Safe Transfusion Practice Flashcards

Question

What falls under cardiac part of TACO checklist?

Answer 1

Does patient have diagnosis of HF, severe AS or moderate to severe LVD? Is the patient on a regular diuretic?

Answer 2

Is the patient known to have pulmonary oedema? | Doe the patient have respiratory symptoms of undiagnosed cause?

Answer 3

Is the fluid balance clinically significantly positive? Is the patient on concomitant fluids or have they in past 24 hours? Is there peripheral oedema?

Answer 4

Review the need for transfusion - do benefits outweighed risk? Can the transfusion be safely deferred until the issue can be investigated, treated or resolved? Consider body weight dosing for red cells especially if low body weight Transfusion one unit and review symptoms Measure fluid balance Consider prophylactic diuretic Monitor vital signs closely, including O2 sats

Answer 5

True Need to clinically re assess your patient after each unit is transfused - is patient still symptomatic, is further transfusion appropriate?

Answer 6

Wrong blood in tube errors

Answer 7

The person who takes the blood must positively identify the patient by checking the wrist band and wherever possible speak to the patient Blood sample tubes must be clearly labelled with patient full name, hospital number/NHS number, DOB, date and time sample taken and signed by person taking blood One patient should be bled at a time and tubes should be labelled after they are filled with blood at patient bedside No discrepancies allowed between info on request form and on tubes

Answer 8

``` ID of patient Blood group if known Previous transfusions Antibodies if known Reason for request and which components How much, when is it needed and where Special requirements Operation date and type Consultant - samples not accepted without this ```

Answer 9

No Speak to blood bank before you take it as may not be suitable for everybody - they need patient name and hospital number Must be scanned out from fridge

Answer 10

Whether you need emergency O neg or emergency O positive blood If I doubt take the emergency O negative

Answer 11

Patient admission and identity band application Taking blood sample and labelling at patients bedside Collection of correct blood product from storage fridge Pre administration checks at patient bedside

Answer 12

1) prepare all equipment 2) two qualified members of staff check the compatibility/traceability label with the blood bag label and the pathology report form 3) both staff sign the pathology report form when checks completed 4) check transfusion prescription chart against blood products 5) check to patient’s: first name, surname, DOB, hospital number match the patient details on the blood product 6) ask patient to tell you their: full name and DOB, check against patient ID wristband 7) both staff sign prescription chart to confirm checks have been performed at patient bedside

Answer 13

Must be retained on ward for collection Must not be torn in half Must be completed, this includes emergency blood This is a legal requirement (records have to be kept for 30 years)

Answer 14

If they have filled out an advanced decision to refuse specified medical treatment. For any adult patient refusing blood/blood products that has capacity to make decisions but does not have an advanced directive, they have to fill out refusal of blood products - consent form 5

Answer 15

``` Send to lab: Remains of donation unit Repeat Gand save samples FBC, clotting and chemistry First urine sample post reaction Blood culture if considering sepsis Complete transfusion reaction form Complete Datix incident report ```

Answer 16

Where there is clear indication and as long as night staffing is sufficient to permit transfusion according to required standard e.g - adequate pre transfusion assessment - observations are 15 mins after start of each component - regular visual observations throughout - education and competency