Page 53 - Modul Engslish For Nursing
P. 53

Now, view a video on blood transfusion procedure. After that, tick each action into its stage in
                       blood transfusion procedure.


                                        Actions                              Pre-       During       Post-
                                                                         transfusion  transfusion  transfusion
                Introduce yourself and perform hand hygiene
                Flush IV line
                Use two patient identifiers and verify allergy status

                Provide patient education on procedures
                Measure vital signs when infusion is complete
                Provide patient privacy
                Assure patency of IV
                Discard tubing and blood bag
                Flush IV as needed
                Close normal saline roller clamp
                Hang normal saline flush bag
                Perform environmental safety check
                Verify MD order
                Monitor patient for adverse reactions
                Set pump to deliver blood less than 2ml/ minute for 15 minutes
                Disconnect blood tubing
                Verify blood product before the transfusion
                Spike blood bag and open blood roller clamp and prime tubing
                Spike normal saline bag and prime tubing; filling blood-filter



                 Language Focus: Confirming Post-transfusion Reactions & Symptoms



                 After having a blood or blood product transfusion, patients may experience some physical reactions or
                 common symptoms. Here are some expressions useful for nurses to assess patient    .
                 Present Simple Tense
                 a. Asking for ongoing conditions
                      How are you feeling right now?
                     "Are you feeling any different than before the transfusion?"
                     "Do you feel any itching or tingling on your skin?"
                     "Do you feel dizzy or nauseous at the moment?"
                 b. Asking about ongoing sensations
                     "Are you experiencing any discomfort/ itching/ rash/ shortness of breath in your chest?"
                     "Do you notice any unusual warmth in your body?"
                     "Are you feeling short of breath or having trouble breathing?"
                     "Do you feel any heaviness in your legs or arms/ dizziness/ chill/ discomfort?"

                 Present Perfect Tense
                 Asking about experiences or changes since the transfusion began
                      Have you noticed any redness/ swelling/ rash on your skin?
                      Have you felt more tired than usual since the transfusion?
                      Have you felt any changes or discomfort in your body after the transfusion?
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