Name: ___________________________
Columbus State Community College
Nursing Department
Critical Item ChecklistBLOOD ADMINISTRATION
_____1. Check Physician’s order. _____2. Identify patient and explain procedure. _____3. Wash hands. _____4. * Take TPR and Blood Pressure prior to starting infusion. _____5. * Have and IV line started with correct gauge catheter. (18 gauge or CVL). _____6. Put on clean gloves. _____7. Set up blood administration tubing with 250 or 500 ml normal saline and prime tubing. _____8. * Obtaining blood product checking identification label against hospital form with another RN for: * client identification number * bag identification number * blood type of donor with client blood type *expiration date of blood _____9. * Inspect blood product for gas bubbles, color, and cloudiness. _____10. Attach blood tubing with saline to existing IV catheter into line or adaptor. _____11. Attach blood and allow it to run through transfusion set after stopping saline. * Administer blood slowly first 15 minutes and stay with client (use a ko rate of 30 ml per hr). Take TPR & B/P after 15 minutes. _____12. * Set blood to run at ordered rate. _____13. Recheck VS after 1 hour, each additional hour, and at end of transfusion. _____14. Cleaning up supplies, dispose appropriately, wash hands. _____15. Chart procedure.
S __________ U __________ Faculty Signature ________________________ Referral ________________________________
