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Blood Transfusion
Blood Transfusion
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Created by Qualaris Staff
Inpatient Nursing
Critical Access Hospital
Table of Contents
Audit Form
Audit Form
Blood Transfusion
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Shift Transfusion Performed
1st shift
2nd shift
3rd shift
Blood Transfusion Checklist
Mark all as...
Blood transfusion ID # documented
Yes
No
Reactions monitored and/or noted
Yes
No
N/A
Blood transfusion noted on plan of care
Yes
No
VS completed after 15 min?
Yes
No
VS completed every hour?
Yes
No
VS completed 1 hour post-transfusion?
Yes
No
Consent Signed
Yes
No
