Reply To: Transfusion Administration

  • Patricia Conlon

    Member
    July 27, 2016 at 9:45 am

    Patient Type

    Temperature

    Pulse

    Respiration

    B/P

    Adult and Pediatric

    Baseline

    X

    X

    X

    X

    10 minutes after beginning infusion

     

    X

    X

    X

    Hourly during infusion

    X

    X

    X

    x

     

     

    • For RBCs: 10-15 mL/kg for patients less than 35 kg.
    • For non-red cell products: 10-15 mL/kg for patients less than 35 kg.

     

    RNs from the IV/Transfusion Service start the blood (except in some ICUs and NICU) and remain with the patient for 10 minutes, doing the second set of vital signs before they leave. Then the bedside RN takes over. It is started at the infusion rate prescribed and kept at this assuming no transfusion reactions occur.

     


    Patricia Conlon, MS, APRN, CNS,

    Certified Clinical Nurse Specialist,

    Assistant Professor, Mayo Clinic College of Medicine,

    Fr 3C/2B & Pediatric Infusion Therapy Center,

    Pager: 127-02560
    Phone: 5-6003
    conlon.patricia@mayo.edu

    __________________________
    Mayo Clinic Children’s Center
    200 First Street S.W.
    Rochester, MN 55905
    http://www.mayoclinic.org

     

    ——Original Message——

    Good morning.

    Our organization is looking more closely into best practices associated with transfusion administration and would like to gain your assistance and insight regarding transfusion administration practices. Could you kindly answer the questions below?

    1. What are the observation/monitoring practices of the nurses during the first 15 minutes of transfusion (i.e. does the nurse stay in the room for the first 5 or 15 minutes, are there frequent checks, does the nurse have a clear line of sight to the patient during administration, etc.)?
    2. Who retrieves the 15 minute vital signs (RN, LVN, MA, PCA, other)?
    3. Is the rate of the transfusion started at a slower rate and then increased after the first 15 minutes?
    4. What other information would you be willing to share regarding your practice?

    Thank you in advance for your responses.

    ——————————
    Sheranda Fesler, MS, BSN, RNC, NE-BC, CPHQ, CPPS
    Advanced Quality Specialist
    Houston, TX
    United States
    ——————————