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It is important the nurse’s role while administering the blood transfusion is to check for the patient’s vital signs, get consent and procedure to check for the blood type while matching it with the patient blood group. The second step is the nurses would go through the five checks before the second nurse and abide by the hospital policies. There would be the blood form attached and a labeled bag to start and end time done of the transfusion and following a fluid balance chart. By regularly transiting and monitoring the patient for facing any adverse effects, cross-checking for any vital signs every fifteen minutes (NSW Ministry of Health, 2015)
Conduct Statement 1.1 NMBA (2008) states that it is important to abide by the safe nursing practices and applying the nursing interventions during the individual's changes in health status. The learning objective through the nursing principle is to remove any sutures and stitches with confidence and also with the competence without causing harm to the client. The skills can be gained through watching the expertise as a nurse and doing procedure following the evidence-based practice.
Conduct Statement 2.3 NMBA (2008) states that the plan appropriate nursing strategies can help to manage variation acquired during the health and mental health status. It is important to abide by the safe practice and safe environment provision for the mental health client.
Conduct Statement 3.1 NMBA (2008) mentions that as per the guidelines underlying the nursing practice is to manage the individuals, and follow the ANMC, competencies and abide by the practice of the registered Nurses, The Code of Conduct, Code of Ethics, and following the legislative requirements. This practice helps to learn the routes and the types of medications administered in accordance with the practices. This outcome has helped me to learn the types of medication, mode of administration, understanding the therapeutic effect, and even experiencing the adverse reaction and polypharmacy issues that cover the two years of nursing study
Conduct of Statement 2.1 NMBA (2008) states that when applying the primary health care principles that can be applied within the care of individuals having health variations. Through this code, the principles of infection control and follow the standards precautions that can be followed the nursing practice causing harm to the patients. It is important to follow the guidelines and the procedure and to administer a blood transfusion during my future nursing that could minimize harm to any patient.
As a nurse I am confident when administering a blood transfusion to a patient, to follow the procedure such as contacting the blood products (Transfusion Service provider) and to follow the transfusion process as per the patient consent documented decision. Special requirements (Following the blood management guideline) and then obtain consents from the patient, like obtain informed consent (to follow local policies) and further to complete prescription for the blood product transfusion and then inform the nursing staff. Contact the transfusions service provider and request for a sample and the pre-transfusion request form. I also know when collecting the sample, the first step is to confirm patient identity, label samples and label patient and place (like in the format-full patient name, date of birth, and unique hospital ID number). After this step, proceed to collect the patient details on a blood sample and for the request forms and sign them. Blood is presented to the lab to cross-check and it is administered with the right patient, right blood product and to place a right pack at the right time. I have also learned that it is important as a nurse, firstly to take the decisional consent consideration of the management strategies needs to be based on the clinical assessment of the patient of his/her needs to ensure circumstances/situation. Lastly, required to proceed and to abide by the practice and help in administering trained staff. Closely observing what is required when commencing the blood transfusion constantly monitors the patient's condition during the infusion and upon completion initially monitors every 15mins. The precautionary measure is also to check resuscitation equipment, such as corrected oxygen and adrenaline are working in order and available and also emergency medical support should be readily available.
The skills which were challenging were when monitoring during the blood transfusion, how to suspect for the transfusion reaction, and upon observing, how to stop the transfusion and then proactively activate the emergency procedure when required. Though I am well versed with the local transfusion reaction protocols, still in the emergency the problem can be complex and would require close assistance and quick corrective steps.
To take guidance from the senior nurse and also learn on the job skills by observing the situation. Be more vigilant with the swift directions related to the frequency of patient monitoring that could be checked during the transfusion, and during the recommendation such as constantly observing the temperature, pulse, and even checking the respiratory rate (TPR) along with monitoring the blood pressure (BP). It should be recorded at an every time interval of the 15 minutes after it has commenced. Last step is, after the commencement of transfusion to have the close observation for any signs and symptoms every 30 minute which starts from the transfusion commencement.
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