The solution to the puncture of the blood transfusion bag
Sometimes hospital nurses will accidentally puncture the blood transfusion bag when transfusion of blood to the patient. What should be done at this time? If it is not handled well, it will cause damage. The following is a small series for everyone to talk about the solution to the puncture of the blood transfusion bag, I hope to help everyone.
The solution to the puncture of the blood transfusion bag
First, stop the current operation immediately.
Then, actively take the following remedies:
1. indwelling needle application paste method
The blood transfusion bag was punctured, and the blood bag was damaged by the sterile application of the fixed vein indwelling needle to make up for the loss, and the blood transfusion was continued to avoid blood wastage.
Method: Keep the blood transfusion needle at the blood bag socket, and do not remove it to avoid contaminating the blood components in the blood bag. Remove the blood bag and place the blood bag socket end up. Use the iodophor to disinfect the puncture site of the blood bag 2-3 times, the diameter of the disinfection site ≥ the diameter of the puncture site is 3cm. Remove the blood transfusion device and select a new blood transfusion device to insert the blood transfusion bag socket according to the aseptic operation specification to avoid puncture again. Use the iodophor to disinfect the puncture site again according to the above disinfection method. After the disinfectant is completely dry, use a sterile indwelling needle to apply the puncture site, and paste it evenly without bubbles. If the paste is not tight, it is prone to oozing.
2. aseptic infusion paste method
Method: After the blood transfusion bag was punctured, immediately stop the needle insertion, gently hold the blood bag vertically in the hand, use a 5% iodophor cotton swab to disinfect the damaged part and the surrounding diameter of 5mm, wait until dry or use a sterile dry cotton swab. Dry, then use the sterile infusion paste (infusion fixed needle eye) paste, gently flatten the tape end with your finger, replace the blood transfusion device, you can continue blood transfusion.
3. Replace the blood transfusion container method
Some literatures have shown that the clinical emergency treatment of blood bags during blood transfusion can also be done: can the blood bag not be punctured? Immediately vacate a sterile infusion bottle and use the large syringe in the blood bag. After pumping out, push in or pour blood into the infusion bottle for intravenous infusion. However, this method tends to increase the chance of hemolysis and requires careful handling.
4. hemostasis clamp closed method
Method: Stop the puncture immediately, keep the needle of the blood transfusion device at the blood bag socket, and do not remove the needle to prevent the blood from contaminating the blood components in the blood bag. Flat blood bag, properly raise the blood bag socket to prevent blood products from flowing backwards. Immediately close the puncture site with a sterile hemostatic forceps to keep the blood bag completely closed. Routine disinfection blood bag socket B end, change another blood transfusion device, carefully insert, open the regulating valve, you can continue to infusion blood products.
The above is an introduction to the solution to the puncture of the blood transfusion bag. I hope that everyone can understand the solution to the puncture of the blood transfusion bag and it will help everyone.
