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.
-- 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
-- quantity required
Telephone orders must be followed with a written provider order.
Standards for Blood Banks and Transfusion Services, Current Edition, MD: AABB