Page 22 - JSOM Winter 2021

APPENDIX E
Safe-T-Vue Temperature Indicator
SAFE-T-VUE TEMPERATURE INDICATOR 6. Fold WHITE DOT onto the RED DOT and press firmly
together to activate.
Issuing Facility Instructions CAUTION: Be careful to ONLY press on the GREEN
1. Safe-T-VUE 10 is a temperature sensitive indicator that color-coded end to activate properly.
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easily adheres directly to blood bags during transport and CAUTION: It is important to place pressure on the outer
changes color from WHITE to RED when the 10°C indica- edge of the WHITE DOT, and not the center, when pressing
tion temperature has been reached or exceeded. onto the RED DOT to prevent false activation.
a. Safe-T-VUE is non-reversible and indicates that a high 7. Issuing facility will complete documentation on SF 518
temperature condition existed, even if temperature for each blood product unit, place inside GHC pocket and
returns to a lower level. As long as indicator remains secure container.
WHITE, blood may be stored for future use. 8. Receiving personnel will understand color change tempera-
2. Prepare the Safe-T-VUE temperature indicator by refriger- ture indication:
ating for a minimum of 24 hours at 1-6°C. a. When WHITE DOT turns solid RED, temperature has
3. Remove the blood product and one Safe-T-VUE indicator reached ≥10°C
from the refrigerator at the same time and place on a clean • Return blood product to issuing facility (BSD/MTF/
dry surface. LAB)
NOTE: Remove excess moisture from the blood product b. Appearance of SMALL RED DOTS is an indication blood
bag by using a dry wipe/paper towel on the surface where product requires cooling or immediate refrigeration.
the Safe-T-VUE is to be applied. • Return product to issuing facility (BSD/MTF/LAB)
NOTE: Use of cold pack on the surface below the blood for appropriate cooling/refrigeration
product will help to maintain temperature
c. WHITE DOT – product is acceptable for transfusion
4. Hold Safe-T-VUE against the blood product with finger
tips. Peel off the “REMOVE” label to expose the adhesive.
NOTE: Be careful to only handle around the edge of the
indicator to expose RED DOT and WHITE DOT.
5. Attach Safe-T-VUE directly to the lower third of the blood
product bag where there is a large volume of product.
CAUTION: Ensure thawed plasma is at refrigerated tem-
perature (1-6°C) before placing Safe-T-VUE on unit.
NOTE: Be certain the Safe-T-VUE indicator is in complete
contact with the blood component bag being monitored.
No air pockets should be under the indicator (e.g., fold in
the bag; over any labels; or any other obstruction).

APPENDIX F
Pearls For Transfusions

PEARLS FOR TRANSFUSIONS During Transfusion Pearls
1. Transfusion infusion rates can be titrated to slower rates
Pre-Transfusion Pearls
1. Use of 2% Lidocaine (2–3mL) with 0.9% NS is permitted if VS parameters move to appropriate levels (SBP >100;
to flush any IO site prior to blood product transfusion. HR <100; MAP 70-80).
2. Consider pain control measures to reduce tachycardia re- 2. Special attention should be paid to non-compressible inju-
sulting from uncontrolled pain. ries (chest; abdominal; and pelvis) so as to NOT raise the
3. Once removed from storage container blood products will SBP over 90mmHg.
be transfused in under 4 hours 3. Once transfusion is initiated, decrease all other fluids to
4. ONLY USE “Y” filtered blood administration sets KVO rate.
5. If directly involved in patient care, 1 Verifier (Medical Per- 4. In-flight emergencies:
st
son) can direct a non-medical person to be the 2 Verifier a. Contact unit FS or tactical operation center for medical
nd
and record data on the SF518 direction; or
6. DO NOT use blood product if storage container is leaking b. Divert to nearest MTF (Do not delay divert waiting on
or temperature indicator is RED medical direction)
7. **If using enFLow fluid warmer – add IV extension tubing 5. If transfusion is interrupted, record date/time and reason for
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8. DO NOT allow blood warmer to be placed directly on pa- interruption on SF518 if not able to resume within 5 min
tients skin as this may cause burning 6. Under NO CIRCUMSTANCES will other medications or
9. If Thawed plasma is available it should be given prior to IV fluids (to include 3% NS) be introduced through trans-
RBC; normal ratio is 1:1 fusion line.
7. Blood output temperature from a warmer device WILL
NOT EXCEED 42°C (107°F)

20 | JSOM Volume 21, Edition 4 / Winter 2021