This is why it is critical to observe the patient continuously during this period and obtain vital signs 15 minutes into the transfusion. Please note that pre-infusion and 15 minute vital sign documentation now includes temperature, blood pressure, heart rate, respiratory rate and O2 saturation.

• In Pediatrics, closely observe the patient for the first 15 to 30 minutes of the infusion.
  
  
• In neonates, monitor the patient at least every 1 hour until transfusion is infused.

Patients may not leave the unit with blood products running unless accompanied by an RN or MD, and only in emergency situations or pre-procedure (ie Head CT to R/O bleed).

Always document vital signs at the completion of the transfusion on the Blood Bank Transfusion Record as well.

UCSF Medical Center - Special Procedures: Blood Transfusion Reactions - 2 -