Clinics and Departments

Laboratory Services

Transfusion Services

INSTRUCTIONS FOR PLACING TRANSFUSION ORDERS

All orders to transfuse blood components must be placed in the electronic medical record.

NOTE: During HIS downtimes, laboratory downtime forms must be used.


The provider ordering the blood transfusion is responsible for completion of the order. Nursing staff may initiate the order on a verbal or standing order from the provider.

Procedure:

-- The ordering provider must obtain consent for transfusion or verify consent has been previously obtained.

-- The ordering provider must complete all electronic order entry fields using the drop down options when applicable.

Indication for Transfusion: Indications for transfusion for each component group provided per product type. These indications are derived from the Guidelines for Transfusion of Blood Components.

Indication for Irradiation: Indication for irradiation for red cell products and platelets are listed. These indications are derived from the Guidelines for Transfusion of Blood Components.

Transfusion Order: Amount ordered in mL’s or units, rate to be given, special instructions (pre-medication), time needed

Special Requests: Record requests for volume reduction, washing, etc.

TELEPHONE ORDERS – EMERGENCIES ONLY

To place a telephone order to prepare components, prove the Blood Bank staff with:

-- the name of the order provider

-- the name and Medical Record number of the patient

-- anticipated time of transfusion

-- component

-- quantity required

Telephone orders must be followed with a written provider order.

References:

Standards for Blood Banks and Transfusion Services, Current Edition, MD: AABB



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