"Three checks"

"eight pairs"

"Once confirmed"

Two medical staff checked the clinical examination order form with the clinical blood transfusion application form and the labeled vacuum blood collection tube, including the patient's name, outpatient and emergency department/ward, bed number, gender, case number, and blood type.

Before collecting blood samples, ask the patient to tell his bed number, name, and blood type, and the nurse will repeat the patient's bed number, name, and blood type for confirmation again.

Collect blood samples according to the "Venous Blood Specimen Collection Operation Procedure".

After collecting the blood sample specimens, the delivery personnel/medical staff will send the vacuum blood collection tube containing the patient's blood sample and the clinical blood transfusion application form to the blood transfusion department, and hand over after checking each item with the blood transfusion department staff.

Precautions

After receiving the notice from the Blood Transfusion Department, the medical staff checked that the patient or family member had signed the informed consent form for blood transfusion treatment, and then went to the Blood Transfusion Department to collect blood with the blood withdrawal form (Attachment 19).

The person who took the blood and the person who gave the blood should use the blood withdrawal form (Attachment 19) and the blood issuance form (Attachment 18) to conduct "three checks and eight one-on-one confirmations" on the blood/blood products (including checking the validity period of the blood, the quality of the blood, and the blood transfusion device) Whether it is intact; confirm that the name, bed number, hospitalization number, blood bag (bottle) number (blood storage number), blood type, cross-matching test results, blood type, and blood volume are consistent with the blood order (Attachment 18) ), sign after verification.

After verification, both the person who took the blood and the person who gave the blood signed the blood order, and placed the blood/blood products and the original blood order in a sealed container and retrieved it. The blood/blood products of different patients are placed separately, and only one patient's blood is taken at a time unless there are special circumstances.

After taking the blood/blood products back to the ward, the person who took the blood asked another medical staff to jointly conduct "three checks and eight one-on-one confirmations" (including checking the validity period of the blood, the quality of the blood and whether the blood transfusion device is intact; verifying the name and bed number , hospitalization number, blood bag (bottle) number (blood storage number), blood type, cross-match test results, blood type, blood volume; confirm that it is consistent with the blood order (Attachment 18)), and compare the blood/blood products with The relevant information on the medical record and temporary medical order will be reviewed. If correct, it will be recorded and signed on the blood transfusion record sheet (Attachment 20).

Check that the patient/family member has signed the informed consent form for blood transfusion treatment. If an unconscious patient without a family member's signature requires emergency blood transfusion, the case should be reported to the Health Service Department or the Vice President of Medical Care for approval and filing, and should be recorded in the medical record by the physician.

Two medical staff go to the patient's bedside with medical records/temporary medical orders, blood orders and blood/blood products, and check the "eight pairs" of contents (including name, bed number, hospitalization number, blood bag (bottle) number (blood storage number) ), blood type, cross-matching test results, blood type, blood volume), blood transfusion can only be done after all are correct.

Blood/blood products should be transfused as soon as possible after retrieval (the time should not exceed 30 minutes at room temperature), and blood should not be stored by yourself.

Gently mix the contents of the blood bag before infusion and avoid violent shaking.

Disposable blood transfusion devices should be used for transfusion of blood/blood products and should not be reused.

When transfusing whole blood or blood components, the blood transfusion device should be replaced every 4 hours; the additional blood transfusion filter should be replaced after each unit of whole blood or blood components is transfused. If contamination is suspected or the integrity of the system is damaged, it should be removed immediately. replace.

No drugs should be added to the blood. If dilution is needed, it can only be diluted with 0.9% sodium chloride injection as directed by the doctor.

Flush the blood transfusion line with 0.9% sodium chloride injection before and after blood transfusion. When two or more bags of blood and blood products are continuously infused, after the previous bag of blood is exhausted, flush the transfusion line with 0.9% sodium chloride injection, and then receive the next bag of blood/blood products to continue the infusion.

The patient's pulse and respiration need to be measured before, during and at the end of blood transfusion.

Adjust the speed according to doctor's orders, patient's condition, age and infusion requirements

During the blood transfusion process, the patient should be inspected every 15 to 30 minutes to closely observe whether the patient has any adverse reactions to the blood transfusion. If an adverse reaction to a blood transfusion occurs, report it to the doctor immediately for treatment. Call the staff of the blood transfusion department. Send the feedback form filled out by the doctor to the blood transfusion department. Seal the blood bag and transfusion set with a medical garbage bag and mark the patient's outpatient or emergency status. / Ward, bed number, name, time of transfusion reaction.

Write the blood transfusion record sheet carefully, promptly and accurately (Appendix 20).

If the patient continues to receive infusion from this channel, replace the disposable infusion set.

The blood transfusion record sheet (Attachment 20) and the blood issuance sheet are kept in the medical record. The start and end time of blood transfusion, the type and total amount of blood transfusion are recorded on the nursing record sheet.

After the blood transfusion is completed, return the blood bag to the transfusion department within 24 hours.