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The steps which are followed during a transfusion are set out below:
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1.- Unequivocal identification of the recipient
Patients are asked for their name and surname. In cases when patients cannot answer, as in the case of anaesthetised or unconscious patients, identification is done by talking to family members and referring to the patient’s clinical history.
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2.- Check that the blood component we have is that which was prepared specifically for the patient
Checks are carried out to make sure that the recipient and the product label are correct and that they coincide. There are currently a number of options available (including bracelets and bar-code registration systems) that help to make sure recipients receive the correct product.
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3.- In the case of erythrocyte concentrate transfusions, the ABO group is checked
In the case of erythrocytes, it is advisable to check the ABO group both of the patient and as indicated on the bag at the head of the patient’s bed.
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4.- Once the transfusion is underway the nurse will monitor the patient for a few minutes
The nurse will check for any reactions for several minutes after the transfusion has started.
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