PIP - 15

 
return to blood transfusion guidance

Blood Transfusion request and sample labelling guidelines
 

 Requests for group and save must bear the following information;

 Request forms: Patient’s full name, a hospital or major incident number, date of birth, gender, consultant, ward or department, reason for request, reason products required, date, any special requirements (i.e. CMV-ve / Irradiated blood products) and time required and signed by the staff making the request (include a bleep number for queries) as well as signature of person who has taken the sample. Click here for example.

 Samples: Patient’s full name, patient identification number, date of birth ward or department, signature of person taking the sample. (For unidentified patients admitted to hospital, the sample will be accepted if labelled as ‘unknown male or female’ and without a date of birth provided an A/E or major incident number has been used.) Click here for example.

 The Blood Transfusion Laboratory has a Zero Tolerance Policy with regards to mis / incomplete labelling. All sections of the Form & Sample need to be accurately completed with the required available information.

Staff are reminded that the "ZERO TOLERANCE" policy will be applied where the labelling of blood samples and / or the information provided on the blood transfusion request form are incorrect.

This is to avoid near miss and avoidable errors in the transfusion process

 

The blood transfusion laboratory will not accept any group and save samples or request forms that contain errorsor omissions, no matter how small the error may be and the ward will be telephoned and asked to resubmit a new, correctly labelled group and save request and the sample discarded.

Addressograph / Pre printed labels on samples will not be accepted by the Blood Transfusion department
 

 INPATIENTS:  Inpatients bled for Group and Save samples MUST be wearing a wristband (for exception refer to Trust Wristband policy). The patient information on the request form must be checked and found to be accurate with the patient’s wristband and the patient should be asked to confirm their name and date of birth if capable.

 Samples MUST be labelled AFTER venepuncture at the patient’s bedside using the wristband as a guide (Don’t use notes, charts or guesswork to label samples). Sample labels must be handwritten. Never pre-label samples, as this practice is dangerous and can lead to fatal transfusion errors.

 OUTPATIENTS: Identity must be confirmed in one of the following ways (in order of priority)

a.   The patient should be asked to state their full name and date of birth and this must match exactly with those details on the request form (any unusual names or spellings must be confirmed). Care must be taken when completing labels to avoid errors

b.   The relative or carer accompanying the patient should be asked to state the patient full name and date of birth and this must match exactly with those details on the request form (any unusual names or spellings must be confirmed)

c.   The admission letter should be produced and the patient’s full name, date of birth and hospital number must match exactly with the request form.

d.   Other forms of identification may be produced and the patient’s full name and date of birth must match exactly with the request form.
 

 If it is not possible to confirm the patient’s identity by one of the ways listed above, the patient must be sent back to the outpatients department to obtain an admission letter.

 Samples must be labelled immediately after venepuncture with all the required information by the staff who identified and bled the patient.

 

Reviewed by Haematology Quality lead                                                                          Approved by Consultant Haematologist
Version 1.1 / October 2013