Only an RN can administer blood products in our system facilities. You may want to check the current AABB (American Assoc of Blood Banks) for transfusion guidelines. Most follow their recs for vs at the time blood is hung, 15 min later, and at the end of the transfusion. An RN checks the blood with another licensed person who can be an LPN, med tech from lab, etc. We also have someone stay in attendance during the first 15 minutes as this is the time inwhich the most severe reactions occur. This person in attendance must watch for wheezing, trouble breathing, hives, coughing, urticaria, etc but need not be an RN. May even be a family member so long as instructions are given and the person is deemed reliable by the RN.