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Terms in this set (30)
Red Blood cells may be indicated for a patient with the following:
symptomatic anemia (with its associated decreased oxygen carrying capacity)
Platelets are most commonly indicated for patients who:
are bleeding and have a low platelet count
The written post transfusion instructions should be given to
All of the above
A new signed and witnessed Consent for Transfusion must be obtained
For each new transfusion-related diagnosis
Which of the following are required on all requisition and specimen tubes (select all that apply):
(All)
patient's full namepatient's medical record numbersignature of the person collecting the blood sampleDate collected if non-electronically ordered
The person drawing the specimen the Blood Bank specimen with a paper requisition must (select all that apply):
(all)
Positively identify the patientMatch the patient's wristband with the
tube labelsApply the label at the bedsideSign the requisition slip
If a bag of Red Blood Cells arrives on the nursing unit and cannot be used right away, the best thing to do would be (select all that apply):
return it to the Blood Bank immediately
place it in a Blood Bank Refrigerator if available
Blood Components for all patients must be checked:
At the bedside using the patient's wristband and blood label
If the identifying information on the unit of blood does not match the patient's wrist-band, you should:
immediately return the unit to the Blood Bank
Michigan Medicine requires that patients who receive blood must sign an informed consent prior to transfusion. (select all that apply):
The nurse must look for the consent on the chart prior to the transfusion.
One consent is sufficient for a single course of treatment.
The nurse may witness the patient's signature on the consent form.
A consent is not required in the case of a life threatening emergency transfusion
To administer an IV medication through the blood administration line while blood is being transfused, you:
Stop the transfusion, and use the saline flush, inject, saline flush method
The IV solution completely compatible with blood is:
0.9% sodium chloride (normal saline)
A bag of Platelets arrives on the nursing unit that cannot be used right away. The best thing to do is:
return it to the Blood Bank immediately
The pretransfusion double check includes (select all that apply):
(ata)
Patient's full name and MRN number
compatibility of patient and donor ABO and Rh types
outdate of the blood product
product name and donor unit number
During the pretransfusion double check, you find that the unit outdates in less than 15 minutes. The component should be:
Returned to blood bank
The component and paperwork accompanying the unit must be re-checked at the time of transfusion if (select all that apply):
The unit is removed from the bedside
The unit is placed in a blood storage refrigerator
The unit is sent to another nursing unit with the patient
Mr. Jones requires an emergent blood transfusion with incomplete pretransfusion testing. You obtain a labeled emergency-unit of RBCS from a blood refrigerator and (select all that apply):
Double check unit verifying that the unit is group O and not labeled for another patient
Call the blood bank to get the unit replaced if obtained from a refrigerator outside the blood bank
Submit a signed requisition with the Emergency Release section signed or order emergency units as "already available on unit" in Carelink
Upon receiving blood through the pneumatic tube system the clerk and/or nurse must: (select all that apply)
complete the blood delivery form indicating the date and time the product was received
verify that the intended recipient is on the unit
notify the nurse caring for the patient that the blood component(s) have arrived
The possibility of bacterial contamination exists after a bag of blood has been entered. Therefore, an infusion of a blood component should be complete within how many hours of the unit being issued from the blood bank or removed from a controlled blood storage refrigerator on a patient care unit?
4 hours
The Blood Bank has notified you that the unit that is hanging is suspected of causing an Acute Hemolytic Transfusion Reaction The infusion may be restarted:
Never, because it is incompatible
During the first 15 minutes of a transfusion of platelets, Mr. Jenkins exhibits hypotension, shock, fever and chills, nausea and vomiting, and respiratory distress. He may be experiencing which of the following types of transfusion reactions?
Bacterial contamination
The Acute Hemolytic Transfusion Reaction is an uncommon but potentially fatal complication of transfusion. This reaction is most often due to:
Improper patient identification
The signs and symptoms of an Acute Hemolytic Transfusion Reaction may include: (select all that apply)
Fever and/or chills
Hypotension and/or tachycardia
Feeling of impending doom
The most common cause of severe shortness of breath with increased blood pressure that occurs after a transfusion is:
Circulatory overload
Miss Green's is receiving a unit of RBCs. Her baseline temperature was 98.0'F and is now 100.0'FThis temperature increase may be due to:
Both of the above
Hemolytic transfusion reaction
Fever unrelated to transfusion
Your interventions for Mrs. Green include (select all that apply)
Stop the transfusion
Call the patient's physician
Keep the vein open with normal saline
Report the reaction to the Blood Bank
In documenting Miss Green's transfusion, you include which of the following in the notes? (select all that apply)
ATA
The blood product and amount transfused
Signs and symptoms
Who was notified and when
Treatment and patient response
The danger of transfusion transmitted diseases:
Is present with every blood transfusion
A link to information on blood products, Michigan Medicine Transfusion Policies and Procedures, FAQ's and transfusion related forms can be found on the clinical home page under Pathology / Blood Bank& Transfusion
True
Mrs. Smith rings the call button and states "I'm having trouble breathing". You completed a transfusion of plasma about 30 minutes ago. She does not have hives or laryngeal edema. Which of the following types of transfusion reactions might Mrs. Smith be experiencing?
TRALI (Transfusion Related Acute Lung Injury)