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Learning Objective 1: Determine factors that might contribute to under-reporting blood transfusion reactions
Learning Objective 2: Determine if instances of transfusion reactions in adult patients receiving packed red blood cells (PRBC) or platelets are identified, acted upon and reported by RN
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.