Do you filter trauma blood?

offlabel · Apr 11, 2016

So, this is not blood that the BB prepares in syringes, pre-filtered, for use in neonates? You're pretty obligated to run blood thru a blood administration filter prior to it getting to the patient. Lots of debris in a unit of packed cells that can lodge in the lungs or cross right to left through an intracardiac defect.

KRVRN, BSN, RN · Apr 12, 2016

We spike the bag with a filter, run it through the double walled tubing of the blood warmer, tnen hand push it.

IvoryLena · Apr 12, 2016

So, this is not blood that the BB prepares in syringes, pre-filtered, for use in neonates? You're pretty obligated to run blood thru a blood administration filter prior to it getting to the patient. Lots of debris in a unit of packed cells that can lodge in the lungs or cross right to left through an intracardiac defect.

No, I've never seen BB prepared syringes for neonates anywhere I've worked. I filter the blood into a syringe and generally run it over a pump or hand push if needed. But lately since attending some deliveries I noticed people drawing straight up from the bag. I didn't know if this was a common practice.

IvoryLena · Apr 12, 2016

How long does that generally take?

wensday, MSN, RN, APN, NP · Apr 12, 2016

We use a blood giving set which has a spike and filter within the set, its pretty easy to spike and attach a syringe to, then we unscrew the syringe and push into the baby via whatever access. I've been to a delivery resus once where they couldn't find the giving set quickly and the baby had lost a lot of blood, the nurse really struggled to draw it out of the bag without a spike and it went EVERYWHERE. I can still see the resus trolley with blood in every drawer and all over her.

BittyBabyGrower, MSN, RN · Apr 13, 2016

Are you talking only as an emergency in delivery? We have blood sets we draw thru to filter it. For regular transfusions, we use syringes prepared by blood bank. We also preorder blood to be on hold for OR.