How should a nurse manage patient using blood reinfusion system?

Before blood reinfusion:

1. Obtain Informed Consent: Ensure the patient has provided written informed consent for the blood reinfusion procedure.

2. Patient Identification: Verify the patient's identity using two patient identifiers, such as name and date of birth, to prevent errors.

3. Blood Product Verification: Double-check the blood product label to ensure it matches the intended recipient's name, blood type, and other relevant information.

4. Preparation: Set up the blood reinfusion system according to the manufacturer's instructions. Prime the tubing and ensure there are no air bubbles in the system.

5. Equipment Check: Inspect all equipment and connections for proper function and integrity.

6. Vital Signs: Monitor the patient's vital signs before, during, and after the blood reinfusion to detect any adverse reactions.

During blood reinfusion:

1. Slow and Controlled Infusion: Start the blood reinfusion slowly and gradually increase the rate as tolerated by the patient.

2. Patient Observation: Monitor the patient closely for any signs of transfusion reactions, such as fever, chills, shortness of breath, or changes in vital signs.

3. Blood Flow: Ensure the blood flows smoothly and without any interruptions during the reinfusion.

4. Vital Signs Monitoring: Continuously monitor vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation.

5. Allergy Management: Have emergency medications readily available in case of anaphylactic reactions.

After blood reinfusion:

1. Patient Assessment: Monitor the patient for at least 30 minutes after the blood reinfusion is completed to identify any delayed reactions.

2. Document: Document all relevant details of the blood reinfusion procedure, including the volume of blood transfused, the start and end times of the infusion, and any observed reactions.

3. Follow-up Care: Provide post-transfusion care as prescribed, including monitoring for signs of anemia or other complications.