ADREY NERRO DOISON
2019060
ADVENTIST COLLEGE OF NURSING
CARE OF BLOOD TRANSFUSION TO MADAM W WITH IRON DEFICIENCY ANEMIA
BEFORE
1. Check Dr’s written order
a) Type of blood components
b) Amount and Rate
c) Date / Time to be given
d) Blood Temperature (warmer if
applicable)
2. Check type and cross match has been
completed; blood is ready in the blood
bank.
3. Ensure a valid and current consent
form already signed by patient.
4. Assess patient overall condition.
a) Vital signs
b) Patent IV line
c) Any history of transfusion and
allergy
d) Skin for eruption or rash
5. To obtain the blood prior procedure.
Check blood components against
requisition form. To put in room
temperature for 20 minutes prior
procedure.
BLOOD MUST BE STARTED WITHIN
30MINUTES AFTER REMOVED FROM
REFRIFERATION.
Altered Haemopoietic System, ACNHS, Year 2 Semester 1 Note Book
AND HEALTH SCIENCES
DURING
1. Verify and check the blood bag with Dr,
to make sure all information on the
Cross-Match Form matches the
following given. To sign with the Dr in
Cross Match Form.
2. Wash and dry hands, start to prepare
the blood set and procedure.
3. Prepare syringe for flushing and hang
0.9% Normal Saline bag and connect
to patient’s IV line. Clamp off the saline
and start with the blood transfusion.
 Administer blood slowly for the first
15 minutes. 20gutts/min
4. Observer patient closely for reactions:
Chilling, backache, headache, nausea
or vomiting, tachycardia, tachypnoea,
skin rash, hypotension are signs of
complications.
5. Monitor and document vital signs of
patient throughout the blood
transfusion procedure.
 Every 5 minutes for the first 15
minutes
 Every 15 minutes for the first hour
 Then every 30 minutes for the
subsequent hours until procedure
done.
DIPLOMA 2022/2
AFTER
1. On completion of blood transfusion:
a) If IV is to be resume
 Clamp blood tubing
 Flush the IV line and connect
the previous IV infusion.
 To adjust flow rate as given.
Secure tubing
b) If IV is to be remove
 Clamp blood and saline tubings
and main tubing.
 Remove catheter.
 Check to make sure catheter is
intact.
2. Disconnect blood unit bag from tubing.
Place the empty bag with the
transfusion tag in lab bag to return to
the blood bank.
3. Record completion of blood transfusion
in nurses’ supplementary notes/cross
match form and I/O chart.
a) Patient’s vital signs
b) Time of transfusion
c) Volume transfused
d) If a transfusion reaction occurred or not
e)
4. Wash and dry hands
 ADREY NERRO DOISON
2019060
DIPLOMA 2022/2
If transfusion reaction occurs:
a) Stop the transfusion
b) Notify the Dr for further order (also notify the supervisor and blood bank)
c) Hang a new bag of 0.9% NS and new tubing as flushing
d) To assess patient and check vital signs (Frequent vital signs if needed)
Return the remaining blood and tubing to the blood bank for repeat compatibility testing.

Altered Haemopoietic System, ACNHS, Year 2 Semester 1 Note Book