Medical Services

Transfusionist/RN
&
RN/MD Verifier

Verify that the component is normal in appearance; visually inspect the component for normal color, absence of
cloudiness, clots, excess air or leaks.

Transfusionist/RN
&
RN/MD Verifier

Verify Informed Consent

Verify rate and/or duration of transfusion

Verify that the blood component dispensed by the lab matches the Provider’s Order. Verify the following:

• Date/time of Provider’s Transfusion Order
• Compare Transfusion Report Chart Record to Provider’s Order:
  • Name and MRN
  • Component Type
  • If ordered, special processes (e.g., Leukocyte Reduced, Irradiated)

Transfusionist/RN
&
RN/MD Verifier
&
Patient

If the patient is able, ask them to speak their name and DOB Verify the armband matches EXACTLY.

Transfusionist/RN
&
RN/MD Verifier

Verify that the following on the BloodworksNW Transfusion Report Chart

Record (Tag) match EXACTLY with the patient’s armband:

• Name
• Medical Record Number

Transfusionist/RN
&
RN/MD Verifier

Verify that the following on the Component Label and Transfusion Report (Tag) match exactly :

• Component Type
• 13 digit Unit Number (part number if applicable e.g. AO, BO)
• ABO/Rh type
• Expiration date and time has not passed or will not pass before component can be transfused
• Expiration of compatibility testing has not passed (Red Cells and Granulocytes) – on Transfusion Report only.
• Special Processes on components (e.g., Leukocyte reduced) *Additional substitutions may be noted.
• STOP if there are any discrepancies in the verification.

Transfusionist/RN
&

RN/MD Verifier

• Check the three verification boxes
• Both individuals – sign legibly on the signature lines on the Transfusion Report at the time of verification and write date and time.