All blood component orders need to be made by filling
out the new Blood Component Order
sheet
- Will be pre-printed with patient's identification in their
chart
- Will be used as the "order" for ALL blood
products
- No need to also write order in chart
- If transfusion order given by phone, RN can complete
order sheet from verbal order
- Can be used for on
hold orders or for
transfusion orders
- One order sheet will be used per transfusion
episode
(Orders written at the same
time)
- Ex: 1 order sheet for 2 Packed Cells
- Ex: 1 order sheet for 2 Packed Cells and 2 units of
Plasma
- Ex: 1 order sheet for 2 Plasma, 10 Cryo, and 1 Platelet
Pheresis
New Blood Utilization Process will
allow LMHS to be compliant with TJC regulations
On the Order Sheet the indication for usage must be marked for
each type of product requested
- If none of the listed indications apply, write the indication
under "Specify"
We appreciate your help with the new process and
making LMHS compliant with TJC regulations
If you have any questions, please
contact Michelle Wiss, LMHS Blood Bank Supervisor
x2956 or x2336.
See the physicians's lounges and dictation areas for samples of the
form.