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Blood administration

  • 1.  Blood administration

    Posted 10 days ago
    ONS community,

    We are writing to you all today in hopes of obtaining policies, teachings, or current practice regarding blood administration, specifically vital sign frequency, in your institution. We are a group of three nurses currently involved in Huntsman Cancer Institute's Oncology Nurse Residency program. We are conducting an evidence-based practice project regarding our current blood administration practices and how we can improve.  We would greatly appreciate any material or information you can give us in order to further our project.


    Thank you for your time and consideration,


    Shay Alba RN, BSN Huntsman Cancer Institute

    Corey Harlos RN, BSN Huntsman Cancer Institute

    Mykala Rast RN, BSN Huntsman Cancer Institute

  • 2.  RE: Blood administration

    Posted 9 days ago
    Hi Shay,
    We do baseline, then 5 minutely for 15 minutes when transfusion is commenced, then every hour until completed including obs on completion. It is the same for every bag so even if they have 3 bags it is the same requirement for each bag.
    We follow national guidelines see below website. Hope this is helpful    Regards Jackie
    Patient Blood Management Guidelines Progress Update : June 2019
    Blood remove preview
    Patient Blood Management Guidelines Progress Update : June 2019
    The Patient Blood Management (PBM) Guidelines are a series of six modules that focus on evidence-based PBM. Each module has been written for clinicians treating specific patient groups including Critical Bleeding/Massive Transfusion (2011), Perioperative (2012), Medical (2012), Critical Care (2012), Obstetrics and Maternity (2015) and Neonatal and Paediatrics (2016).
    View this on Blood >

    Jackie Morgan RN, BN, GCert Onc, GCert Mgt
    Registered Nurse

  • 3.  RE: Blood administration

    Posted 9 days ago
    I have worked several hospitals and I stayed using one protocol that I felt safe for myself and the patient.
    Vitals and temp obtained 30 minutes prior to administration ( along with pre medications if ordered).

    Retake vitals

    I would hang the blood and would not start the initial 15 minutes until the blood reached the patient and it was at 50 ml/hr. If okay increased rate and document.
     30 minute x2
    1hr x until done
    Recheck vitals one hour post

    That was our standard at Christus and so far the one I've felt the most comfortable with.

    Hope it helped.

    Christina Lopez RN
    Registered Nurse II
    Texas Oncology
    Lewisville TX

  • 4.  RE: Blood administration

    Posted 9 days ago
    ​Hi all,
    Currently at our hospital, Blood administration protocol has us take a set of pre vitals before we send request for blood product, then start blood and once it has reached the patient we time to 15 minutes of infusing and take another set of vitals, then 1 hour into the infusion we take another set and finally 30 to 60 minutes after blood has completed we take our last set. Nurses still take them hourly during the transfusion if they want to but this is no longer required in our protocol.

    Karen Seal RN BSN, RN
    Clinical Educator
    Franklinton LA