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The most common cause for a major hemolytic transfusion reaction is a clerical error, such as a mislabelled specimen sent to the blood bank, or not properly identifying the patient to whom you are giving the blood. DO NOT ASSUME IT IS SOMEONE ELSE'S RESPONSIBILITY TO CHECK!
The blood transfusion record which includes: date and time the transfusion commenced and completed. type of blood component used and number of units transfused. donation or batch number. signature of person administering the transfusion, and. signature of person confirming the identity of the patient.
More likely, blood transfusion mistakes occur when incorrect blood is given to a patient. For instance, a blood sample may be mislabeled. The incorrect patient name may be marked on a blood sample, for example. Errors may also occur when a blood sample is marked with the incorrect blood type (O-negative, etc.).
On the transfusion record, document these points: date and time the transfusion was started and completed. name of the health care professionals who verified the information with you. type and gauge of the venous access device. amount of the blood product transfused.
Before administering the transfusion, document that you matched the label on the blood bag to the patient's name, patient's medical record number, patient's blood ABO group and Rh factor, donor's blood ABO group and Rh factor, crossmatch data, blood bank ID number, and expiration date of the product.