3 PROCEDURE FOR OBTAINING AND TRANSFUSING BLOOD DURING AN EMERGENCY
Experienced personnel are available in the Blood Bank on a 24-hour basis to assist with the provision of blood and blood components during emergencies.
Only Blood Bank employees are allowed access to the blood inventory, or are permitted to issue blood for transfusion.
To Request Blood During an Emergency
Step |
Action |
1. |
Call 6-6888 |
2. |
Describe the urgency of the situation |
3. |
Provide the patient's name and medical record number |
4. |
Indicate the blood component and amount required |
5. |
Provide the patient’s age and sex |
6. |
Provide the number and name of the ordering physician |
7. |
Indicate the location of the patient |
8. |
Verify or correct when orders are read back to assure accuracy. |
If blood is not currently available, the technologist can then determine the extent to which compatibility testing can be performed. As the amount of compatibility testing decreases, the possible risk of transfusing incompatible blood increases. Depending on the availability of a specimen and current status of testing blood may be released as
Emergency Release Documentation
GROUP O RED BLOOD CELLS WITHOUT COMPATIBILITY TESTING
Location of Units Labeled for Emergency ReleaseRevised 12/13/11
Hospital |
Location |
Number of Units |
ABO/Rh Type |
Room Number |
Tube St. No. |
Phone |
UH |
Blood Bank |
6 |
O Positive |
2F225 |
158 |
6-6888 |
Blood Bank |
6 |
O Negative |
2F225 |
158 |
6-6888 |
|
Emergency Department Laboratory |
6 |
O Positive |
B1B271 |
111 |
5-6970 |
|
Emergency Department Laboratory |
2 |
O Negative |
B1B271 |
111 |
5-6970 |
|
Survival Flight - ER Lab |
2 |
O Negative |
B1B271 |
111 |
5-6970 |
|
MOTT |
Mott Emergency (2nd floor) |
2 |
O Negative |
2-432 |
463 |
2-5088 |
Mott OR |
2 |
O Negative |
Core 2 |
476 |
3-2430 |
|
Neonatal Intensive Care (8th floor) |
1 |
O Negative |
8-138 |
522 |
3-4111 |
|
NEST (9th floor) |
1 |
O Negative |
9-611 |
529 |
2-8932 |
|
Delivery Room (9th floor) in cooler |
2 |
O Negative |
9-611 |
529 |
2-8932 |
|
PCTU – (10th floor) |
2 |
O Negative |
10-321A |
539 |
2-7000 |
|
PCTU – (10th floor) |
1 |
O Negative |
10-211B |
538 |
2-7000 |
If used
If additional units are needed call the blood bank at 6-6888.
The blood bank will 1) complete compatibility testing, 2) maintain records of the recipient of the blood components and 3) replace the units in the blood refrigerator.
IMMEDIATELY PRIOR TO BLOOD TRANSFUSION
Pretransfusion Vital Signs Documentation
* Record the patient's blood pressure, pulse, respirations and temperature in the chart or on the transfusion record form to provide a baseline
* Verify the physicians's orders for transfusion and if any ordered pretransfusion medications have been administered
* Perform bedside verification of patient and component using the
- labels on the bag
- Transfusion Record Form and
- patient's attached positive patient identifiers.
Two qualified individuals must
1 |
If the patient is able to communicate: ask the patient to state his or her name. Verify patient and component identification information. |
2 |
Enter the patient's name and CPI number on the Transfusion Record Form |
3 |
Verify the blood type, donor number and component name. |
4 |
Verify that the product is not outdated. |
5 |
Sign the Transfusion Record Form before the blood transfusion is initiated (both individuals). |
6 |
The person who hangs the blood must record the date and time the transfusion was started. |
7 |
Record the date, time and component in the patient's medical record using UM-CareLink or paper Transfusion Record Form per unit policy (refer to unit policy and Procedure). |
NEW PATIENT BLOOD SPECIMEN REQUIRED - TYPE SPECIFIC BLOOD NEEDED BEFORE CROSSMATCH CAN BE COMPLETED
TYPE AND SCREEN PERFORMED WITHIN PRECEDING 72 HOURS
BLOOD COMPONENTS FOR PATIENTS BEING TRANSPORTED TO UNIVERSITY OF MICHIGAN HOSPITALS
Units from other facilities may be used for immediate transfusion in the Emergency Department and the Operating Room if they have been appropriately stored and labeled for the intended recipient.
BLOOD COMPONENTS FOR PATIENTS BEING TRANSPORTED FROM UNIVERSITY OF MICHIGAN HOSPITALS
During transport Red Blood Cells must be cooled with wet ice.