Page 49 - JSOM Spring 2024

FIGURE S2 Cont.

2. Blood administration C P F
a. Blood bag and administration tubing inspected and labeled appropriately (student must fulfill all C
criteria for full credit)
• correct donor information
• inspects foreign debris (cannula tip, etc.)
• inspects for bacterial contamination
• visualizes and palpates for clots
• no kinks or defects in the line
• cap on the end of the line has not been removed or contaminated
• “Administered by” filled
• administration start time noted
b. Prime Y-tubing with blood
b1. Ensure that filter chamber is full and upper chamber is 2/3 full
c. Student verbalizes venipuncture with and demonstrates aseptic technique – cleans 2–3 inch around C
site with Chlora prep for 30s, allows to dry for 30s
d. Blood line hooked directly to catheter C
e. Baseline vital signs assessed and taken q5 min for adverse transfusion reaction. Student will take one
set of actual vitals on “patient” and plot in 1st box of DD 1380.
• Heart Rate
• Blood Pressure
• Respiratory rate
• Spo
2
• Mental status (GCS or AVPU)
f. Prompt student, “Your patient starts to exhibit stridor, distributed hives, angioedema, and erythema.”
Student needs to identify adverse reaction and verbalize appropriate actions
• Discontinue transfusion
• IV diphenhydramine 25mg
• Supportive treatment
• Administer epinephrine 0.3mg IM
g. Blood transfusion complete. Evaluator note stop time: (MM:SS)
Total score out of 23 possible points:
• C is worth 2 points
• All other items worth 1 point
•More than 1 critical failure will result in an automatic failure for the evolution
3. Post-transfusion checklist
a. All rollers clamped
b. All lines and IV access discontinued
c. Donor monitored for 15 minutes for any adverse reactions
d. Sharps and biohazard disposed of appropriately
e. Training site sanitized appropriately

EFWBT in Austere Environments | 47