on completing transfusion
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Additional substances
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Avoid admin drug and blood through same line (separate IV line). Compatible substances: Morphine, ketamine on side arm (if PCA/infusion)
N Saline, 4% Albumin, Gelo to prime line
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Quality assurance
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If there are any problems detected with storage, handling, admin: document and contact lab)
Suspected transfusion reaction: inform blood bank, document
Additional
Platelets
Must be transfused through a new blood admin set unless in setting of critical bleeding/massive transfusion
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FFP
Few cells, can use any pump
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