The TSD transfusion policy outlines the necessary steps in the preparation, issue, documentation and charging of blood to be transfused at TSD.
1. A blood specimen for crossmatch will be drawn using TYPENEX SYSTEM. Refer to “Blood Recipient Identification, Emergency and Outpatient; Typenex” operational policy. If possible, the specimen will be obtained prior to heparinization. The specimen should be obtained no more than three days prior to the date of the intended transfusion.
2. The crossmatch specimen and corresponding orders and consent forms are promptly delivered to the Finley laboratory.
3. The appropriate charges are to be put through the hospital computer system. A laboratory secretary completes this process.
A. Call Patient Access at 2461 and ask for an outpatient account number for a transfusion for a Tri-State Dialysis Patient: (name). The clerk will ask for another identifying item. Usually this includes the date of birth and possibly the SSN. The clerk may need to call back with the number.
B. When an account # is assigned for the patient, place the orders through the hospital computer.
4. Compatibility testing is completed using current procedures. Should an antibody be found which delays transfusion, the laboratory will immediately call the RN at TSD [9-589-4033] (be sure to ask for the nurse in charge of that patient).
5. The blood component is picked up by an employee of TSD and signed out according to the “Product Issue and Return” protocol. The component is carried to TSD in an insulated container on a frozen ice pack with a paper barrier between the frozen pack and the blood bag(s). Keep the blood bag(s) in this container until transfused. The transfusion of the first unit should be started within 30 minutes. If transfusion delayed more than 30 minutes, blood should be returned to Finley Blood Bank.
6. The transfusionist at TSD and a witness check patient and unit identification and document these steps on the product ID Tag associated with the unit as described in to “Blood Recipient Identification, Emergency and Outpatient; Typenex” operational policy.
7. The blood component is then transfused according to the policies of TSD.
8. The date and time of the completed transfusion is documented on the Product ID Tag. TSD keeps this completed document on the patient’s chart in TSD.
i. 11-15-84 J. Brennan
ii. 1-21-91 L. Johnson
iii. September 2009 M. Burger (Revised: II.1-3.A., 8.)
Interim Review: May 2011 M. Burger (Revised: II.3.B., 4., 5.)