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X : Name of Policy:Storage of Blood Products in the ORPolicy Number:3364-124-26Department:Nursing Service/Operating Room Approving Officer:Director Surgical ServicesResponsible Agent:Chief Nursing OfficerEffective Date: 12/1/2022Scope:Operating Room (OR)/Perioperative ServicesInitial Effective Date: 6/1993New policy proposalMinor/technical revision of existing policy XMajor revision of existing policyReaffirmation of existing policy(A) Policy StatementBlood and blood products will be stored, administered, and handled appropriately in the OR.(B) Purpose of Policy To provide effective and safe delivery of blood and blood products and to detail steps in obtaining and verifying blood and blood product identifying information prior to administration to the patient in the OR.(C) Procedure The RN circulator verifies that the current blood bank ID band is on the patient prior to the surgery or at the time the blood sample is drawn in the OR room for crossmatch. The RN circulator verifies number of blood product units ordered and, if requested by the anesthesia provider, that all available units have been obtained from the blood bank and placed either in the OR blood refrigerator or OR room per the request.Upon request from anesthesia provider, the RN circulator or designee will obtain the required units from blood bank, taking the following steps:verify patient name, medical record number, and blood bank unit number on each unit with blood release form delivered with the blood products.Sign the appropriate area of the blood release form with time out and initials.verify presence of temperature indicator attached to each unit.verify unit(s) on ice in blood cooler in the OR room.All blood and blood products must be verified as to the blood type, donor number, medical record number, and expiration date in EMR. During downtime verified by two licensed healthcare providers (usually the anesthesia provider and the RN Circulator or two anesthesia providers) prior to administration. The blood transfusion form must be signed by these two persons verifying the blood and blood products.Blood that is not used immediately must remain on ice in blood cooler with temperature indicator attached.All unused blood must be returned to the lab as soon as possible by the RN circulator or designee. Each unit returned must be signed in with time and initials on the blood release form.At the completion of the surgery, all unused blood will be returned to the lab. Temperature indicators will be retained in OR blood refrigerator for future use. Following discharge from PACU, the unused blood will be returned to the blood bank along with the blood release form.Blood that has been out of the refrigerator and not placed on ice for more than thirty (30) minutes or has had a broken seal, should not be used and must be properly disposed of.Follow policy 3364-108-401 Issue and Return of Blood and Blood Components which states: All unused blood in the OR should be returned to the Blood Transfusion Service as soon as possible when surgery is completed. The unused blood should not be taken to the clinical areas from ORM.Complete the OR Blood Delivery and Storage Record form with the time of return.Approved by:Review/Revision Date:6/19961/19997/200211/20037/20056/10/20088/201110/10/142.1.20168/1/201912/1/2022Michelle Mallett, MSN, RN, CNORDirector Surgical ServicesDateKurt Kless, MSN, MBA, RN, NE-BC Chief Nursing Officer DateReview: Policy& Standard Committee, 4/16, 8/19, 12/22Revision completed by: Ronni Zona, RN, BSN, CNORPerioperative Nurse Educator Next Review Date: 12/2025Policies Superseded by This Policy: 4-26It is the responsibility of the reader to verify with the responsible agent that this is the most current version of the policy.Policy 3364-124-26Administration and Storage ofBlood Products in the OR Page  PAGE 2345678GLOPQRSTUVbqr?????????????????????? ????????»??????󻯫????????󐐘Ά?‚{?oh[Mhg"5?CJaJ h?+6h?+6h9)?h[Mh?+65?\?h?vSCJaJh[Mh?+6CJaJh?x?CJaJht/hXJjh?=?ht? h?M0h?+6h?+6jh?x?Uh[Mh?+6CJaJh[Mh?+65?B*ph?h[Mh?=?5?B*ph?h[Mh?+65?CJaJ+457????$??$Ifa$gd[M $Ifgd@o? ?x$Ifgd[M78GS0%% ?x$Ifgd[M?kdVB$$If?l4??\???&?????????????`?  t??0????????&6??????????????????????????????2?s2?2?s2?2?4?4? la?sp?(????????????????yt[MSTU??$??$Ifa$gd[M $Ifgd@o?UVb0' $Ifgd@o??kd?C$$If?l4??\???&????????????????? ?  t??0????????&6?????????????????????????????????2?s2?2?s2?e2?4?4? la?sp?(????????????????yt[Mb??????$??$Ifa$gd[M $Ifgd@o??<?<$Ifgd[M????0' $Ifgd?vS $Ifgd@o??kd?D$$If?l4??\???&??????????????????? ?  t??0????????&6?????????????????????????????????2?s2?2?s2?2?4?4? la?sp?(????????????????yt[M?????$??$Ifa$gd[M $Ifgd@o????' $Ifgd@o??kd:F$$If?l4??\???&????????????????? ?  t??0????????&6?????????????????????????????????2?H2?s2?2?H2?s2?e2?4?4? la?sp?(????????????????yt[M????????P$Ifgd?] $Ifgd@o? $Ifgd?vS?? - . 2))) $Ifgd@o??kd?G$$If?l??\???&?????????????????????? ???? t??0????????&6???????????????????????????????????????2?s2?2?s2?e2?4?4? la?sp?(????????????????yt[M   , - . 6 D F K L M N O P Q R S T U i j ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?????˿˳????????vvvjv?vbvvjvv??????he0?CJaJh[Mhg"5?CJaJh[Mhg"CJaJh[Mhg"CJaJh[Mhg"CJ aJ h[Mhg"5?CJ aJ hg"h[Mh??CJ\?aJh[Mh?,CJ\?aJh[Mhg"CJ\?aJh[Mh?+6CJ\?aJh[Mhg"CJaJh[Mhg"CJaJh?D?CJaJh[Mh?Z!CJaJ$. 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