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Three inspections and eight matches of blood transfusion
When we encounter some diseases that need to be treated, there may be a situation of intravenous injection. Especially during surgery, in order to prevent the patient from bleeding internally, doctors and nurses are always prepared for intravenous injection to prevent the patient from going into shock due to anemia. So, what are the common problems with intravenous injection?
Three inspections and eight matches of intravenous injection
The ‘three inspections and eight matches’ of intravenous injection is a clinical prescription management method, which is to conduct a comprehensive review of the patient’s various information when infusing blood products to prevent major medical accidents and disputes caused by wrong blood. The ‘three inspections’ refer to: 1. Check whether the blood product meets the quality standard, mainly to see if there are any abnormalities in the appearance. 2. Observe whether the blood bag is leaking. If the blood bag is leaking, it cannot be used on the patient. 3. Check whether the blood product is within the expiration date. Only blood products within the expiration date can be used on the patient. The ‘eight matches’ are the review of the patient’s name, gender, age, hospitalization treatment, bed number, as well as the patient’s cross-matching results, the type of blood product applied for, and the amount of blood product used. The ‘eight matches’ require that two or more medical personnel check together. Only after the ‘three inspections and eight matches’ are confirmed to be accurate can blood products be used on the patient.
Common problems with intravenous injection
Body blood is the premise for maintaining normal daily life. If there is a shortage of blood, intravenous injection is required. After physical injury, internal bleeding often occurs, and excessive bleeding can threaten the patient’s life. Hospitals all have blood banks, which contain various types of blood for emergency use. In surgical procedures, intravenous injection is often required. So, what are the common problems with intravenous injection?
1. Before intravenous injection, the appearance and material of the whole blood should be inspected. It is necessary to check whether the color of the blood meets the standard and whether the blood bag is damaged, and it is also necessary to carefully check the matching report of the blood and the patient. It is only after two people confirm that it is accurate that intravenous injection can be carried out.
2. When administering intravenous injection, the patient’s name, blood type, medical record number, etc., should be checked. After confirming that they are accurate, standard blood transfusion equipment should be used for the intravenous injection.
3. After removing the blood from the refrigerator, it cannot be kept at room temperature for more than 30 minutes. When administering intravenous injection, the blood should not be vigorously agitated but should be gently mixed. No other drugs can be added to the blood, and if dilution is needed, only saline can be used. After the blood is infused, the blood bag should be stored, and it can be reviewed in case of an emergency.
4. Before intravenous injection, the vascular access should be cleaned with saline. If blood from a different donor needs to be infused, this process must be carried out before each intravenous injection.
5. The rate of intravenous injection should be slow at first and then fast throughout the process. Medical personnel need to pay close attention to the patient throughout the entire process to prevent side effects.
6. After intravenous injection, detailed records of this intravenous injection should be made in the medical history for the physician to immediately grasp the patient’s condition.