What are the emergency plans and procedures for hemolytic reactions to blood transfusion

The emergency plan for transfusion hemolytic reaction is to stop blood transfusion, give medication by medical advice, observe the condition, report to the superior, test the blood, etc. The process of handling transfusion hemolytic reaction is to deal with the adverse reaction in time, observe the vital signs, check the transfusion order, check the blood type and so on. 1. Emergency plan for transfusion hemolytic reaction: (1) Immediately stop blood transfusion, replace the infusion tube, change saline, and maintain intravenous access. (2) Report to the doctor and give medication as prescribed. (3) Closely observe the change of condition and keep statistics. (4) Fill in the blood transfusion reaction report form when necessary and report to the Blood Transfusion Department and Hospital Awareness Department. (5) When serious transfusion reactions such as hemolysis and bacterial contamination are suspected, keep the blood bag. Take blood samples from patients and send them to the Blood Transfusion Department. (6) Seal the blood transfusion apparatus according to relevant steps. 2. The process of handling hemolytic reaction of blood transfusion is: (1) Suspect the patient of hemolytic transfusion adverse reaction: stop transfusion and maintain intravenous access. (2) Closely observe vital signs, such as urine volume, urine color and blood pressure, back pain, jaundice, bleeding, etc. (3) Two healthcare professionals check the patient’s transfusion order, blood bag label, cross-fit test statistics and medical history. (4) Redraw the patient’s blood to determine the blood type. Check the blood type of the recipient and the blood donor, and review the irregular antibody screening test and cross-matching test. (5) Collect blood samples from patients, add heparin anticoagulant, separate plasma, observe the color, measure free hemoglobin content, serum bilirubin content, plasma free hemoglobin content, etc., and detect relevant antibody potency. (6) Test blood and urine routine. Retain the residual blood in the transfusion bag. (7) Report to the supervisor in a timely manner according to hospital regulations.