Nurses Blood Transfusion Checklist based on Kementerian Kesihatan Malaysia Guidelines

Verify that the patient has provided informed consent for the blood transfusion.

Review the patient's medical records for complete information regarding blood type and transfusion requirements.

Assess the patient’s medical history for any previous transfusion reactions.

Confirm that all necessary blood tests have been performed and results obtained.

Gather all necessary supplies and equipment for the transfusion (blood bag, tubing, needles, etc.).

Ensure the blood bag is appropriate and within the expiry date.

Check the blood bag identification label and confirm it matches the patient's information.

Prepare any accompanying fluids, such as saline solution, if required.

Verify the patient’s identity and transfusion information with a second verifier (another nurse, patient documentation).

Conduct baseline vital signs assessment before initiating the transfusion.

Start the transfusion slowly and monitor the patient for any immediate reactions.

Record and monitor vital signs every 15 minutes during the initial phase of the transfusion.

Continuously observe the patient throughout the transfusion for any signs of adverse reactions.

Educate the patient about the signs and symptoms of potential transfusion reactions that should be reported.

Ensure emergency equipment is available in case of a transfusion reaction.

Document and report all relevant information related to the transfusion in the patient’s medical record.

Safely dispose of the blood bag and tubing in accordance with safety protocols.

Conduct a post-transfusion vital signs check and document the findings.

Evaluate the effects of the transfusion and provide feedback to the physician if necessary.

Complete all required documentation forms as per the guidelines.

Report any transfusion reactions to the medical officer and complete the appropriate incident report form.

Maintain all transfusion-related records in the patient's file for future reference.

Ensure all nurses are trained in the blood transfusion procedures.

Conduct regular training sessions to enhance knowledge and skills related to blood transfusion practices.

Make sure each step is meticulously followed to ensure patient safety and the effectiveness of blood transfusions.