SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION

OBJECTIVE ACTIVITY ACTIVITY

DEFINATION
Lecture and Listening chart What
Blood transfusion is the transfusion its components
discussion
Define Blood do you
1. 2min of whole blood or such as blood cells and plasma
transfusion mean by Blood
from one person (donor) to another person
transfusion?
(recipient).

Lecture and Listening

Describe Hand out
2. 3min PURPOSE discussion Clarifying What is the
the purpose of doubts
 To replace blood volume and blood pressure purpose of
Blood
uring hemorrhage (hemoptysis, hemetemisis, Blood
transfusion
antepartum and postpartum hemorrhage, transfusion?
operations, etc.) trauma or burns.
 To increase the O2carrying capacity or
hemoglobin pressure .level in cases of severe
anemia which are not corrected by the
administrations of vitamins and iron therapy.
 To provide antibodies and leukocytes (immune
transfusions) to in severally ill patients and
persons having lowered immunity by giving
blood or plasma taken from persons who has
just recovered form the same disease.
  To correct or treat defiance of plasma proteins
SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY

clotting factors and hemophilic globulin, etc.

 To combat infection in patients with
leukopenia.
 To replace the blood with hemolytic agents
with fresh blood (exchange blood transfusions)
as in erythroblastosis fetalis, hemolytic anemia,
etc.
 To improve the leukocyte count of blood as in
agranaulocytosis.
Why necessary
3. Explain the LED
5min GENERAL INSTRUCTIONS Lecture and Listening
the general
general discussion Clarifying
 Blood should be fresh. instructions for
instructions for doubts
 Donors should not have any history of blood
blood
jaundice, transfusion ?
transfusion
cancer, malaria, and hepatitis, tuberculosis
syphilis, AIDS or any transmissible diseases.
 Donor must be tested for AlDS. His grouping
and cross matching should be done and it
should be done compatible with the recipient's
 blood.
SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY

 Any error in the labeling of blood can lead to

serious consequences.
 Blood must be stored at a tempt 1-6 °C.
 Donors must have a normal temps pulse and
blood and pressure.
Use an appropriate, sterile, Pyrogen free
transfusion set containing a fitter for
administration of blood one filters will remove
clots and lagers aggregates of leukocytes and
platelets.
 Use 18 gauge needles for infusion. I will
prevent damage to the red cells and will
provide adequate rate of flow
 Maintain TPR blood transfusion to find on any
complication.
 Do not add any medications to the blood or
administer through the same intravenous
needle because they may cause damage to the
 red cells .

SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION

OBJECTIVE ACTIVITY ACTIVITY

 Adjust the rate of flow to 5 to 10 ml per minute

during first half an hour of transfusion to detect
any complications as early as possible. Because
signs usually appear during the first half an
hour of the transfusion. The subsequent flow
rate depends upon the condition of the patient
and the need for rapid transfusion.
 The blood should be given at a slower rate if
the patient is elderly suffering from heart and
lung Diseases, anemia, etc.

4. List out the How to

5min PREPRATION
. Lecture and Listening
prepration prepair
 Collection of blood from the donor is done in discussion Clarifying PPT
for blood doubts the blood
the
transfusion transfusion?
 laboratory by the laboratory technicians.
 Al the articles used for the collection of blood
 should be sterile.
  Each donor unit must be labeled in clear,
readable letters

SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION

OBJECTIVE ACTIVITY ACTIVITY

 The donor blood immediately' after it is

withdrawn should be placed in the refrigerator.
 Stored blood shall be inspected daily.
 The transportation of the blood in the hospital
should be done within 30 minute.
 Freezing, heating of the blood will destroy the
blood cells.
 Where sending the recipient's blood sample for
grouping and cross matching it must be
carefully labeled at the bedside of the recipient
with identifications.
Care is to be taken to prevent introduction of
air into the apparatus.
 It is recommended to use 18 gauge needles for
infusion, to prevent damage to the red cells of
to provide an adequate rate of flow.
  No. medications antibiotics, vitamins, calcium.
 Rinse the infusion set with normal saline
before starting the solution.
SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY

 Before the administrations of blood the vital

signs should be recorded correctly.
 Adjust the rate of flow to 5 to 10 ml. Per
minute during the first 30 minutes of
transfusion (raised complications).
 Whole blood and packed cells are administered
cold; blood may be allowed to stand in the
room temp for 30 to 45 minutes before it is
administered.
 Once the blood is exposed to the atmosphere it
should be discarded.
Watch the patient carefully for the onset of any
complications any reactions developed, it
should be reported to the charge nurse and the
Physician immediately.
 Keep the patient warm and comfortable
 blankets (if necessary).
 Offer bed part before the procedure.

SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION

OBJECTIVE ACTIVITY ACTIVITY

 Record in the nurse's record with date and time

(amount of blood administrated, group, rate of
flow, any reactions seen, any medications).
Did you
5. 5min Explain the Demo Listening PPT
PROCEDURE explain the
procedure And
S.NO. STEPS RATIONAL Discussion procedure
for blood
1.  Explain the  Make him for blood
transfusion
procedure to the comfortable transfusion?

patient and his .

relatives to get co-
operation.
2.  Needle or casual  Take the
should be inserted equipmen
in the vein with t to the
complete aseptic bedside.
technique
3.  Keep the needle in
position with
adhesive tape.
 In small children or
4. in case of difficult  Regulate
patient splint be the rate of
used. It should be flew from
securely placed 40 to 45
bandage. drops per
minute or
according
to
physicians
order.
SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY

 Observe the patient constantly inspect the

bottle frequently, if chill or shivering any other
occurs at the time of infusion, stop it
immediately and irrigate the tubing with sterile
fluid and inform it to the physician.

AFTER CARE OF PATIENT

 After the infusions have been started, the nurse

should see that it is secured carefully by using
the arm board, bandages, adhesive plaster, etc.
 The movement of the patient in bed should not
dislodge the IV cannula.
 The cut down site is inspected frequently to
detect infiltration of fluid the dislodgement of
 the cannula, etc.
 The incision site should be cleaned and dressed
daily to help in the healing of the wound. After
a week, the sutures are removed.
.
SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY

COMPLICATIONS Lecturing Listening Leaflet What are the

6. 5min Determine the
 Incompatibility complication
complication
When the donor's blood is not compatible with the of blood
of blood
recipient's blood, it is known as hemolytic transfusion ?
transfusion
reactions. In a hemolytic reaction, there is
clumping of the erythrocytes which blocks the
capillaries. Causes the erythrocytes to disintegrate
and release hemoglobin into the blood.

 Pyrogenic Reactions
It is due to bacterial contamination of the blood or
the administration set. The symptoms are fever,
doctor.shaking chills warm flushed skin, headache,
black pain and nausea which progress on to
 hematemesis diarrhea and delirium.

 Allergic Reactions
The patient may be sensitive to substances in the
blood. Plasma. The symptoms are urticaria,
wheezing, joint, paints, generalized itching, nasal
SNO TIME SPECIFIC CONTENT TEACHING LEARNING AVAIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
congestion, and circulatory collapse
 Circulatory Overload
It is due to the rapid flow; also it giving whole
blood to the severe chronic anemic patient a
patient with heart failure. The symptoms are
bonding pulse, engorged peripheral veins,
dyspnea, cough slow transfusion step the
transfusion and inform the doctor.
SUMMARY

Blood transfusion is the process of transferring in to the blood circulation intravenously. Blood transfusion are used for various medical
condition to replace lost components of the bloodsuch as red blood cells, white blood cells, plasma ,clotting factors and platelets.

CONCLUSION

The blood transfusion due to the rapid flow; also it giving whole blood to the severe chronic anemic patient a patient with heart failure. The
symptoms are bonding pulse, engorged peripheral veins, dyspnea, cough slow transfusion step the transfusion and inform the doctor.
IDENTIFICATION DATA

NAME OF STUDENT : MISS ROSHNEE SAHU

YEAR : M.Sc. NURSING 1st YEAR

NAME OF EVALUATOR : MRS. LIPIKA JOSHI

SUBJECT : CHILD HEALTH NURSING

TOPIC : BOOLD TRANSFUSION

DATE OF SUBMISSION : 10.05.2023

DURATION : 30 MINUTES

MEDIUM OF TEACHING : ENGLISH

METHOD OF TEACHING : LECTURE CUM DISCUSSION, EXPLANATION
A.V. AIDS : - PPT ,FLASH CARD , ARTICLES ,CHART PAPER
PREVIOUS KNOWLEDGE OF GROUP : BEFORE PRESENTING DEMONSTRATION STUDENT HAVE
LESS KNOWLEDGE ABOUT “ BLOOD TRASFUSION”.
GENERAL OBJECTIVE
After my demonstration student will be able to understand knowledge regarding Blood transfusion

SPECIFIC OBJECTIVE:
At the end of the demonstration, students will be able to –
 define blood transfusion
 describe the purpose of blood transfusion
 explain the general instructions for blood transfusion
 list out the prepration for blood transfusion
 explain the procedure for blood transfusion
 determine the complication of blood transfusion
 ADESHWAR NURSING INSTITUTE JAGDALPUR
SUBJECT – CHILD HEALTH NURSING
DEMONSTRATION
ON
BLOOD TRANSFUSION

SUBMITTED TO SUBMITTED BY

MRS. LIPIKA JOSHI MS. ROSHNEE SAHU

ASSISTANT PROFESSOR M.Sc NURSING 1ST YEAR
DEPT –CHILD HEALTH NURSING CHILD HEALTH NURSING
ADESHWAR NURSING INSTITUTE ADESHWAR NURSING INSTITUTE
JAGDALPUR JAGDALPUR
SUBMITTED ON-5-7-2023