BLOOD TRANSFUSION

SOURCE: INTERNAL VS. EXTERNAL

Rule of thumb: If the blood comes from our hospital, no need to screen

INTERNAL (CVGH LABORATORY)

Ask because maybe naa silay ilahang source call

DOCTOR’S ORDER BLOOD REQUEST FORM PATIENT LABORATORY

What to check: source, bag number, segment #, blood type, date collected, date expiry, volume, and type of blood

2 nurses to read the information aloud: If single staffing, find another nurse sa station

CLERICAL CHECK GET THE BLOOD FROM THE LAB CROSSMATCHING

If secure and transfuse: bag/pack RBC and log it on HIMS, double bag + pack 2 hours

TRANSFUSE RETURN THE BLOOD BAG & CLERICAL CHECK FORM TO THE LAB
EXTERNAL (BLOOD BANK/OTHER HOSPITALS)

DOCTOR’S ORDER BLOOD REQUEST FORM INFORM PATIENT CALL SOURCE

S.O. TO CVGH LABORATORY GET THE BLOOD FROM THE SOURCE GIVE INSTRUCTIONS TO S.O.

RN WILL REQUEST FOR CROSSMATCHING PROPER SCREENING GET THE BLOOD BAG FROM THE LAB

RETURN THE BLOOD BAG & CLERICAL CHECK FORM TO THE LAB TRANSFUSE CLERICAL CHECK
IF BLOOD IS FROM THE DONOR

DOCTOR’S ORDER BLOOD REQUEST FORM INFORM PATIENT- CONSENT FORM DONOR

BLEED PROPER SCREENING (PS) & CROSSMATCHING PRELIM SCREENING @ CVGH LAB

CLERICAL CHECK TRANSFUSE RETURN THE BLOOD BAG & CLERICAL CHECK FORM TO THE LAB

* GREEN BRF - ADULT

* PINK BRF - PEDIA

FOR PLATELET APHERESIS

VEIN CHECK PRELIM, PS AND CROSSMATCHING @ CVGH BLEED

RETURN THE BLOOD BAG AND CLERICAL CHECK FORM TO THE LAB TRANSFUSE CLERICAL CHECK
FOR FFP/ PLATELET CONCENTRATION

 PATIENT’S BLOOD TYPE CALL LABORATORY TO LOOK FOR A UNIT FOLLOW-UP LAB

CLERICAL CHECK CVGH LABORATORY S.O. TO THE SOURCE

TRANSFUSE RETURN THE BLOOD BAG & CLERICAL CHECK FORM TO THE LAB
 STEPS FOR OR SCHEDULING AND FORMS

DOCTOR’S ORDER CHECK FOR OR RESERVATION CALL BILLING OFFICE (BO) PATIENT

PRE-OP CHECKLIST OR SCHEDULING VERIFY IF PX IS BO CLEARED OR FORMS

NEEDED OR FORMS FOR:

*LOCAL ANESTHESIA

- CONSENT

- B.O. VALID FOR 24 HRS (WRITTEN AT DON SHEET WITH THE TELLER’S NAME)

- OR PROPOSAL FORM

- RT-PCR VALID FOR 7 DAYS (ACCREDITED BY DOH)

*WITH ANESTHESIA (GENERAL/REGIONAL/SEDATION)

- CONSENT

- B.O. VALID FOR 24 HRS (WRITTEN AT DON SHEET WITH THE TELLER’S NAME)

- CP CLEARANCE

- OR PROPOSAL FORM

- ANESTHESIA PRE-OP EVALUATION FORM

- RT-PCR VALID FOR 7 DAYS (ACCREDITED BY DOH)

SPECIAL CONSIDERATIONS

- NPO post MN except PO Meds (MAINTENANCE)

- NPO but WITH SIPS OF WATER

TAHBSO

- AP TRIM (AS ORDERED)

- GATORADE ( GALBO) *FOR HYDRATION

IF WITH LATERALITY

- MARK THE SITE (JCAHO ACCEPTED)- C/O SURGEON

EITHER CHECK MARK, ARROW, OR SURGEON’S INITIAL