Name: LEWIS John

DOB: 20-Aug-1951

Sex: M

NHS No: 460 955 7867

681207

Rh D POSITIVEExpiry Date: 27 July 2017

NBS NORTH LONDON

Additional InformationD+

C+

E+

c+

a+

DONATION NUMBERGO72 405 148 435 *

This component must not be used if there areviable signs of deterioration.This component must be administered through asuitable transfusion set incorporating a :70um filterThis component may transmit infection

Volume229.0mLThis component was collected inCPD antocoagulant and is

suspended in 100 millitres of additive solution of the followingcomposition.Sodium chloride 180.0Asferdine 1.25Asfersaine glucose 40.4Asfersai 23.4

DO NOTVENT

LOT NEG: HT,K

Date Bled 30 Jun 2017

RED CELLS IN ADDITIVE SOLUTIONLEUCOCYTE DEPLETEDSTORE AT 4°C + 2°C A

REF C00106697B

B108043561066B

REF: LTQ C00106697B

Page 1 of 1

Blood Transfusion Adults

Blood transfusion part 3:the blood arrives on the ward

Demonstrated by Edward Fraser, Advanced Nurse Practitioner—Blood Transfusion, Oxford University Hospitals NHS Trust

©2016 Clinical Skills Limited. All rights reserved

When the blood arrives on the ward, you need to carry out a series of checks: Check the blood• Confirm that the blood is the right blood for your patient and not intended for someone else;• Check that the blood is not discoloured, showing signs of contamination or leaking.Check the prescription• Reconfirm that the blood has been prescribed for your patient;• Note any special requirements and concurrent prescriptions (e.g., furosemide).Check the patient If you have not already carried out these initial checks on the patient (see Blood transfusion part 1: Ordering blood for collection and being prepared), do so now: • Check that the patient is wearing a wristband bearing the correct first name and surname, date of birth and hospital number and/or NHS number; • Carry out baseline observations: record the patient’s temperature, pulse, blood pressure and respiration rate; • Confirm that the patient has patent intravenous access; • Confirm that the patient has given valid consent for the transfusion. A patient with a temperature may need paracetamol before you start. What to do if a compatibility report slip is issued A compatibility report slip is issued alongside the first unit in some hospitals. It is intended for the medical notes and must never be used as part of the bedside check for patient identification.Gather and check your equipment Gather the following equipment for the bedside check and keep it unopened:• The unit of blood;• The giving set (this must be a blood giving set with an approved filter);• Saline flush;• Drip stand;• Prescription chart;• Bar-code scanning equipment where used. If this is in use in your trust, it is essential to bring this with you to the bedside.Do not bring anything else. Unnecessary items can cause confusion and lead to an error: there is evidence that reliance on compatibility forms, rather than patients’ wristbands, as part of the final bedside check has been a significant contributory factor to some ABO-incompatible transfusions (NPSA, 2006).

Check the blood unit

Do not undertake or attempt any procedure unless you are, or have supervision from, a properly trained, experienced and competent person.Always first explain the procedure to the patient and obtain his/her consent, in line with the policies of your employer or educational institution.

Inspect the unit of blood once it has arrived on the ward. Make sure it is not discoloured, leaking or showing any signs of contamination.

All patients receiving a transfusion must wear awristband bearing their correct first name, lastname, date of birth and hospital numberand/or NHS number.

This bag is NHSpropertyan

dmus

t not

be removed from the

hospit

al

BLOOD PRODUCTS

BECKHAM AND VICTORIA HOSPITAL

TRANSFUSION

NURSE SPECIALIST

MONIQUE CHITUKU

After the blood arrives, if there are any problems that will significantly delay the transfusion, return it within 30 minutes to avoid wastage.

Receiving the blood

Check that each unit of blood has been prescribed (with volume, rate and any special requirements, such as irradiated blood). If in any doubt, check with the doctor.

Patient identity Check the prescription Warning!Blood / Blood Components / Blood Products

Date Type of Blood/component/product

CMVNeg

Yes/No

Irrad-iated

Yes/No

Volume Rate Doctor’s Signature

WRONGBLOOD

COSTS LIVES

DO NOTADMINISTER THE

BLOOD AT THIS STAGE!

A FINALBEDSIDE CHECK IS REQUIRED