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Case study

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Created on June 15, 2026

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Case study

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Objectives

Identifies the process of blood transfusion and where to obtain policy for blood transfusion.​ ​ 2. Demonstrates knowledge of a blood transfusion reaction and when intervention is required.​ ​ 3. Demonstrates understanding of assessment and management of blood transfusion reaction, including documentation. ​

Objectives

Identifies the process of blood transfusion and where to obtain policy for blood transfusion.​ ​ 2. Demonstrates knowledge of a blood transfusion reaction and when intervention is required.​ ​ 3. Demonstrates understanding of assessment and management of blood transfusion reaction, including documentation. ​

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Situation

Objectives

Key Facts

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Key Facts

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Situation

Objectives

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Vitals and transfusion reaction. ​ You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.​

What do you need to document when assessing your patient during a blood transfusion? How often are you documenting?​

When would you obtain pre-transfusion VS for this patient?

Vitals and transfusion reaction. ​ You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.​

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When would you obtain pre-transfusion VS for this patient?

Case study. reference content

WORK MATERIAL

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

Let’s do our double check, set up our y-tubing, and document!

Data

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+50
+40
+60

A great title

A great title

A great title

Case study. reference content

Data

Let’s do our double check, set up our y-tubing, and document!

Write a great subtitle here to provide context

+50
+40
+60

A great title

A great title

A great title

Case study. reference content

Vitals and transfusion reaction. ​ You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.​

What do you need to document when assessing your patient during a blood transfusion? How often are you documenting?​

What do you need to document when assessing your patient during a blood transfusion? How often are you documenting?​

Vitals and transfusion reaction. ​ You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.​

Case study. reference content

Write a title here

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

Write a title here

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

Write a title here

What do you need to document when assessing your patient during a blood transfusion? How often are you documenting?​

When would you obtain pre-transfusion VS for this patient?

Vitals and transfusion reaction. ​ You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.​

Case study. reference content

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

Documentation of a positive suspected reaction in the electronic medical record (EMR) flowsheet will trigger an OPA with instructions

2. Present your genially...

Through a scheme, to tell everything in an orderly way.

4. Present your genially...

Case study. reference content

Documentation of a positive suspected reaction in the electronic medical record (EMR) flowsheet will trigger an OPA with instructions

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Baseline vitals should be taken prior to the start time of blood. This is to ensure that if a patient has a fever before starting the transfusion, you can let the provider know and determine a plan to prioritize patient safety.

An increase of \(1^{\circ} \text{C}\) (\(1.8^{\circ} \text{F}\)) or more above the pre-transfusion baseline is the standard threshold for concerning fever during or within four hours of a blood transfusion

Vitals and transfusion reaction. You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.

An increase of \(1^{\circ} \text{C}\) (\(1.8^{\circ} \text{F}\)) or more above the pre-transfusion baseline is the standard threshold for concerning fever during or within four hours of a blood transfusion

  • Notify provider AND blood blank. ​
  • Stop the transfusion​
  • If it is severe call an RRT

An increase of \(1^{\circ} \text{C}\) (\(1.8^{\circ} \text{F}\)) or more above the pre-transfusion baseline is the standard threshold for concerning fever during or within four hours of a blood transfusion

The patient can experience a reaction at any time, however, the first 15 minutes is when the patient is at highest risk for experiencing a reaction

Baseline vitals should be taken prior to the start time of blood. This is to ensure that if a patient has a fever before starting the transfusion, you can let the provider know and determine a plan to prioritize patient safety.

Karla Shapiro is a 62 y/o female presenting for hysteroscopy, secondary to dilation and curettage due to postmenopausal bleeding. Patient has a medical history of anemia with baseline hemoglobin of 7.1, HTN, seizures and anxiety. Patient has noticed an increase in vaginal bleeding soaking through 1-2 pads a day. She presented in the ER with fatigue, hypotension, and cold extremities. Pain denies tobacco, drug, and alcohol use and states that she lives with her husband on the second-floor apartment building. She states that she is worried about getting dizzy at home and falling if her husband is not home to help her. Her medications are listed below. Date of Birth: 11/2/1962 Allergies: NKA

Baseline vitals should be taken prior to the start time of blood. ​ ​ This is to ensure that if a patient has a fever before starting the transfusion, you can let the provider know and determine a plan to prioritize patient safety. ​ ​

The kit contains epinephrine 1mg/1ml glass ampule and filter needle, methylprednisolone 125 mg/ml, diphenhydramine 50mg/1ml.

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If it is severe call an RRT and obtain the anaphylaxis kit that is in the Omnicell. Open the patient profile -> remove medications -> touch stock tab -> search allergy or anaphylaxis to access the kit.

Baseline vitals should be taken prior to the start time of blood. ​ ​ This is to ensure that if a patient has a fever before starting the transfusion, you can let the provider know and determine a plan to prioritize patient safety. ​ ​

Notify provider AND blood blank. ​ Stop the transfusion​ If it is severe call an RRT​

Baseline vitals should be taken prior to the start time of blood. ​ ​ This is to ensure that if a patient has a fever before starting the transfusion, you can let the provider know and determine a plan to prioritize patient safety. ​ ​

It is now 0645, and your patient has just hit the call light stating she does not feel well, stating that she has chills and notices red spots on her arms. ​ ​ Answer questions 4-6

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A relevant achievement

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A temperature increase of \(1^{\circ }\text{C}\) (\(1.8^{\circ }\text{F}\)) or more from the pre-transfusion baseline—or any absolute temperature reaching \(38^{\circ }\text{C}\) (\(100.4^{\circ }\text{F}\)) or higher—is considered a clinical red flag during or within four hours of a blood transfusion.

Vitals and transfusion reaction. You document at the start, the first 15 minutes and an hour from the start time until the transfusion is complete.