Organizing And Monitoring Blood Transfusion Giving

ORGANIZING ANDMONITORING BLOOD TRANSFUSION GIVING Blood Transfusion Concept a. Blood transfusion is theofprocess of transferring recipient. The purpose blood transfusion is: or giving blood from a donor to a recipient or b. Maintain and maintain donor health c. Maintains blood components to stay healthy d. Maintain and maintain normal blood volume e. Increases tissue oxygenation f. Improve hemostasis function Blood transfusions are performed at: a. Acute bleeding b. Severe anemia c. Septic shock d. Provides additional plasma and platelets as clotting factors e. Exchange transfusion in neonates with severe jaundice Types of blood transfusions include: a. Whole blood b. Packed Red Cell(PRC) c. Platelets d. Frozen Plasma (Fresh Frozen Plasma) GIVING BLOOD TRANSFUSIONS tools preparation The tray contains: a. Correct bloodtype as and needed, pay attention to: Packaging time, blood compatibility of blood type with integrity, the patientclarity, color, name, expiry b. Transfuse sets as needed, pay attention to the integrity of the packaging and expiry time c. Intravenous catheter adjust size (18 or 19) d. Disinfectant: alcohol 70% and Povidone iodine 10% e. Alcohol cotton or swap gauze f. Sterile cotton swabs and gauze in place g. Tourniquets h. Tools for fixation: sterile gauze, non-allergenic plaster and scissors i. Pengalas j. Crooked and galipot (small comm) k. Vital signs measuring device (1 set) l. A watch with seconds m. Label n. Personal protective equipment: gloves o. Infusion pole p. Stationery, documentation forms Pre-Interaction Stage a. Assess patient needs according to related actions b. Tools are fully prepared c. The device is brought closer to the patient d. Wash your hands properly Orientation Stage a. Offer greetings as a therapeutic approach b. Give the nurse's name again c. Make sure the identity of the client whose action will be taken is correct d. Explain the objectives and procedures of action to the client/family e. Ask the client's readiness before the activity is carried out f. Adjust the client's position until the client feels comfortable g. Close doors/windows/put up curtains, make sure there is sufficient light in the room Work Phase a. Insert an IV tube using aforlarge catheteran(18 or 19) in (infusion) accordance with the Standard Operational Procedure installing IV catheter b. Use an infusion hose that has a filter in the hose. c. Hang a bottle of 0.9% normal saline solution to be given after the blood infusion is complete.* d. Follow the institution's protocol blood when you are ready to useinit.obtaining blood products from the blood bank. Ask for e. Together with another licensed nurse, correctly identify blood products and patients. f. Check the compatibility label attached to the blood bag and the information on the bag.* g. For complete blood count, check the ABO blood group and Rh type found in the client's records. h. Double-check prescription. the suitability of the blood products that will be given with a doctor's i. Check the expiration data on the blood bag. j. Blood infection to see blood clots. k. Ask the client's name and check the identification tag on the client's arm. l. Measure the client's basic vital signs. Start giving transfusion: * a. Before a blood infusion is given, first give a 0.9% normal saline solution. b. Start giving the transfusion slowly starting with filling the filter in the tube. c. Set the speed tothe2 transfusion, ml\minute forrinse thethe firsttube 15 minutes and stay withslowly, the client. If youthe suspect a reaction, stop with normal saline and notify blood bank and doctor. Monitor vital signs: a. Measure signs every 5 minutes forpolicy. the first 15 minutes of transfusion, then measure every hourvitalaccording to institutional b. Observe clients for redness, itching, dyspnea, red spots, and rashes. Maintain the programmed infusion rate using an infusion pump, if necessary. Remove and discard gloves. Washing hands. Monitor the emergence of adverse reactions on an ongoing basis TERMINATION STAGE a. Evaluate responses and actions carried out correctly b. The patient is well groomed c. Provide education related to follow-up after the action is taken d. Tools are neatly arranged e. The subsequent time contract was submitted correctly f. Therapeutic greetings are delivered in a friendly manner g. Wash your hands properly