Administration of a transfusion

Two nurses performing the bedside check

of the blood component

What is a blood transfusion?

The transfer of blood components from one person (the donor) into the bloodstream of another person (the recipient).(1)

How is a blood transfusion given?

The transfusion will be given through an IV, also known as a drip, through a soft plastic tube in either your arm or hand.

All transfusions should be planned during business hours, whenever possible.(2) Only emergency transfusions should take place after hours.

Who will administer the transfusion?

A check of the blood component must be performed at the bedside by two clinical staff one of whom is required to be a registered nurse or a medical practitioner.(3) One of these staff members performing the check will then administer the transfusion.

How long will it take?

The rate at which you will be transfused depends on your blood volume, cardiac status, how stable your condition is and which blood product you are being transfused. If you require blood quickly, it can be given very rapidly.

If you are at risk of circulatory overload, you will be transfused at a slower rate but your transfusion should never exceed 4 hours.(4)

Will it hurt?

When the needle is inserted, you may feel a prick or a stinging sensation. Most people do not feel anything during the blood transfusion. Some may feel pressure as the blood goes in.

What do I do if I am not feeling well or have any concerns?

You will be closely monitored throughout your transfusion.

If you feel uneasy, unwell or notice anything that you did not have before your transfusion began, let one of the nurses or doctors know immediately.

Transfusion reactions can occur during your transfusion or they may be delayed and occur once your transfusion has finished. The majority of reactions are not severe and can be corrected with minor medical intervention. Signs and symptoms to look out for during your transfusion include but are not limited to:

  • Shortness of breath
  • Itching
  • Hives
  • Rash
  • Temperature
  • Nausea
  • Chills
  • Headache
  • Vomiting
  • Pain at the IV site
  • Chest pain
  • Restlessness
  • Flushing

References

  1. emedicinehealth. Hematocrit (blood test) glossary of terms. [cited 2011]. Available from: http://www.emedicinehealth.com
  2. Australian Red Cross Blood Service. Administration of blood components. [cited 2011]. Available from: http://www.transfusion.com.au
  3. Australian and New Zealand Society of Blood Transfusion Ltd. Guidelines for the administration of blood products. Australia & New Zealand, 2011.
  4. BloodSafe. Flippin' Blood – an administration guide. Australia, 2006.
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