Blood Verification Process
Steps before starting transfusion:
1.​ Check and confirm order.
2.​ Get consent
3.​ Supplies and IV access (18–20G).
4.​ With an RN, check the blood product at the bedside:
○​ Patient’s name and ID band.
○​ Medical record number.
○​ Blood type and Rh factor
○​ Unit number and expiration date.
○​ Inspect blood for clots, bubbles, discoloration.
5.​ Record both nurse documentation.
6.​ Start transfusion with normal saline (NS).
Rationale:
●​ Double-check to avoid ABO/Rh mismatch.
●​ Verification is for correct patient and product safety.
●​ Inspection prevents transfusion of contaminated blood.
NG Tube Placement pH Method
●​ Stomach pH: 1–5 (acidic).
●​ Respiratory secretions pH: >6 (alkaline).
●​ Small intestine pH: ≥6 (slightly alkaline).
Transfusion Reaction
Signs/Symptoms:
●​ Fever, chills, flushing.
●​ Back/chest pain.
●​ Dyspnea, tachycardia, hypotension.
●​ Urticaria, itching.
●​ Anxiety, impending doom feeling.
●​ Hemoglobinuria (dark urine).
Nursing Actions:
1.​ Stop transfusion immediately.
2.​ Keep IV line open with NS (new tubing).
3.​ Assess patient: VS, airway, urine output.
4.​ Notify provider and blood bank.
5.​ Save blood bag/tubing for testing.
6.​ Document reaction.