9.00
Hdl Handle:
http://hdl.handle.net/10755/308240
Category:
Abstract
Type:
Presentation
Title:
Recognition, Reporting and Managing Blood Transfusion Reactions
Author(s):
Agbowu, Ruth; McMahon, Margaret M.
Lead Author STTI Affiliation:
Nu Eta
Author Details:
Ruth Agbowu, RN BSN CMSRN CBN, nursingresearch@mac.com; Margaret M. McMahon, MN, APN, NP-C, CEN, FAEN
Abstract:

Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013

Recognition, Reporting and Managing Blood

Transfusion Reactions

Margaret McMahon APN MN CEN NP-C FAEN ,

Victoria Schwachter MA CAT , Beata Cottrell RN ,

Ruth Agbowu RN BSN CMSRN CBN nursingresearch@mac.com1,

Carmen Rivera-Orozio RN MSN CMS , Maria Victoria Roque RN BSN PCCN ,

Diana Gillespie MSN RN-BC , Edwin Roque RN BSN PCCN ,

Aileen Posa RN BSN PCCN

Introduction

During a Clinical Quality Council meeting we discovered a proposed nursing problem identified

by the AtlantiCare Laboratory. State regulatory and blood bank surveys CAP, the American Association of Blood Banks (AABB) and (NJDHSS))

revealed AtlantiCare laboratory’s reported blood transfusion

reactions rates were significantly lower than the national average, and the consensus of the laboratory

was nurses were not recognizing and reporting blood transfusion reactions. There had been no formal

analysis to warrant this conclusion, no data to support this conclusion.

Objective

1. Investigate if transfusion reactions among adult inpatients receiving PRBCs or platelets are identified,

acted on by the RN & Provider and reported to the Lab and regulatory agencies as required.

2. Determine factors that affect under-reporting: variances in assessment and diagnostic expertise, the

response time and actions of prescribers on reported measures.

3. Explore other potential factors include concordance of pathologist with prescriber assessment,

compliance with reporting reactions and frequency of pre-medications prior to transfusion.

Methods

Retrospective chart review of 124 inpatient records of inpatients receiving PRBC & Platelets during

May 2011 for compliance with transfusion related policies, determination of influential factors in the

event of a reaction.

Results

Preliminary Results:

● There appears to be a high degree of RN compliance with transfusion policy.

● No instances of reactions noted among subjects.

● There were no transfusion METs.

Discussion

The data will be further analyzed to determine the effect pre-medication prior to transfusion has.

Keywords:
TYPE NEW KEYWORD HERE; Transfusion; Blood
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRecognition, Reporting and Managing Blood Transfusion Reactionsen_GB
dc.contributor.authorAgbowu, Ruthen_GB
dc.contributor.authorMcMahon, Margaret M.en_GB
dc.contributor.departmentNu Etaen_GB
dc.author.detailsRuth Agbowu, RN BSN CMSRN CBN, nursingresearch@mac.com; Margaret M. McMahon, MN, APN, NP-C, CEN, FAENen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308240-
dc.description.abstract<p>Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013</p>Recognition, Reporting and Managing Blood <p>Transfusion Reactions <p>Margaret McMahon APN MN CEN NP-C FAEN , <p>Victoria Schwachter MA CAT , Beata Cottrell RN , <p>Ruth Agbowu RN BSN CMSRN CBN nursingresearch@mac.com1, <p>Carmen Rivera-Orozio RN MSN CMS , Maria Victoria Roque RN BSN PCCN , <p>Diana Gillespie MSN RN-BC , Edwin Roque RN BSN PCCN , <p>Aileen Posa RN BSN PCCN <p><b>Introduction</b><p>During a Clinical Quality Council meeting we discovered a proposed nursing problem identified <p>by the AtlantiCare Laboratory. State regulatory and blood bank surveys CAP, the American Association of Blood Banks (AABB) and (NJDHSS)) <p>revealed AtlantiCare laboratory’s reported blood transfusion <p>reactions rates were significantly lower than the national average, and the consensus of the laboratory <p>was nurses were not recognizing and reporting blood transfusion reactions. There had been no formal <p>analysis to warrant this conclusion, no data to support this conclusion. <p><b>Objective</b><p>1. Investigate if transfusion reactions among adult inpatients receiving PRBCs or platelets are identified, <p>acted on by the RN & Provider and reported to the Lab and regulatory agencies as required. <p>2. Determine factors that affect under-reporting: variances in assessment and diagnostic expertise, the <p>response time and actions of prescribers on reported measures. <p>3. Explore other potential factors include concordance of pathologist with prescriber assessment, <p>compliance with reporting reactions and frequency of pre-medications prior to transfusion. <p><b>Methods</b><p>Retrospective chart review of 124 inpatient records of inpatients receiving PRBC & Platelets during <p>May 2011 for compliance with transfusion related policies, determination of influential factors in the <p>event of a reaction. <p><b>Results</b><p><b>Preliminary Results:</b><p>● There appears to be a high degree of RN compliance with transfusion policy. <p>● No instances of reactions noted among subjects. <p>● There were no transfusion METs. <p><b>Discussion</b><p>The data will be further analyzed to determine the effect pre-medication prior to transfusion has.en_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.subjectTransfusionen_GB
dc.subjectBlooden_GB
dc.date.available2013-12-19T17:28:43Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:28:43Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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