|
Steps |
Action |
| 1 |
- Record
baseline observations prior to commencing exchange transfusion.
- Axilla/rectal
temperature
- Heart
rate
- Respiratory
rate
- Blood
pressure
- Oxygen
saturation and colour
|
| 2 |
- Continuously
monitor and record at 15 minute intervals on the record of Exchange
Transfusion sheet, the following observations:
- Skin
temperature
- Heart
rate
- Respiratory
rate
- Oxygen
saturation
- Blood
Pressure (non-invasive)
|
| 3 |
- Axillae/rectal
temperature recorded 15 minutes after
each donor pack is commenced.
|
| 4 |
- Blood
pressure is monitored every 15 minutes.
|
| 5 |
- Record
blood in/blood out on the Neonatal Unit Record of Exchange
Transfusion. Keep a
running total.
|
| 6 |
- Observe
for any changes in neurological status - drowsiness, irritability.
|
| 7 |
- Record
blood results on the Exchange Transfusion Results Sheet
|
| 8 |
- Baby
must remain on continuous electronic monitoring of vital signs for at
least two hours post transfusion or longer if baby’s condition is
not stable.
|
