Check with your hospital Blood Bank to see if they have the Technical Manual from the American Association of Blood Banks. There is a chapter on administration of blood that states specifically that blood can be infused through smaller gauge catheters. That should be enough to convince them. Lynn

At 7:56 PM -0500 11/5/05, Gail McCarter wrote:
I have had trouble convincing the nurses as well. Got some information from the manufacturer that showed it was OK. That helped.
Gail McCarter

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This is old school. Blood goes through a 22 gauge catheter just fine especially with a pump. Rakay



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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, November 03, 2005 3:28 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


--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861

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