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ASSESSMENT CRITERIA FOR ADMINISTRATION OF BLOOD AND

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ASSESSMENT CRITERIA FOR ADMINISTRATION OF BLOOD AND Powered By Docstoc
					                    ASSESSMENT CRITERIA FOR
  BLOOD TRANSFUSION: ADMINISTRATION OF BLOOD AND BLOOD COMPONENTS


Name of Candidate                                       Name of Assessor
Band:                                                   Band:
Job Title / Dept:                                       Job Title / Dept:
(Print details clearly in BLOCK capitals)


e-learning completed                                                              YES / NO
           TM
Oras Gold , Level 1, all modules
Date completed:


KSF Links: IK3 Level 2, HWB7 Level 3, HWB7 Level 4
Skills for Health National Workforce Competence CHS101/102/103


At least 1 observational assessment must be performed to assess candidate competence. If
there are any concerns or ‘no’ has been entered in any area of the assessment process another
observational assessment must be completed, and repeated until fully competent.

Observational assessment
Did the candidate meet the following criteria?
Confirm that:                                       Assessment 1   Assessment 2              Comments
                                                    Date:          Date:

                                                      YES / NO       YES / NO
The child to be transfused is wearing a wristband
or approved alternative. The wristband contains:
      family name and first name
      date of birth
      hospital number
Perform preliminary checks to include:
     child/parent understanding and
        agreement to transfusion
     suitable venous access
     suitably completed Blood Transfusion
        Prescription Chart
Arrange collection of blood / blood component:
     child minimum dataset given to person
        collecting blood / blood component
            o family name and first name
            o date of birth
            o hospital number
     name and telephone number of person
        requesting collection
     destination for blood / blood component

Blood Administration Competency Assessment Form                                        Version 5
Page 1 of 4                                                                  Issued January 2011
                                                                        Review date January 2013
Confirm that:                                        Assessment 1   Assessment 2            Comments
                                                     Date:          Date:

                                                       YES / NO       YES / NO
     level of urgency
On receipt of blood / blood component
     blood / blood component checked to
        ensure for correct child
     collection form completed and returned to
        porter / sent to Blood Transfusion
Check the component for suitability to include:
     visual quality checks
     checking the unit number on the
        compatibility label and blood component
        bag are the same
     expiry date
     check blood group on component bag are
        compatible with those of the child
     special requirements are met
At the bedside:
     check the child’s wristband or alternative
     check prescription chart
     check child’s details are the same on
        blood component bag, prescription chart
        and pink form
     blood component connected to pump /
        syringe appropriately
     correct rate set
     recheck child’s wristband prior to
        commencing transfusion
Complete traceability documentation
Return traceability information to the transfusion
laboratory

Observations:
Pre transfusion (up to 1 hr before
commencement) of each component:
      temperature
      pulse
      respiration
      blood pressure
15 minutes after commencement of transfusion:
      temperature
      pulse
      respiration
      blood pressure
On completion of transfusion:
      temperature
      pulse
      respiration
      blood pressure

Blood Administration Competency Assessment Form                                         Version 5
Page 2 of 4                                                                   Issued January 2011
                                                                         Review date January 2013
Confirm that:                                     Assessment 1   Assessment 2              Comments
                                                  Date:          Date:

                                                    YES / NO       YES / NO
Start and stop time, unit number recorded on
Blood Transfusion Prescription Chart and
observation chart
Adverse reactions dealt with appropriately
Standard hand hygiene observed
Packs disposed of appropriately


Knowledge assessment
Date:
Did the candidate demonstrate an understanding of the importance of the following
points?
    1. Importance of correct patient identification?                            Yes / No
    2. Suitable venous access availability prior to requesting collection
          of blood / blood components?                                          Yes / No
    3. Suitably completed Blood Transfusion Prescription chart, including
          completion of special requirements and consent boxes                  Yes / No
    4. Pre transfusion check., including compatibility and
          special requirements                                                  Yes / No
    5. 30 minute rule once collected from appropriate storage                   Yes / No
    6. Bedside checking procedure                                               Yes / No
    7. Legal requirements for traceability                                      Yes / No
    8. Accurate documentation                                                   Yes / No
    9. Procedure for dealing with adverse reactions                             Yes / No
    10. Incident reporting procedure                                            Yes / No
Comments:




All the above criteria must be achieved to gain competency
If competency not gained:
         Manager must give clear feedback
         Re-assessment date to be arranged after further training, which must include
          completing the Administration of Blood and Blood Components Competency
          Assessment Workbook

Blood Administration Competency Assessment Form                                      Version 5
Page 3 of 4                                                                Issued January 2011
                                                                      Review date January 2013
        Candidate assessed as competent
        Candidate NOT competent, referred to complete the Administration of Blood and
         Blood Components Competency Assessment Workbook


Signature of Assessor ………………………………………………..Date…………………….


Re-Assessment Date:
        Candidate assessed as competent


Signature of Assessor ………………………………………………..Date…………………….




I agree that I have sufficient current knowledge and understanding of the Blood
Transfusion process and feel that I am competent to practice.


Signature of Candidate ……………………………………………….Date………………….…


If you feel that you do not have sufficient current knowledge and / or skill you
must discuss this with your line manager and complete the Administration of
Blood and Blood Components Competency Assessment Workbook before signing
to indicate that you are competent.



 For Office Use:

 Education & Training Department notified                           Yes / No
 Specialist Practitioner of Transfusion notified                    Yes / No
 Skill added to personal record on Trust Training Database          Yes / No


 Checked by (Print name) ……………………………… Signature………………..………………Date…………….




Blood Administration Competency Assessment Form                                  Version 5
Page 4 of 4                                                            Issued January 2011
                                                                  Review date January 2013

				
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