If a patient is planned for a large operation, or there is a chance that the patient will need blood, then the blood request form should be made by the medical doctor as soon as possible and the laboratory will be given to find blood.
Only a doctor can ask for blood.
Before asking for blood, the patient’s consent to be given blood should be taken. Patient should be taught about the flow, the dangers and benefits of processing and still the dangers of not getting blood. The relatives and those who are present in the sick conversation should be involved.
The doctor should register the conversation in the patient’s medical record and ask for the patient’s writing agreement in the back of the farm to ask for blood. In the head of the patient’s finger.
If the patient refuses to agree, then it should be kept as a proof or document.
If the patient is not intelligent and none of his scorpions are available to agree, then blood will be given to the patient according to the necessity and evaluation of the two doctors.
If the sick age is less than 17 years, then the parent or relative supervisor of the farm will sign the patient agreement.
Symptoms of the intelligent person that the patient should be aware of:
Sick in IV place, respiratory problems, back or chest pain (chest), feeling cool / red / fever, dilbadia, gychi, small grains / pat, dark urine or red color.
The blood request form should be cut in the house by the relevant doctor, and the patient’s name, number, blood group and its type should be checked again.
The laboratory should be aware of the necessary blood.
If the mentioned blood was not used during a week, then the laboratory should contact the doctor to allow the mentioned blood to be used for other urgent events.
Receiving blood or Finding Blood:
If patients have scorpions that accompany them, then they should be sent to the lab to designate a group of blood, its type and Krasmatch.
If there is no sick scorpion, none of their blood will match, or blood is urgently needed, then check the blood bank fridge for compatible blood.
If there is no compatible or acceptable blood for the patient, then:
During official hours check the list of blood donors, employees or other volunteers, who have been compatible donors and have not donated blood during the past 12 weeks.
If there are no proper donors available, or after official hours, then call the medical doctor to contact a strange donor.
If the donor blood test is positive for Hepatitis B, Hepatitis C, HIV, or syphilis, they will be informed by a laboratory celp who has knowledge about later tests.
If the blood bank of Kivor Hospital does not have the blood compatible and a suitable donor is not found, then the central blood bank of Kabul, Ibn Sina or other banks will be informed.
Laboratory technologist should call blood banks to get the blood needed.
Laboratory technologists should cut a blood request form (foreign) to the door of the house.
Sick scorpion should take this farm and go to the blood bank to receive blood.
If sick scorpions don’t have money to get blood then they should talk to the Keyor business office representative.
Laboratory technologists and other personnel of Kivar Hospital should actively encourage others to donate blood on a dawatlabane basis. In order for hospital staff or out-of-hospital donors to be included in the list of donors, they need to contact the lab to test and add their names on the list.
Blood collected sample for Kraz-wrist:
When the technologists come to flour, then they will be given a blood request form.
At this time, the technology will cut the red band of ID by the sick name, Kior No., blood group and type of house. The technology will tie the ID band in the hand of a sick person who is given blood.
Later, the laboratory technologist will take a sample of the sick blood for test.
If the patient is intelligent, then the laboratory staff will ask the patient ′′ what is your name?" And with a nurse or doctor farm requesting blood, a sick chart, an ID band in the patient’s hand for ID It’s right to check again.
If the patient is not intelligent, then one of the sick scorpions who is present will be asked what is the name of the patient.
If there is any difference in the course of the fairy house of ID, then the address should be given before getting a sick blood sample.
Laboratory personnel should label the patient’s blood sample with the patient’s name, last name, Kior No. and date before taking the sick blood sample, and after getting the sick blood sample, check it again for correct.
Laboratory technologist should take blood samples and blood form to the laboratory to determine type and wrist. (Consider the blood of receiving)
CROSSMACH:
Before the start of Kraz-the sick blood sample should be checked again with the blood request form.
Kraz-wrist results and donor blood test should be filed in the back of sick blood envelope, blood request form and lab booklet.
Once the Kraz-Mech is successfully completed, then the one should be informed.
In case Kraz-wrist did not work successfully, then only write the blood donor information on the top of the envelope and return it to the lab fridge.
Collecting and maintaining donated blood:
All blood donor must be tested by the laboratory CHI to pass Hepatitis B, Hepatitis C, HIV and Syphilis.
Acceptable donated blood must have donor name, ABO group, type Rh, blood donation date and expiry date at the top of your envelope.
Blood will be kept in the lab fridge until the patient is asked. Blood will not be kept anywhere else from the hospital.
Applications for blood donation must be listed in the lab blood transfusion log book.
Preparation for blood transfusion:
Blood transfusion should be started by a doctor, an Institute nurse or a nurse.
Vital symptoms should be checked and recorded.
Patient should be helped before getting blood to go to the toilet (they must be non-moving in the bloodstream).
Be sure that there is sufficient access to the vein.
A big diameter (confused) cannole should be used (at least 18 confused)
In children, the cutlets are liked or we can use at least 22 gage knols in the sick environment.
Only a blood transmitting tube, along with a filter, will be used to match blood.
Tube playing will start by Normal Salin.
Normal Saline should be the only solution used during blood matching.
Spices should not be adapted in the same vein pipe as blood or blood components. If there is a need to give another spice, then another vein pipe should start to the patient.
Blood reaching the flour:
Blood and farm laboratory personnel transfers blood request to the place where the patient takes blood.
Blood donated unit, blood request farm, sick chart, and bandage that is sick in the cord should be checked by at least two people after asking the patient ′′ what is your name?"
The group and type of blood donated unit should be checked with the request form and group and type of sick blood.
Blood envelope should be inspected in terms of cavity, blood cloth, non-normal color, extra air or air bubbles. The result of this inspection should be asked for blood in the farm.
Blood transfusion to the patient should take place within 30 minutes after blood arrives from the bank. If blood transfusion does not take place during 30 minutes or blood is not needed, then blood should be returned to the blood bank urgently.
Returning unused blood:
If crushed blood is not used, then the mentioned blood will be returned to the laboratory with its form and the envelope above which the phrase ′′ unused And this should be done in at least under 30 minutes.
Any blood that has been connected to the blood transfusion and checked for use cannot be returned to the laboratory.
Blood returned should be returned to the fridge as soon as possible.
The laboratory should write ′′ no blood given ′′ on the request of sick blood and return it to the sick file.
Blood transfusion to the patient:
Once the blood transfusion started to the patient, the patient should be closely cared for. Vital symptoms should be written in the blood request farm. In the first hour, the patient’s vital symptoms should be considered every 15 minutes, then every 30 minutes for the second hour. After the first two hours, the patient’s vital symptoms are considered every hour during the full time of blood transfusion that should not take more than 4 hours.
If a patient is complaining of discomfort or which symptoms of blood transfusion reflexes are received, then the doctor should be informed immediately and stop the blood transfusion.
Ness needs to replace the tube with a new tube.
Ness should wash the vein canola with Normal Saline and start a normal saline infusion at a low speed.
The doctor recommended spices to the patient and the nasse should give the right spice to the patient (parastamol, anthistamine).
Vital symptoms should be observed every 15 minutes.
If the reaction is more severe, then the laboratory technology should be called to take blood from the arm against the patient again for the wrist (was the patient given the right blood? ) and observe the symptoms of hemolysis. If possible, urine should also be collected to observe the symptoms of hemolysis (Himachuria).
Symptoms of blood transfusion reaction to the patient:
Fast and weak pulse
Low blood pressure
Himachuria (red / black urine)
Tanginess or pain of the chest (chest)
Severe pain in the back area (back)
Shortness of breath
Severe urticaria (pat) or zinc advice
Feeling cool
Increase in sick body temperature ≥ 1°C (average, general reaction)
Increase to a reaction temperature, at least 38°C (very serious).
Maintenance and supply of blood:
At least 4 units of blood in the blood bank refrigerator should be available as always.
The available blood-given units did not contain this blood, and a removable label containing the name, number, group and blood type of patients who have been given flour is on top of it.
When the history of the existing flour passes (when the patient is not in the hospital and there is no need to keep blood for him) the blood that was kept should be added to the public pool of blood for urgent events.
There should always be at least one unit of blood 0 negative for urgent events.
Blood should not be kept for more than 30 days. 30 days after donating blood, or if there is a change of blood color or a piercing of the blood envelope, then the male blood unit should be discarded.
When a unit of blood is consumed, the blood consumed must be returned immediately by the sick family members (consider the blood received).
Making sure of quality
All the incidents of blood transfusion to the patient will be investigated on a regular basis by medical staff.
If there is an undesirable reaction against blood, then the doctor of medicine should be informed.