If there is concern of a transfusion reaction, stop the infusion and run normal saline but make sure not to use the blood infusion tubing. Set up a new bag of saline and use regular tubing. This way, you are not continuing to flush the remnant blood into the patient. You should also keep that blood tubing port to the patient sterile after disconnecting. The doctor may assess the patient and then deem it safe to resume the infusion.
@Mr RN I asked my instructor yesterday & she said they don’t run together. Once the transfusion is complete you’ll run the NS. She also said to have an extra NS bag primed on the side in case the patient has a reaction because you don’t want to use the same tubing that contains the blood.
This is true, with any concerns of a transfusion reaction, the same blood is never restarted. It is stopped immediately and vitals taken, flushed with new bag of saline, also blood and tubing is send to lab for testing. If or still requires blood, new bag of blood is hung, new bloodwork and or new group and screen plus cross matching would be ordered. Also with new bag you may want to slow it down as well. Blood typically will run over 1 to 2 hours, as blood once gotten from lab must be hung and completed within 4 hours to prevent bacterial growth in the tubing or blood bag itself. I typically will change the tubing with each unit of blood to prevent contamination or clot formation.
Thanks, I have a question. Do you infuse the normal saline after the blood is done transfusing? Or do you let the normal saline transfuse at the same time as the blood?
You run the normal saline after you run the blood at the end of the transfusion to make sure all of the blood that remains in the tubing gets to the patient.
You need to clamp off the blood side of tubing and open the saline to flush line of remaining blood and to prevent fluid from going back up into the blood bag once you open the saline line
So essentially we should have an extra bag of NS primed and ready to go at the bedside incase hemolytic reaction occurs? Does the bag of NS you used to prime the blood transfusion line need to be a certain volume?
Not needed, you can just stop infusion, repeat vital signs, flush with 10cc saline at the saline lock after disconnecting tubing, return blood and tubing in biohazzard bag to the lab for analysis incase the reason for reaction is contaminated blood etc... then give tylenol for fever, inform doctor of reaction, monitor pt status and policy and procedures for your hospital. The bag of saline with the blood can be 250, 500cc doesn't really matter
No. She’s just demonstrating. Having gloves won’t save you if you poke yourself with the blood tubing spike because gloves are not resilient but it will if it drips on you
Depending on policy of your hospital, but typically it is pre infusion, 15 minutes in and post infusion. Some its pre infusion and 5 minutes for 15 minutes then post infusion
You would take the IV tubing off of of the patient, because there is still blood product in there. Then, You would flush the access port connected to the patient with normal saline. You're not removing the IV access, just the tubing from the IV bag. Hope that helps clarify :)
@Mr RN You should always hang normal Saline with the blood. You do this to ensure that all of the blood can be flushed from the tubing after the bag is gone. So you run your blood, and as soon as the blood is done you open the saline port so the saline can flush all of the blood out of the tubing into the patient.
Awesome, but you do not have gloves. For safety purposes, we have to wear gloves to do this procedure. Otherwise, it is superb. God bless life savers ❤.
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way...
Not a good video. It’s no way you should be spiking the blood with the bag facing down, that can make a huge mess with blood all over the floor. I wouldn’t recommend doing it this way.
Short, simple, to the point. Great job!
If there is concern of a transfusion reaction, stop the infusion and run normal saline but make sure not to use the blood infusion tubing. Set up a new bag of saline and use regular tubing. This way, you are not continuing to flush the remnant blood into the patient.
You should also keep that blood tubing port to the patient sterile after disconnecting. The doctor may assess the patient and then deem it safe to resume the infusion.
This helped thks
@Mr RN I asked my instructor yesterday & she said they don’t run together. Once the transfusion is complete you’ll run the NS. She also said to have an extra NS bag primed on the side in case the patient has a reaction because you don’t want to use the same tubing that contains the blood.
This is true, with any concerns of a transfusion reaction, the same blood is never restarted. It is stopped immediately and vitals taken, flushed with new bag of saline, also blood and tubing is send to lab for testing. If or still requires blood, new bag of blood is hung, new bloodwork and or new group and screen plus cross matching would be ordered. Also with new bag you may want to slow it down as well. Blood typically will run over 1 to 2 hours, as blood once gotten from lab must be hung and completed within 4 hours to prevent bacterial growth in the tubing or blood bag itself. I typically will change the tubing with each unit of blood to prevent contamination or clot formation.
About to do a skills test on this today. This really helped! Thanks
Very good video. Straight to the point, can relate to it, practical and simple. Keep up the good work.
Straight to the point !!! 💃🏽👏🏽👏🏽
Thanks, I have a question. Do you infuse the normal saline after the blood is done transfusing? Or do you let the normal saline transfuse at the same time as the blood?
@Mr RN exactly. I saw one transfuse the NS after the blood. I wish they would answer us 😪
You run the normal saline after you run the blood at the end of the transfusion to make sure all of the blood that remains in the tubing gets to the patient.
You need to clamp off the blood side of tubing and open the saline to flush line of remaining blood and to prevent fluid from going back up into the blood bag once you open the saline line
thanks from iraq ^^
How long do you transfuse ? And at what rate ? ( give range )
So essentially we should have an extra bag of NS primed and ready to go at the bedside incase hemolytic reaction occurs? Does the bag of NS you used to prime the blood transfusion line need to be a certain volume?
Not needed, you can just stop infusion, repeat vital signs, flush with 10cc saline at the saline lock after disconnecting tubing, return blood and tubing in biohazzard bag to the lab for analysis incase the reason for reaction is contaminated blood etc... then give tylenol for fever, inform doctor of reaction, monitor pt status and policy and procedures for your hospital. The bag of saline with the blood can be 250, 500cc doesn't really matter
Noted ✅️
Great video!!
Very good video.
thx
Very good thanks ✨🙏🏻
Is without Gloves with this procedure normal?
No. She’s just demonstrating. Having gloves won’t save you if you poke yourself with the blood tubing spike because gloves are not resilient but it will if it drips on you
Remember when hanging any transfusion to wear gloves. Wash your hands before and after.
Thanks from Saudi Arabia
You should have shown how to put it in the pump.
More skill videos please ❤
If there is already Pnss that hooked to the pt . Should I get another Pnss for BT or it's okat to use the pnss which is hooked to the pt?
Take vital signs Every 5 minutes?
Depending on policy of your hospital, but typically it is pre infusion, 15 minutes in and post infusion. Some its pre infusion and 5 minutes for 15 minutes then post infusion
Never squeeze the filter, it could rupture and allow blood clots to go through, that’s the purpose of the filter
How do you get saline in the chamber without squeezing it? Squeeze above filter?
That’s not true at all. youre supposed to squeeze it
Not really 😕
thank you that was very helpful but please speak louder,
wherr is gloves
Great video my tho one recommendations is gloves the odds are in your favour but medical blood is not 100% safe
Short and simple.....
عاشت ايدج😹❤️🔥
thanks
you are very welcome!
"take the line off and flush it with normal saline", flush what with normal saline, the line that you took off the patient?
You would take the IV tubing off of of the patient, because there is still blood product in there. Then, You would flush the access port connected to the patient with normal saline. You're not removing the IV access, just the tubing from the IV bag. Hope that helps clarify :)
@@Madijaereads oh yes, of course, thankyou,
@Mr RN nope. You close the saline. But if a reaction occurs. Stop the blood, get new tubing, connect it to saline and start it.
@Mr RN You should always hang normal Saline with the blood. You do this to ensure that all of the blood can be flushed from the tubing after the bag is gone. So you run your blood, and as soon as the blood is done you open the saline port so the saline can flush all of the blood out of the tubing into the patient.
Awesome, but you do not have gloves. For safety purposes, we have to wear gloves to do this procedure. Otherwise, it is superb. God bless life savers ❤.
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way...
Jesus didn’t know about aseptic techniques sit down with that nonsense
AMEN!!!!
Amen 🙏🏽
@@javajoe_gaming9923you’re so damn ignorant 🐀🐀🐀🐀
@@javajoe_gaming9923she must’ve triggered your demons yet you’re alive cause of God smh 🤦🏽♀️ fool 🤡
Ouch the music at the end HURTS MY EARS
not good enough for newbee nurse
the music is way too loud lol
Not a good video. It’s no way you should be spiking the blood with the bag facing down, that can make a huge mess with blood all over the floor. I wouldn’t recommend doing it this way.
shawty bad ngl
hottest nurse alive
What a terrible accent. Shame.