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
X-Authentication-Warning: mailsrv1.ohsu.edu: majordom set sender to
[EMAIL PROTECTED] using -f
X-Server-Uuid: AE20355D-DD96-4001-91FE-2A4ADA8DD27E
Subject: RE: Blood Administration
Date: Thu, 3 Nov 2005 18:29:09 -0700
X-MS-Has-Attach:
X-MS-TNEF-Correlator:
Thread-Topic: Blood Administration
Thread-index: AcXgx7CPz4GjffC9SfaMcIbiOK/E1wAFzh1g
From: "Rakay Dance" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
cc: [EMAIL PROTECTED]
X-MMS-Spam-Filter-ID: A2005110310_4.00.0003_2.0.4,4.0-7
X-TMWD-Spam-Summary: SEV=0.9; DFV=A2005110310; IFV=2.0.4,4.0-7;
RPD=4.00.0003;
RPDID=303030312E30413039303230372E34333641423932422E303033312D452D53446B4565396F2B417A52344D4934777341474569673D3D;
ENG=IBF; TS=20051104013415; CAT=NONE; CON=NONE;
X-WSS-ID: 6F74651D1S41924768-01-01
Sender: [EMAIL PROTECTED]
X-pstn-levels: (S:99.90000/99.90000 R:95.9108 P:95.9108
M:97.0232 C:98.7678 )
X-pstn-settings: 4 (1.5000:1.5000) s gt3 gt2 gt1 r p m c
X-pstn-addresses: from <[EMAIL PROTECTED]> [db-null]
This is old school. Blood goes through a 22 gauge catheter just
fine especially with a pump. Rakay
----------
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