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Bedside Blood component verification checklistPurpose: To act as a final check in preventing incorrect blood components being transfusedWhen: Immediately prior to commencing each blood component transfusion Where: Next to the patient, in the location that the patient will receive the transfusionBy whom:The registered healthcare professional who is going to administer the component (the administerer) and a second person to challenge (the checker)The administerer performs the checks at each step in the checklist. They respond to the prompts from the checker.The checker (trained staff) is responsible for ensuring completion of each step in the checklist by; reading the points aloud to the administerer, observing and gaining confirmation that the check has been performed and documenting completion of the step prior to allowing progression to the next step on the checklist. Each step must be completed in order. Do not proceed until step can be answered YESYesNoPatient consent1Patient consented to receive blood component ORPatient unable to consent - blood component to be given in patient’s best interest Positive patient identification (if possible)2Patient confirms full name and DOB ORPatient unable to confirm full name and DOB proceed to step 3Positive patient identification verification3Confirm patient’s full name, DOB and identification number match the: ID bandTransfusion prescriptionBlood component tagConfirmation of correct component4Is the component the same as prescribed?Is the G number on the component bag the same as on the component tag?Is the component within expiry date?Compatibility 5Refer to Page 2 *Is the ABO blood group on the component bag compatible with the patient blood group? * Is component Rhesus D (RhD) status compatible with patient RhD status? *(Only applicable to red cells and platelets) Specific Requirements6Refer to Page 2 *Is component irradiation status correct for patient? *Is component CMV status correct for patient? *Visual inspection of component7Component clear from clots, leaks, discolouration8Final check – if answered YES to all questions – safe to proceedSignature Administerer______________________ Signature Checker__________________________Page 1Table 1: Compatibility chartABO blood group compatibilityRecipient ABO groupCompatible donor groupRed cellsPlateletsFresh Frozen Plasma (FFP)CryoprecipitateUnknown groupOABABABAA, OA, ABAABB, OB, ABBBABAB, A, B, OABABABOOO, AO, A, B, ABO, A, BRhD PositiveD +ve, D -ve D +ve, D -veNot applicableNot applicableRhD Negative D -veD -veWhat if, when looking at the chart, the product is not compatible? Call the lab and check. Can RhD -ve receive RhD +ve Red cells and Platelets? RhD -ve women > 50 years and RhD -ve males of any age may receive RhD +ve red cells and platelets according to availability and urgency of transfusionTable 2: Specific RequirementsSpecific requirement Circumstance needing specific requirementCMV negative Elective transfusion in pregnancy Intrauterine transfusionNeonates up to 28 days post expected date of deliveryIrradiationPurine analoguePre/post stem cell transplantHodgkin lymphomaReceiving Anti-thymocyte Globulin (ATG) and / or alemtuzumabDi GeorgeNeonatal exchange where previous intrauterine transfusion givenBlood warmerEssential for patients with cold agglutinin diseasePage 2 ................
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