Transfusing Blood Products in AMB Module
Key points:
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Reminder: Consent remains on paper and is scanned into the EMR. Prior to beginning transfusion, confirm that consent has been obtained.
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TAR Vital Signs Frequencies are a requirement
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Baseline vital signs when beginning transfusion. Monitor the patient closely for the first 15 minutes.
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15 minutes after starting the transfusion.
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30 minutes after starting the transfusion.
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Hourly until transfusion is complete
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Post transfusion
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**A Transfusion is not considered complete until the blood product transfusion has been ended and the vital signs are documented **
Issuing/Receiving Blood Products:
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Will follow site processes
Transfusing a Blood Product
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Open the AMB Transfusion document from the Select Document list
- Enter pre-transfusion vital signs in the Transfusion Vital Signs section. All vital signs taken throughout the phases of transfusion will be documented in the Transfusion Vital Signs section using the appropriate header.
- Select the Transfusion Admin Record
- Complete the required field** Transfusion Status - this will create specific rules to ensure proper documentation is done for accreditation standards.
- Begin Transfusion will require:
- Begin Date and Time
- Patient Verification
- Product Type
- Product Expiration Date
- Transfusion Checklist
- Container Volume
- Second Verifier
- Transfusing will skip verification and not have any required fields
- Hold Transfusion will skip verification but require the end-user to document if the transfusion is being held due to a Transfusion Reaction
- End Transfusion will pop up with a message to remind the end-user to document Transfusion Vital Signs and require:
- End-user to identify if there was any Transfusion Reaction
- End Date and Time
- Container Volume
- Cumulative Intake
- Rhogam Administration will require:
- Patient and product Verification
- Cumulative Intake
- Rhogam Dose (mcg)
Transfusion Reaction
- If Yes is answered for Transfusion Reaction a Warning message will populate to remind end-user
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Complete the Transfusion Reaction Assessment.
Adding Co-signer to document
The name of the health care provider who verified the transfusion information (Second Verifier) is added to the document before the document is completed and signed.
- Click on the Principal line directly under the AMB Transfusion document name at top left side of screen
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Select the + button under the Contributors which will open the SEARCH CONTRIBUTORS overlay. The nurse opening the document will be listed as both the Principal and Contributor. Use the search bar to find the name of the second verifier and SAVE
