Patient B Case Study

During this time, I realized that what I learned in simulation allowed for me to better understand the practices associated with Joe’s blood transfusion and its importance in maintaining his health and safety. I then thought about his nurse’s practice and perceived that she followed what I was perceived as best practice when completing the necessary pre-transfusion checks and talking to him about the procedure. This reflection thereby reinforced to me the importance of following best practice in my future when preforming a blood transfusion, or any patient care for that matter. As many nurses do not follow best practice with transfusions, the importance of addressing pre-transfusion checks, reviewing blood type compatibility, and recognizing the responsibilities that I have from the point of initiation to after completion was further reinforced (Hijji, Parahoo, Hussein, & Barr,

For the purposes of this paper, the author will only focus on National Patient Safety Goals 01.01.01: Identifying patients correctly and 01.03.01 Eliminate transfusion errors related to patient misidentification.

Hi, Karen, I attempted to send the invite again for patient 326270. I checked our email server to see if it was delivered and it shows an immediate block on her side as rejecting this our invitation email. I understand that her coworker is using the same domain but each email setting(s) can be individual. The message we are getting back on our email servers when trying to send her an invite to this email address is:

I think Patient B is ineligible to donate blood for a few reasons. Although she is over the age and height, at 20 years old and 113 pounds. She also has a healthy diet and the medications she takes does not affect her eligibility to donate blood. Also, she is allowed to donate with a little high sodium and she only traveled to Florida, which is fine because it is not a Zika infected area. However she is unable to donate because her red blood cell count is low, which makes her unable to donate. Second, her hematocrit and hemoglobin are low, which you cannot donate if your hemoglobin is low. This is because hemoglobin can cause anemia, which can make a person to lose red blood cells from their body. Some recommendations is she should eat more

Patient B.C. is a 62 year-old heterosexual, Caucasian female. Patient is single, never married, and has no children. Per patients chart she is spiritual but reports no specific religion she identifies with. The patient is homeless, states that she is a long term resident of Union Station and is unemployed. The patient is a poor historian and there is no family medical history on chart. There is no family involved in her care. Patient is currently under conservatorship per the court due to her family in Houston not wanting to take part in her care.

Of course transfusion was associated with haemoglobin criteria on admission (p=0.001), and the quantity of packed red cells given was also associated with haemoglobin grouping on admission (p70 g/L that received blood transfusions for upper GI bleeding, suggesting that some physicians are initiating blood transfusions with a more liberal strategy in some circumstances. Given the recent evidence finding that blood transfusions can contribute to increased morbidity and mortality in patients, there are grounds for this audit to be expanded and continued to determine the results of a fuller and in-depth cohort to understand the reasons behind liberal strategies for initiating blood

Even though needles scare me and giving somebody a blood transfusion is not something I do every day, I knew I had to do it as I am a utilitarian and it would be against my morals to not give the patient the blood they need.

Would you want to die because of a faulty blood transfusion? Angela was not able to choose which bag of blood the doctors ordered after the car accident. The hospital should’ve had more preventive measures of screening the blood prior a person receiving the donation. Since the hospital obviously didn’t test blood, Angela contracted Hepatitis C. The Hepatitis C virus attacked the liver cells, which cause Angela to become jaundice and eventually needed a liver transplant. Angela has been on the liver transplant list for over 2 years in comparison to Chris that has

A total of 100 subjects were included in this study, including 50 patients presenting with B-CLL, and 50 healthy subjects as a control group matched in age and sex.

Blood transfusion are not new to the mechanical world, but now with advances through technology it has become a much more common practice. With any advancement comes an ethical struggle to accept, understand, and perfect. Currently, there are many difficulties when it comes to administering blood transfusions. Blood is the basis for our existence, some believe it is more than just what keeps us alive but it is the center of our spiral soul, and as a result controversies of religious right, medical obligation, legal responsibility, and moral imperative.

The AIDS epidemic in late 80 's was a huge disaster for blood transfusion where patients contracted AIDS. Furthermore, surveillance programs were developed to monitor infections transmitted by blood, primarily Hepatitis and HIV. Regardless of advances technology recently, blood transfusions are not risk free and are expensive - one unit can cost $522-1183. Then, they must not be ordered routinely. Transfusions are under approved practices, such as, red blood cell transfusions are ordered to treat anemia, red blood cells and cryoprecipitate transfusions are commonly given to trauma patients or critically ill. Today, the most number of transfusion infections is caused by hepatitis B causing liver infections. The risk of Hepatitis B and C as well as HIV requires rigorous screening especially in underdeveloped counties, for instance Nigeria.

​Although 38% of the U.S. population is eligible to donate blood, less than 10% of them do it annually (American Red Cross). More than 41,000 blood donations are required each day by patients in hospitals across America. A pint of donated blood can save the lives of up to three people. Blood transfusions’ are fundamental in the healthcare management of patients in the U.S. According to the National Heart, Lung, and Blood Institute every year approximately 5 million Americans need blood transfusions. Those patients requiring blood transfusions include accident victims, cancer patients, surgery patients and those suffering from illness such as anemia and hemophilia. However, blood is not manufactured in laboratories and therefore all patients in need of blood transfusions rely on donors. Regardless of the countless health benefits that patients requiring blood transfusions get the donors also acquire some medical benefits. Such as free medical checkups before donation, ionic balance in their bod and the reduced risks of getting heart disease making the benefit mutual.

Blood donation in India started in 1942 during the 2nd world war and was aimed to help wounded soldiers. In 1954, a social reformer initiated voluntary blood donation camps. The next milestone was the declaration of October 1 as the Blood Donation Day in 1975. But this was followed by a major setback in 1980 with the emergence of AIDS. This created a fearful environment amongst the general population towards donating blood and receiving a transfusion due to the risk of getting infected. Even after almost 4 decades of development of various techniques for obtaining blood via closed collection system in a sterile environment and screening for various transfusion-transmitted infections (TTI), the fear of contracting “some sort of infection” is persistent. This misconception has been one of the major roadblocks to building a strong base for VBD.

Blood donation in India started in 1942 during the 2nd world war. It was aimed to help wounded soldiers. In 1954, a social reformer initiated voluntary blood donation camps. The next milestone was the declaration of October 1 as the Blood Donation Day in 1975. But this was followed by a major setback in 1980 with the emergence of AIDS. This created a fearful environment amongst the general population towards donating blood and receiving transfusion due to the risk of getting infected. Even after almost 4 decades of development of various techniques for obtaining blood via closed collection system in a sterile environment and screening for various transfusion-transmitted infections (TTI), the fear of contracting some sort of infection is persistent. This misconception has been one of the major roadblocks to building a strong base for VBD.

The worst case scenario takes place when the blood banks in that area doesn’t contain the required blood group. The time gets wasted and also in the end you do not get what was required.