Blood Administration RPI Education Roll out Problem-there is a need for the blood administration process and associated documentation to be 100% accurate Mission-to define a safe, accurate, and efficient blood administration process (to reduce errors)

OBJECTIVES Understand the proper blood administration process Define safe, accurate, and efficient blood administration Adhere to the blood administration process according to policies and procedure

3 “R”s TO REMEMBER BLOOD ADMINISTRATION UPDATE Reminder Revised Re-format Informed blood consents Correct labeling Clot directly to Blood bank Witness eliminated Blo03 policy revised Form eliminated Read back verification VS after ml Blood Bag Tag Blood ID Band Yellow Blood Tube System

REMINDER Blood Consent Surgical consent is only valid up to 72 hours after surgery Single informed blood consent is sufficient for the course of therapy Serial medical outpatients, a single informed consent is valid for 6 months

REMINDER Blood Clot Blood clot collection tube correctly labeled

REMINDER Blood Clot Blood clot specimens go directly to Blood Bank Blood supplies are all centrally located Blood clot can be drawn 7 days prior to surgery but only good for 3 days once patient is admitted

REVISED POLICIES Blood Bank ID Bands The witness for the blood clot draw will be eliminated in the policy due to the initiation of : –Patient ID verification –Blood ID banding –Bar coding

REVISED POLICIES BL003 policy 5 policies into one policy- Administration of Blood Products (Attachment A) The read back verification is added in the policy Vital signs will be documented after mls of blood instead of 15 minutes

REVISED POLICIES The form # will be eliminated Blood transfusion will be included in the Handoff Communication policy Patient will not be transferred until mls of blood transfused

REFORMAT Blood Bag Tag The 15 minutes vital signs will be changed to vital signs after mls transfused except for NICU and Pediatrics will be following their specific policy Respiration is also added to the vital signs

Blood Bag tag Checklist is added to the blood bag tag to remind nurses to check and complete the documentation. The time of transfusion is separated to follow the sequence of event in the blood administration process

RE-FORMAT BLOOD ID BAND Apply the smallest patient EZ ID label to the “R” band The blood band is now ¾’’ wide to accommodate the patient ID label

RE-FORMAT BLOOD TRANSPORT The blood transport using the pneumatic tube system will now have yellow lining that indicates safety The pneumatic tube system will only be used during night shift

RE-FORMAT BLOOD TRANSPORT The front of the tube says BLOOD and the back says RETURN TO BLOOD BANK

Certification of Completion Upon completion of this review, please click on the following link and print out the Certificate of Completion Certificate of Completion Only print Current Slide!!!! Give this certificate to your educator for your files.