TRANSFUSION CHECKLIST
Blood products required
Contact your Transfusion Service Provider immediately Emergency provision of red cells
in emergency situation j.mp/emergencyblood
Transfusion is indicated
Document transfusion decision PBM guidelines
as per patient blood
Document any special requirements e.g. irradiated j.mp/transfusionindicated
management (PBM)
and/or local guidelines
Obtain informed consent
Obtain informed consent (follow local policies) Obtain informed consent
from your patient
Complete prescription for blood product transfusion j.mp/consentpatient
Inform nursing staff
Request for group and
Contact your Transfusion Service Provider to determine Requests for blood transfusions
hold and/or crossmatch whether a request and sample is required j.mp/requesttransfusion
Complete pretransfusion testing request form, recording
clinical indication and date and time blood product is required Collection of pretransfusion blood
Collect patient sample: samples
j.mp/collectsample
Confirm patient identity
Label samples immediately after collection with
full patient name, date of birth and/or
unique hospital ID number
Record date and time of collection
Confirm patient details on blood sample and request
form are identical
Sign both the blood sample and collector’s declaration
on request form
Transport to laboratory
Collect blood product
Present to laboratory or remote fridge with blood Collection and delivery of blood
from laboratory or remote product order to the ward or operating theatre
fridge j.mp/collectionofproduct
Follow guidelines for
Ensure pre-administration checks meet the following Administration of blood
administration of blood requirements: j.mp/administerblood
components and monitor
Right patient
patient clinical status
Right blood product
Right pack
Right time
Final check between patient and blood product must
be performed at bedside
Monitor for signs of If suspected transfusion reaction occurs: Steps for managing suspected
transfusion reaction
STOP the transfusion transfusion reactions
j.mp/managingreactions
Activate emergency procedure if required
Follow local transfusion reaction protocols
Response
Assess to determine if desired outcome has been achieved Monitoring and observation
Assess patient for further blood product transfusions as j.mp/monitorandrespond
necessary
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Version 2.0 12 October 2017.
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