Hello,
I work in an outpatient infusion center within a hospital. Recently our policy on transfusions was updated. It now says if in the outpatient setting, the patient should be observed for an additional 30 minutes following the completion of the transfusion. We often transfuse 2 units blood on patients and have transfused 2 units blood and 2 units platelets for one patient in single day. Prior to the policy update, when the transfusion was complete the patient was discharged. Does anyone have any literature to support the 30 minute observation post transfusion in out patient setting? Typically our patients can't wait to leave as getting blood is an all day affair with needing T & S, pre-medication, etc.
Dawn
2021 INS SOP states to monitor for adverse transfusion reactions by checking viral signs at 1 hour after transfusion completed. Also states to monitor for reactions for at least 4-6 hours and for patients not under direct observation to provide patient education about signs and symptoms of delayed reaction.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Lynn,
I noticed the change in INS 2021 standards re post transfusion VS and we are looking at updating our policy. I don't see a reference supporting the change or the level of evidence.
Appreciate your assistance
Allison
Allison
Allison Eustace, MSN, ACN
INS SOP says 1 hour after transfusion. Check the references in this Blood Administration Standard
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861