We
very rarely use anything bigger then a 22 for blood products unless you have
someone you need to get a lot of volume in in a very short period of
time (more the 999/hr) it was proven along time ago that it is safe and
does not damage the blood cell. It is our policy to run all blood products
on a pump unless in OR (we use Plum pumps).
Privileged/Confidential information may be contained in this message. The information contained in this message is intended only for the use of the recipient(s) named above and their co-workers who are working on the same matter. The recipient of this information is prohibited from disclosing the information to any other party unless this disclosure has been authorized in advance.-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Monahan, Maggie
Sent: Friday, November 04, 2005 6:59 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: Blood AdministrationThe #22 is fine. We use to say that they had to have at least a #20, and I still try to insert those if I know they will be receiving blood. The transfusion time may take sl. longer with the #22. We even place on the IV pump if they are infusing slowly......something we would never consider in the past.-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, November 03, 2005 5:28 PM
To: [EMAIL PROTECTED]
Subject: Blood Administration
I have an issue I would like some feedback on.
A patient arrived to our outpatient infusion center from the doctors office with a #22 catheter (in the hand) in place for a blood transfusion. Our policy states that optimally an 18# G or larger should be used if possible. The MD states that this catheter is fine to use in front of the patient, and the patient is now refusing another stick. The nurses don't feel comfortable infusing blood products through the line, and feel that it is inappropriate.
I know that in peds we used to infuse with #22,#24, but this was different volumes over different times....
Please advise.
Lorelle Wuerz BS, RN
Manager Infusion Services
Robert Packer Hospital
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