Table 4.
Pretransfusion initiation nursing activities.
| Variable | Frequency | Percentage (%) |
|---|---|---|
| What is the most important nursing action that the nurse must do with regard to the patient after obtaining the blood pack but before starting the transfusion? | ||
| Check the doctors' order with another nurse | 16 | 5.88 |
| Document baseline vital signs | 79 | 29.04 |
| Identify the right patient | 169 | 62.13 |
| Provide information to the patient (or family) | 4 | 1.47 |
| Report high temperature to the doctor | 4 | 1.47 |
|
| ||
| In the ward after obtaining a blood bag, how would you handle blood? | ||
| Wrap the unit with a blanket or bed sheet | 24 | 8.86 |
| Allow blood to wait in room temperature | 149 | 54.98 |
| Immerse the unit in hot water | 1 | 0.37 |
| Start the transfusion immediately | 96 | 35.42 |
| Warm in a microwave | 1 | 0.37 |
|
| ||
| When is blood warming prior to administration clinically indicated? | ||
| Each time a unit of blood is to be transfused | ||
| Yes | 45 | 16.13 |
| No | 234 | 83.87 |
| In exchange transfusion in infants | ||
| Yes | 128 | 45.88 |
| No | 151 | 54.12 |
| In rapid transfusion | ||
| Yes | 90 | 32.26 |
| No | 189 | 67.74 |
| In patients with cold agglutinins | ||
| Yes | 110 | 35.84 |
| No | 169 | 64.16 |
| In patients with hypothermia | ||
| Yes | 186 | 66.67 |
| No | 93 | 26.33 |
| What is the suitable filter size of the blood transfusion set? | ||
| 90–120 | 74 | 41.34 |
| 130–160 | 63 | 35.20 |
| 170–200 | 34 | 18.99 |
| 210–250 | 8 | 4.47 |
|
| ||
| What are the 3 most important steps that a nurse has to follow in order to properly identify the right patient prior to initiating the transfusion? | ||
| Ask the patient to state his/her name when possible | ||
| Yes | 124 | 44.44 |
| No | 155 | 55.56 |
| Call the patient name when possible | ||
| Yes | 156 | 55.91 |
| No | 123 | 44.08 |
| Check the room and bed number | ||
| Yes | 39 | 13.98 |
| No | 240 | 86.02 |
| Ensure that patient identification details match on the blood bag, ID band, and request form | ||
| Yes | 252 | 90.33 |
| No | 27 | 9.68 |
| Ask the patient to state his/her date of birth when possible | ||
| Yes | 96 | 34.41 |
| No | 183 | 65.59 |
| Compare the ID band with the blood bag | ||
| Yes | 5 | 1.79 |
| No | 274 | 98.21 |