Blood and Blood Products
Pre-Administration Checking

 

Authorised by Charge Nurse - Newborn
April
2006
Clinical Guidelines Back Newborn Services Home Page

Step Action

1

The unit of blood/plasma must be checked by a Registered Nurse with a current IV certificate and checked by a RN or Enrolled Nurse, Registered Obstetric Nurse with current IV certificate.
2 Check Agreement for Treatment (CR0111) form is signed by parent.
3 Check maternal antibody status and baby’s blood group if known.
4 Baby’s identity - the baby’s identification band is checked against front sheet of clinical records.
5 Swinging label is checked with baby identity and component issue form.
6 Swinging label is checked with label on bag for donation number, donation group, expiry date and/or collection date to determine age of blood.  MUST BE LESS THAN 35 DAYS OLD.  To limit donor exposure, dedicated units may be available for small babies who will require up to eight transfusions in the first four weeks of life.
7 Check blood is leukodepleted.
8 The unit of blood/plasma/platelets is checked for abnormalities (visual inspection).
9 Check prescription order and amount to be given (blood transfusion/IV fluid balance chart).
10 Administration of each paediatric pack should take no longer than 2 hours – no exceptions.  If the amount of blood required must be given over 3 hours, a further pack of blood will need to be obtained from blood bank.



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