for Top-Up Transfusion
|Reviewed by David Knight
Occasionally, a baby will need a
top-up blood transfusion after discharge from NICU or PIN. These procedures are
elective, and the decision will usually be made by the specialist.
- Discuss the timing of admission with the Clinical Charge Nurse.
- Arrange for blood to be available
- Up to 4 months of age, it
is not necessary to give blood bank a new specimen, provided they have
had a sample from the mother at birth.
- If there is no maternal
sample, or if over 4 months of age, a sample for cross match should be
taken from the baby. If feasible, have this done before the baby is
- The baby is admitted to a
side room on NICU as a day case. Admissions should be arranged so that the
transfusion is completed during the day.
- Babies who are unwell and/or
have possible infections are not to be readmitted to NICU. If such a baby
needs a top-up transfusion, this should be arranged with Starship.