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Blood transfusion - 2

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VOL: 97, ISSUE: 25, PAGE NO: 43

CLAIRE ATTERBURY, SPECIALIST NURSE, QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NORFOLK

Nurses are usually responsible for the care and monitoring of blood transfusions. However, Successive Serious Hazards of Transfusions (SHOT) reports show that most errors during transfusion occur during the collection, checking and administration procedures and that nurses are involved in most cases.

Nurses are usually responsible for the care and monitoring of blood transfusions. However, Successive Serious Hazards of Transfusions (SHOT) reports show that most errors during transfusion occur during the collection, checking and administration procedures and that nurses are involved in most cases.

Local policies vary in the delegation of responsibility for transfusion.

In some trusts, healthcare assistants and students assist a trained nurse to check blood. It is essential that whoever cares for a patient receiving a blood transfusion is aware of local protocols and has received an annual update. Part 1 in this series described the checking procedure that must be undertaken before administering a blood transfusion.

The administration of blood has associated risks which include transfusion-transmitted infection, incorrect or incompatible blood transfusion, transfusion-associated graft versus host disease, transfusion-related lung injury.

While many of these complications are rare, they can happen to any patient and are often fatal.

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