Blood Component Verification Job Aide

Transfusion medicine

Who Two Person Verification AT THE BEDSIDE just prior to the transfusion; Procedure

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.

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