In this section
It is recommended that all nurses at RCH providing care to
children receiving blood transfusions have completed the blood
transfusion competency package. You can access the package through your Nursing Competence workbook.
The patient should be ready for transfusion prior to picking up
blood from the blood bank. eg appropriate IV access, written order
For any non-emergency transfusion the patient/parents should have
had the benefits/risks of transfusion discussed and an opportunity
to have any questions answered. Consent for transfusion
should then be documeted in the medical record.
For further information and for parent and patient information
packs see: Consent
and Consumer Information Guideline
The pretransfusion check must be completed before commencing
transfusion by two clinical staff, one of whom must then spike and
connect the product. The staff members signing the blood
transfusion record are indicating that the check has been completed
prior to transfusion, and that no discrepancy was identified.
The following checks are carried out at the bedside to ensure
the right patient receives the right blood product:
If there is any discrepancy between the blood product, patient
details & pack tag/label or if you
are concerned about the appearance of the product DO NOT
TRANSFUSE. Report to Blood Bank immediately: RCH Xn
5829, RWH Xn 2055.
A Blood Transfusion Record (MR/201) accompanies the release of
fresh blood products.
A tag is attached to each blood product.
Patients receiving transfusion should be monitored for
symptoms/signs of potential complications of
Frequency of vital signs:
Adults - temperature, pulse, respiratory rate
and blood pressure should be measured and recorded:
Neonates - temperature, heart rate and
respiratory rate should be measured and recorded:
Note that more frequent vital signs should be taken if the
patient has an unstable underlying condition or it the patient
becomes unwell or shows signs of a transfusion
Patients should be observed during the first 15 minutes of
transfusion as some life-threatening reactions may occur after the
infusion of only a small amount of blood. Where possible, patients
should be informed of possible symptoms of a transfusion reaction
and should inform staff immediately if they feel unwell during
Vital signs (temperature, pulse, respirations, blood
pressure, oxygen saturations and site observations) should be
measured and recorded
This is a minimum requirement. Some clinical areas may require
more frequent observations particularly in unstable or unconscious