A unit of blood is released for a patient on the oncology floor. The nurse calls the blood bank 15 minutes later and reports that the patient has a visitor and does not want the transfusion until later that day. The nurse would like to hold the unit in the refrigerator on the floor because she is too busy to return it immediately. How do you respond
Return the blood so it can be reallocated immediately. Or be fired.
In this situation, the nurse wants to hold the unit of blood in the refrigerator on the oncology floor instead of returning it immediately to the blood bank. To provide a response, it is important to consider the proper guidelines and procedures for storing blood to ensure its safety and integrity.
1. Explain the importance of following proper blood storage procedures: Begin by explaining to the nurse the importance of following established guidelines for storing blood. Emphasize that proper storage is crucial to maintaining the quality and safety of the blood product.
2. Check the facility's protocols: Every healthcare facility may have its own specific policies and procedures for blood storage. Ask the nurse to refer to the facility's guidelines or consult a supervisor or other experienced staff member to determine the appropriate course of action.
3. Consider the time limitations for blood storage: Blood products typically have specific time limits for refrigeration or storage. Inform the nurse about the maximum time recommended for storage, which can vary depending on local guidelines or blood bank policies. Typically, the recommended maximum storage period for blood is around four hours.
4. Advise the nurse to communicate with the blood bank: The nurse should be encouraged to communicate with the blood bank personnel regarding the situation. They can inform the blood bank about the change in transfusion plans and inquire if it is possible to hold the unit of blood in the refrigerator for an extended period.
5. Follow blood bank guidelines: The blood bank will provide appropriate instructions on how to store the blood safely if an extended storage period is allowed. It may involve using specialized containers, labeling, or additional documentation.
Remember, following proper procedures for blood storage is crucial to maintain the integrity and safety of the blood product. Encourage the nurse to seek guidance from the facility's established protocols and to communicate with the blood bank to ensure that the correct course of action is taken.