Assignment task:
Robert's cardiologist agrees that the unit of red cells can be given over three hours and documents this change in the EMR. He also reminds the staff to be diligent in documenting Robert's input and output. He requests the CCU Registrar review Robert at 1700 hours and again at 1800 hours to ensure he is not showing any signs of fluid overload. Robert's nurse continues to monitor him closely for any signs of a transfusion reaction. Observations (TPR and BP) are taken 15 minutes after restarting the unit and then planned to be taken hourly, and again at completion of the red cell unit. What other information regarding the transfusion should be documented in addition to observations and the time the unit was commenced? Blood pack donation number, volume of blood transfused, completion time of each unit, outcome of the transfusion and any follow-up required The only documentation required is regarding follow-up of the patient as all other information is in the transfusion laboratory system Scanning the blood pack barcode negates the need to document any information unless there is a transfusion reaction Documentation of patient status is only required in the event of an adverse outcome from the transfusion