|
Step |
Action |
| 1 |
Use
prepacked Exchange Transfusion One catheter push-pull set.
See diagram below. |
|
2 |
Place Astoflo unit on to pole on ponta, switch unit on and adjust setting to
39.5 °C then press start (confirms the change or unit will reset to default
settings) |
|
3 |
Prime the blood filter, Alaris giving set and one way valve. |
|
4 |
When ready to commence the exchange, connect the outline to baby’s umbilical
line via the second three way tap (furthest from the baby) |
|
5 |
Place the Alaris line in the warming sheath (from the roller clamp down) and
connect to the baby’s line. |
|
6 |
The Consultant / Registrar / NS-ANP is responsible for turning the 3-way tap
to the appropriate position to ensure correct direction of blood flow. |
|
7 |
The
nurse is responsible for recording in and out blood volumes.
Each cycle in and out should take approximately 4 minutes. |
| N.B. |
- The
transfusion should not commence until nursing and medical staff agree
that the circuit set up is correct.
|
