blood administration rpi education roll out problem-there is a need for the blood administration...
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Blood Administration RPI Education Roll
out
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)
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OBJECTIVESOBJECTIVES• Understand the proper blood
administration process • Define safe, accurate, and
efficient blood administration• Adhere to the blood administration
process according to policies and procedure
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3 “R”s TO REMEMBERBLOOD ADMINISTRATION
UPDATE
3 “R”s TO REMEMBERBLOOD ADMINISTRATION
UPDATE
• Reminder
• Revised
• Re-format
• Informed blood consents• Correct labeling• Clot directly to Blood
bank• Witness eliminated• Blo03 policy revised • Form 901542 eliminated• Read back verification• VS after 15-30 ml• Blood Bag Tag• Blood ID Band• Yellow Blood Tube
System
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REMINDERBlood Consent
REMINDERBlood 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
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REMINDERBlood ClotREMINDERBlood Clot
• Blood clot collection tube correctly labeled
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REMINDERBlood ClotREMINDERBlood 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
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REVISED POLICIES Blood Bank ID Bands
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
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REVISED POLICIESBL003 policy
REVISED POLICIESBL003 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 15-30 mls of blood instead of 15 minutes
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REVISED POLICIESREVISED POLICIES
• The form #905412 will be eliminated
• Blood transfusion will be included in the Handoff Communication policy
• Patient will not be transferred until 15-30 mls of blood transfused
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REFORMATBlood Bag Tag
REFORMATBlood Bag Tag
• The 15 minutes vital signs will be changed to vital signs after 15-30 mls transfused except for NICU and Pediatrics will be following their specific policy
• Respiration is also added to the vital signs
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Blood Bag tagBlood 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
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RE-FORMATBLOOD ID BAND
RE-FORMATBLOOD 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
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RE-FORMATBLOOD TRANSPORT
RE-FORMATBLOOD 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
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RE-FORMATBLOOD TRANSPORT
RE-FORMATBLOOD TRANSPORT
• The front of the tube says BLOOD and the back says RETURN TO BLOOD BANK
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Certification of Completion
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.