who can check blood - page 2

Our hospital recently changed our policy on who can check blood at the bedside to "two healthcare individuals, one of whom must be an RN". They have interpreted this to mean an RN, LPN/LVN, MD or a... Read More

  1. by   UM Review RN
    Only an RN can hang the blood, but it's verified with an RN and anyone else at my facility. I have them read me the armband out loud, spelling names if necessary, then I have the second person read me the sheet attached to the blood bag while I check the bag itself.

    Then we both sign.

    I personally like this system. I've worked places where another RN was the only one who could verify and hang blood, and to be honest, I'd rather have a PCT who's paying attention than an RN who's just trying to get outta there.
  2. by   CrunchRN
    Back in the day's when I was a unit secretary I did the check frequently with the nurses. It worked out well.
  3. by   Daytonite
    I think all your concerns are justified. You always have the option of going above the standard established by hospital policy. What I mean is that just because the facility is telling you that it's OK that an LPN or CNA can check blood with you before hanging a transfusion doesn't mean that you have to accept this. If it were me, I'd take the extra effort to find another RN (the supervisor counts as an RN) to verify blood before hanging it. You just need to coordinate this between the time the other RN will be available to you and the blood bank since, as you know, blood must be hung and started infusing almost as soon as it is taken from the blood bank. It's my license on the line ultimately.
  4. by   MrsMinor
    Our hospital policy is one RN along with another licensed personnel (RN, LPN, MD).
    Many LPNs are responsible for monitoring vs, etc after bld is hung by a RN, I think that LPNs are definitely able to verify the inital hanging with an RN!!
    The hospitals that have a policy for only RN/RN, are any LPNs then able to stay the first 15 min with the patient or is this soley part of the RN role as well? Just curious about the different policies!
    Anyway, no, CNAs are not allowed to verify/hang blood with an RN.
  5. by   Tweety
    Quote from MrsMinor
    Our hospital policy is one RN along with another licensed personnel (RN, LPN, MD).
    Many LPNs are responsible for monitoring vs, etc after bld is hung by a RN, I think that LPNs are definitely able to verify the inital hanging with an RN!!
    The hospitals that have a policy for only RN/RN, are any LPNs then able to stay the first 15 min with the patient or is this soley part of the RN role as well? Just curious about the different policies!
    Anyway, no, CNAs are not allowed to verify/hang blood with an RN.
    I agree. If the policy says an LPN can check blood, why worry about your license to hunt down another RN?

    In our facilty, only RNs can hang blood, this includes remaining with the patient for the initial period of five minutes. We must remain with the patient initally, then an LPN can monitor the patient after that. But the RN has to be there initially.
  6. by   heartbeat2
    When you are about to hang the blood, this is when it's most important to confirm the information and done at the bedside. The RN is the one that will be held accountable if something is amiss. When it is checked out from the lab they are checking to make sure the blood matches in their log book. At the bedside, you are checking to make sure it matches the PATIENT. 2 NURSES are required at our facility. The supervisor will do this if another nurse isn't available.
  7. by   cardiacRN2006
    Quote from Tweety
    When you go to the blood bank is it two RN's down there checking the potentially lethal blood. I'd worry more about their qualifications down there than whether it's a CNA checking an armband with me.

    Everywhere I've worked, it was the tech that went down to the blood bank, and checked the blood with the lab tech and then brought the blood back up to the unit. As a PCT, I was always responsible for getting the blood when the lab called-the nurses never went. They felt as if it was another check. 2 different people at the lab looking over the numbers, and 2 nurses checking at bedside.

    That being said, it wouldn't matter to me what the policy was, I'd still hunt down another RN to check with me...
  8. by   PANurseRN1
    RN+RN/RN+LPN. Never, ever a CNA. I don't know how some of you check blood, but our process involves a wee tad more than just checking an armband. :uhoh21:

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