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Posts posted by jtk
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Our State Department of Health requires that we specify the level of increase or decrease in blood pressure from the pre-transfusion value that will trigger a transfusion reaction investigation, in our blood administration policy. We currently do not specify a number for the change in bp. When this occurs, it is evaluated by the physician and pathologist and other contributing factors are considered before a reaction work-up is initiated. Please advise as to the criteria that may be used in your facility.
Suspected Transfusion Reactions
in Transfusion Services
Posted
When a suspected transfusion reaction (fever of 2 F above baseline) occurs, the nurse stops the transfusion and contacts the Blood Bank and the patients physician, who may give orders to continue with the transfusion. While the pathologist is contacting and consulting with the physician, the nurse feels that she must follow doctors orders and continue with the transfusion. Does this occur in other institutions and if so, how is it handled?
Also, what is your protocol when the patients physician is adamant that the transfusion continue and that a suspected reaction work-up not be performed? Does the pathologist intervene and initiate the reaction work-up and discontinue the transfusion? We are caught between the physicians and our State Dept. of Health on this issue and would appreciate other opinions.