what nurses do if a patient wants blood transfusions

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As a nurse, do you have to assist the doctor during a blood trasfusion.?

Specializes in Vents, Telemetry, Home Care, Home infusion.

LPN's ability to hang blood varies by state-many boards of nursing like PA and NY don't permit LPN to administer blood while Texas and North Carolina permit.

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Specializes in Cardiac Stepdown, PCU.

PEOPLE!!!!PLEAAASSEEE !RELAAAAAXXXX WITH THE YOUR COMMENTS!!!!!!! IT WAS JUST A SIMPLE QUESTION. SOME oF YOU ANSWER MY QUESTION CORRECTLY AND SOME DIDNT UNDERSTAND WHAT I WAS TRYING TO ASK.... I UNDERSTAND THAT MY GRAMMER NEED A BOOST BUT PLIIISSSS RREELLAAXXXX .:woot::nailbiting

There's people that was BORN in usa and have the worst grammer than me.....

what I want to know if nurses including lpn hang blood. ? Why i ask that? Because of religious purpose. But I got the answer from few. Thank you.

And plleeaaseee try to be kind by giving answers to anyone specially for those that dont have much of knowledge in the nursing field.

Religious reasons? I'd like to know what those are. I've never come across ANY religious reservations against GIVING someone ELSE a blood transfusion. I know, personally, that witnesses do not want one for themselves, but their beliefs pertain particularly to themselves and are not used against other people. There's not a single person I know of at any temple, or any of my friends that would refuse anyone a blood transfusion because they would not.

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Specializes in Nurse Leader specializing in Labor & Delivery.

It would help if you give all the background information (including info about being JW or whatever) in your OP, thus precluding all the speculation and snark.

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Specializes in Oncology.
Can't they just donate it to the general bank? I would assume that an autologous donation would have to go through all the same testing and handling as any other donation.

Pretty sure our auto blood units go to the general blood bank if not needed and there's no reason for it not to.

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Just wanted to elaborate on what Here.I.Stand said about reducing the risk of transfusion reactions. Many providers have redesigned their protocols to accommodate lower Hgb counts due to a uptick in the literature regarding the incidence of two specific types of complications: TRALI (transfusion related acute lung injury...a subtype of ARDS) and full-blown ARDS (acute respiratory distress syndrome). TRALI has traditionally been associated with plasma infusions as it is thought to be associated with anti-HLA antibodies (HLA is human leukocytic antigen). There is strong data to suggest the risk of TRALI may in fact be higher than previously assumed with pRBC infusion. Most importantly recent data suggests that pRBC infusion causes a pro-inflammatory process that may significantly increase the risk of ARDS. This leads to increased morbidity and mortality. MANY hospitals have stopped transfusing patients until the Hgb level falls below 8 as opposed to 10. This is based on evidence, and not driven by financial or "resource" concerns. Not a "horror story"....just good medicine : )

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Am by klone. From what I understand the autologous blood is not tested the same as other donated blood. It is your own blood so why would it be tested for compatability or antibioties? Our orthropedic unit used autologous blood for most hip replacements and what was not used was discarded by blood bank. Patients usually have to donate within a 1-2 weeks of their surgery if they are going to use autologous blood.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Where I have worked autologous blood transfusion have their own tracking number through the Blood bank that identify it as the patients. The patient is typed still and for a safety precaution the unit is tested to be sure no labels have been moved or placed in error.

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Specializes in Inpatient Oncology/Public Health.
I have never, never had a MD hang blood. Personally, I'm not sure they would know how. I have had a MD during a code assist with pressurizing the blood bag, but never hang the blood. I agree with the posts above, the only place a MD might even help would be in the OR and usually the anesthesiologist does this. I have noticed over the years the parameters for blood administration have lowered, we use to give blood for anyone who had a low Hgb of 10.0 and a Hct of 24-26. It seems now the Hgb has to be 8.0 or below which really puts the pt at risk of heartattack. Is this because of the cost or because of the lack of blood supply available?? It is not an insurance thing with the individual patients because I have seen it in all types of reimbursements. It is like magic when a pt who has had low blood count finally gets the blood they need. Hey, who would have thought??? I had one elderly patient who had a nephrostomy tube that was bleeding frank red blood, the attending MD did not want to send her out until her Hgb got below 8.0, meanwhile, she is getting lethargic, her B/P and Pulse are getting into dangerous parameters and guess what??? She did not want to do her PT?? So, I called the MD and asked about just tranferring her for a blood transfusion---we do not do these when sub-acute is in a LTC facility. Finally after two days of bleeding she was able to get into the outpatient services for a transfusion, hey it was like a new woman when she came back. What a pity to put this pt at risk just because of certain parameters. Anyone else with such a horror story??

I work Onc. We don't tend to transfuse blood until less than 8.0 or platelets til less than 10. I've noticed that sickle cell crisis patients they will let get down to 6.5 and still not

transfuse. I do think it's a supply

issue partly but also with the frequent transfusions the other issues noted.

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Specializes in Inpatient Oncology/Public Health.
Religious reasons? I'd like to know what those are. I've never come across ANY religious reservations against GIVING someone ELSE a blood transfusion. I know, personally, that witnesses do not want one for themselves, but their beliefs pertain particularly to themselves and are not used against other people. There's not a single person I know of at any temple, or any of my friends that would refuse anyone a blood transfusion because they would not.

I have a JW nurse on my floor and she does not hang blood products period.

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Religious reasons? I'd like to know what those are. I've never come across ANY religious reservations against GIVING someone ELSE a blood transfusion. I know, personally, that witnesses do not want one for themselves, but their beliefs pertain particularly to themselves and are not used against other people. There's not a single person I know of at any temple, or any of my friends that would refuse anyone a blood transfusion because they would not.

Really? Well, there have been many threads here at AN concerning Jehova's Witnesses nurses who refuse to hang blood or blood products and how that affects their coworkers, how various units handle this situation, attitudes about this refusal, etc.

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PEOPLE!!!!PLEAAASSEEE !RELAAAAAXXXX WITH THE YOUR COMMENTS!!!!!!! IT WAS JUST A SIMPLE QUESTION. SOME oF YOU ANSWER MY QUESTION CORRECTLY AND SOME DIDNT UNDERSTAND WHAT I WAS TRYING TO ASK.... I UNDERSTAND THAT MY GRAMMER NEED A BOOST BUT PLIIISSSS RREELLAAXXXX .:woot::nailbiting

There's people that was BORN in usa and have the worst grammer than me.....

what I want to know if nurses including lpn hang blood. ? Why i ask that? Because of religious purpose. But I got the answer from few. Thank you.

And plleeaaseee try to be kind by giving answers to anyone specially for those that dont have much of knowledge in the nursing field.

You may not know this, but many people consider posts which are written in all capital letters with many exclamation points and drawn out words to be yelling, and rude. Perhaps you meant to do so, but in the event that you did not intend to come off that way, just wanted you to know for future reference.

Your question wasn't exactly clear, which is why you got so many different responses. And I think everyone is actually quite calm.

Glad you got some helpful answers, though. :)

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PEOPLE!!!!PLEAAASSEEE !RELAAAAAXXXX WITH THE YOUR COMMENTS!!!!!!! IT WAS JUST A SIMPLE QUESTION. SOME oF YOU ANSWER MY QUESTION CORRECTLY AND SOME DIDNT UNDERSTAND WHAT I WAS TRYING TO ASK.... I UNDERSTAND THAT MY GRAMMER NEED A BOOST BUT PLIIISSSS RREELLAAXXXX .:woot::nailbiting

There's people that was BORN in usa and have the worst grammer than me.....

what I want to know if nurses including lpn hang blood. ? Why i ask that? Because of religious purpose. But I got the answer from few. Thank you.

And plleeaaseee try to be kind by giving answers to anyone specially for those that dont have much of knowledge in the nursing field.

Internet culture goes across all national borders, all around the globe.

Regardless of where you originated, using all capital letters and a ridiculous amount of exclamation points makes you appear to be shouting.....and rude. Relax ;)

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