- iTransfuse Online Learning
- About us
- Contact us
- Site map
|On this page|
Good documentation of transfusions allows easy and accurate review of records when required for:
Investigating a transfusion-related adverse event
Facilitating donor and recipient ‘look back’ exercises
Quality improvement audits
The prescribing doctor should document the transfusion decision rationale in the medical notes.
Base your transfusion decision on recognised clinical practice guidelines
Detail the outcome of the informed consent process
A permanent record of the transfusion episode should be kept in the medical notes, including the following:
the blood transfusion record which includes:
Date and time transfusion commenced and completed
Type of blood component used and number of units transfused
Donation or batch number
Signature of person administering the transfusion
the sheets used for the prescription of blood components or fractionated products
nursing observations during the transfusion
whether or not the transfusion achieved the anticipated benefit
We recommend for you to set a laboratory or hospital policy based on the highest standards that you use for the storage of medical records within your facility. This requirement varies between states and territories.
In addition to transfusion records, you must also keep an inventory record of products received and their fate so that the final whereabouts of all components and products is known.
We suggest that you maintain an inventory register to record receipts of components or products, and what their fate is.
Data collected should include:
Unique or Batch number
Blood group (if applicable)
Fate of item (transfused with patients name, wasted with reason, sent to where, etc)
There are situations when donors, who were well when they donated, subsequently inform us that they have developed symptoms of a disease state.
Usually this is not a problem but certain diseases can be of concern. We locate the fate of units donated by potentially harmful donation.
Where possible (and time permits), we quarantine donations so they are not transfused, pending further tests.
It may be necessary to trace the recipients of the donations and offer them medical advice.
We can only achieve this through the availability of well maintained records showing receipt and fate of blood components or fractionated products.
There is a requirement that all blood donations can be traced from the donor to the final fate of the blood component or fractionated product.
This means that, no matter how many products and components we make from a donation, all products are traceable to its fate, even if the fate is that it is destroyed unused.