Blood Administration RPI Education Roll

out

Blood Administration RPI Education Roll

out• Problem-there is a need for the

blood administration process and associated documentation to be 100% accurate

• Mission-to define a safe, accurate, and efficient blood administration process (to reduce errors)

OBJECTIVESOBJECTIVES• Understand the proper blood

administration process • Define safe, accurate, and

efficient blood administration• Adhere to the blood administration

process according to policies and procedure

3 “R”s TO REMEMBERBLOOD ADMINISTRATION

UPDATE

3 “R”s TO REMEMBERBLOOD ADMINISTRATION

UPDATE

• Reminder

• Revised

• Re-format

• Informed blood consents• Correct labeling• Clot directly to Blood

bank• Witness eliminated• Blo03 policy revised • Form 901542 eliminated• Read back verification• VS after 15-30 ml• Blood Bag Tag• Blood ID Band• Yellow Blood Tube

System

REMINDERBlood Consent

REMINDERBlood Consent

• Surgical consent is only valid up to 72 hours after surgery

• Single informed blood consent is sufficient for the course of therapy

• Serial medical outpatients, a single informed consent is valid for 6 months

REMINDERBlood ClotREMINDERBlood Clot

• Blood clot collection tube correctly labeled

REMINDERBlood ClotREMINDERBlood Clot

• Blood clot specimens go directly to Blood Bank

• Blood supplies are all centrally located

• Blood clot can be drawn 7 days prior to surgery but only good for 3 days once patient is admitted

REVISED POLICIES Blood Bank ID Bands

REVISED POLICIES Blood Bank ID Bands

• The witness for the blood clot draw will be eliminated in the policy due to the initiation of :– Patient ID verification– Blood ID banding – Bar coding

REVISED POLICIESBL003 policy

REVISED POLICIESBL003 policy

• 5 policies into one policy- Administration of Blood Products (Attachment A)

• The read back verification is added in the policy

• Vital signs will be documented after 15-30 mls of blood instead of 15 minutes

REVISED POLICIESREVISED POLICIES

• The form #905412 will be eliminated

• Blood transfusion will be included in the Handoff Communication policy

• Patient will not be transferred until 15-30 mls of blood transfused

REFORMATBlood Bag Tag

REFORMATBlood Bag Tag

• The 15 minutes vital signs will be changed to vital signs after 15-30 mls transfused except for NICU and Pediatrics will be following their specific policy

• Respiration is also added to the vital signs

Blood Bag tagBlood Bag tag

• Checklist is added to the blood bag tag to remind nurses to check and complete the documentation.

• The time of transfusion is separated to follow the sequence of event in the blood administration process

RE-FORMATBLOOD ID BAND

RE-FORMATBLOOD ID BAND

• Apply the smallest patient EZ ID label to the “R” band

• The blood band is now ¾’’ wide to accommodate the patient ID label

RE-FORMATBLOOD TRANSPORT

RE-FORMATBLOOD TRANSPORT

• The blood transport using the pneumatic tube system will now have yellow lining that indicates safety

• The pneumatic tube system will only be used during night shift

RE-FORMATBLOOD TRANSPORT

RE-FORMATBLOOD TRANSPORT

• The front of the tube says BLOOD and the back says RETURN TO BLOOD BANK

Certification of Completion

Certification of Completion

• Upon completion of this review, please click on the following link and print out the Certificate of Completion

• Certificate of Completion • Only print Current Slide!!!!• Give this certificate to your

educator for your files.