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Case Study 05 - Discussion Part 3 - Answer (Question 3)
 

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Home Case Studies O-Level Case Study O5: Adverse event following plasma transfusion Case Study 05 - Discussion Part 3 - Answer (Question 3)
Wednesday, 29 March 2017

Case Study 05 - Discussion Part 3 - Answer (Question 3)

When do Canadian CSTM Standards specify that vital signs must be monitored?

CSTM Standards* specify that recipient vital signs be monitored before, during, and after transfusion. Other guidelines such as the BCSH guidelines** are more explicit. Regardless of standards, a review of best practices reveals that patient vital signs are often assessed:

  • Start of the transfusion
  • 15 minutes after the start of transfusion
  • End of transfusion

Recipient vital signs are often assessed more often, e.g.,

  • Pretransfusion
  • 30 minutes after the start of transfusion, then hourly until the transfusion is completed
  • 1 hour after the start of transfusion and hourly until the transfusion is completed
  • Post-transfusion (e.g., 30 mins. or 4 hrs.)

*CSTM. Standards for Hospital Transfusion Services, v 2

** BCSH. The administration of blood and blood components and the management of transfused patients (1999)

Last modified on Wednesday, 06 April 2011 14:27