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Neonatal transfusion


pbaker

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We very rarely transfuse neonates (like 3 times in the last 4 years).  Because of the rarity, we no longer stock a quad unit.  We have gotten approval to give the baby the freshest O= on the shelf until the quad unit can get here from the blood center.  Here is my question for others like us.  When you get an emergency request for blood for a neonate, do you take the time to aliquot for the nursery or do you issue the entire unit and let the nursery physicians aliquot what they need?

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I've seen have aliquoted units on hand ready to go that are replenished when needed/expiration.

Firstly, there's an emergency release prep bag with a pre-filled out emergency issue slip with irradiated units that just need a pt identifier slapped on it before send out.

Secondly, there's also other aliquots that can be irradiated and issued per need.

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We transfuse neonates all the time. If it is emergent as in the baby has just been born or being born we send a less than 5 day old  O neg irradiated red cell(always on hand) in a cooler under wet ice, with a filter syringe and a high risk form for the doctor to sign(at some  point).  

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 We very rarely transfuse neonates and when we do it is emergent.  We give the entire unit of O neg for babies and they transfuse what is needed  .  We also do not label products and do not have an ISBT printer. 

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