Page 82 - PJ MED OPS Handbook 8th Ed

12. Tape
13. Op-site
14. Constricting band
15. 18 gauge hard needle
Steps:
Collection process
1. Clamp line on collection bag prior to removal of cap
2. Place collection bag on ground
3. Place constricting band on extremity
4. Prep injection site
5. Insert 16 gauge catheter into donor arm
6. Attach PRN adapter to 16 gauge catheter (ok to use steel needle if required)
7. Remove cap from collection needle
8. Save cap from needle
9. Insert needle into PRN adapter
10. Remove clamp from collection line
11. Observe blood flow into collection bag
12. Rock the collection bag back and forth occasionally during the filling process (this motion dis-
tributes the anticoagulant evenly throughout the blood)
13. Mark bag with donors name and time of collection
14. Secure line to donors arm
15. Leave constricting band on (should only restrict venous flow)
16. Field indicators the collection bag is full
a. Field expedient method: 9.5 inch piece of string wrapped around bag – the ends should just
touch or slightly overlap
b. Field expedient method: Bag should feel stiff with large dimples on the sides
17. Clamp the line on the collection bag
18. Remove needle from PRN adapter
19. Carefully recap collection needle
20. Tie two overhand knots tightly in the collection line close to the bag
21. Cut collection line between the knots
22. Discard collection line and needle
23. Insulate blood bag from extremes in heat or cold
Infusion process
1. Record a baseline set of vital signs from the recipient to include (at a minimum):
a. Temperature
b. Pulse
c. Respiratory rate
d. Blood pressure
2. Connect blood administration set to bag of normal saline and flush all extensions with saline
(this action prevents blood from adhering to the transfusion line)
3. Connect blood bag to unused line on blood administration set, prime the line and half fill the
upper chamber
4. Start 2 IV sites in recipient if not already

80 n Pararescue Medical Operations Handbook / 8th Edition