1 The Bloodhound transfusion process for ALL blood products stored in the fridge. (Whenever reading barcodes start close and move away slowly, if not picked up at first keep trying) At Computer Find a PC and log in (icon is a jug of blood and a tick) Username is the barcode number on your badge Password is only ever 4 numbers. (If you have forgotten your password or need a new Username number then contact your ward manager, or Amanda Gould Bleep 5164, or night sister) Click on View Blood by Patient Type in patient’s hospital number press search If this is the correct patient press select patient Press View blood for patient If there is blood available check the location (it could be A&E fridge, Ortho theatre or main theatre fridge or in transit) Press Generate PDF ward collection slip Press open Choose to print NB if there is a tick in (AUTO-ROTATE AND CENTRE) UNTICK! NB if there is a choice landscape or portrait - choose portrait Print Go to the fridge with your ID badge and the collection slip. Bloodhound User Guide V4 From 27/01/2016 Author: A Gould 2 AT THE FRIDGE. Touch the screen to wake it up. (BE aware of the countdown timer at every screen!) Press scan and hold your ID badge up to be read. Enter your password number. Press next Press take blood out Scan the barcode on the collection slip Check the details and press confirm If there is a list choose the top one and press select select) (remember the unit number you Remove the unit and press the green tick Scan the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Check the details and press confirm Press next Press finish Press log off (The blue slider at the top, will time out any screen if you do not touch anything before it gets to zero, about 1 min.) NOTE THE 30 MINUTES STARTS NOW. YOU MUST HAVE STARTED THE TRANSFUSION BEFORE 30 MINUTES IS UP. IF YOU TAKE 30 MINUTES 1 SECOND THE SYSTEM WILL NOT LET YOU TRANSFUSE. If you need to - return blood to the fridge within 30 mins. To return blood to the fridge – (at the fridge) Log in and press blood in and follow prompts. Bloodhound User Guide V4 From 27/01/2016 Author: A Gould 3 If blood components arrive on the ward….start here…. WARD RECEIPT On the ward use a PDA (handheld device) and login ID badge barcode is your username, scan with yellow button. Enter your password – numbers only. Press ward receipt Select your ward - press green tick With the barcode reader, read the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Press green tick correct Press green tick confirm TAKE OBSERVATIONS BASELINE (If you have not done a ward receipt first- then the PDA will not let you proceed.) Press take observations Using the barcode reader (yellow button) to scan the patient’s wristband - check it is correct and press green tick correct Using the barcode reader scan the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Choose baseline observations press green tick Enter values for: BP (systolic) enter the number BP (diastolic) enter the number Temperature Heart Rate Respiration Sats. (If the result is not within a normal range - a message will appear and will give a second chance to change it- in case the value is incorrect) Observations complete press green tick finish Bloodhound User Guide V4 From 27/01/2016 Author: A Gould 4 BEGIN TRANSFUSION (Ensure you have done ward receipt and pre-transfusion obs first) Choose Begin transfusion Is the administration set ready? press yes (ensure you have a blood giving set with filter) Have you flushed the cannula? yes / no What is the most recent Hb (Haemoglobin) Observer – scan the 2nd checker ID badge barcode Using the barcode reader read the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Scan the patient’s wristband Ready to begin press yes (Note pops up telling you when the 15 min obs are due.) Press green tick finish (The PDA will make a noise, not loud, after 15 mins and tell you the obs are due you can ‘snooze’ this up to 3 times before it will trigger an alarm in the lab) TAKE OBSERVATIONS 15 MIN Press take observations Scan patient’s wristband Press green tick correct to confirm details Using the barcode reader read the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Choose 15 minute observations press green tick Enter values for the following: BP (systolic) BP (diastolic) Temperature Heart rate Respiration rate Sats. Observation complete press green tick finish **Remember to complete the final obs on the system before disposing of the bag.** Bloodhound User Guide V4 From 27/01/2016 Author: A Gould 5 TAKE OBSERVATIONS FINAL (to complete transfusion on the system) Press take observations Scan patient’s wristband Press green tick correct Using the barcode reader read the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Choose 15 minute observations press green tick BP (systolic) BP (diastolic) Temperature Heart rate Respiration rate Sats. Observation complete press green tick finish The unit is now completed on the system so DO NOT PRESS ‘end transfusion’. Discard the empty bag in the yellow bag waste system. If you do press ‘End transfusion’ before the final observations then you cannot insert the final observations and an error message will occur saying ‘fate is used’. END TRANSFUSION If you press ‘End transfusion’ then ensure the final obs are recorded somewhere else as you will not be able to enter them on bloodhound. Press end transfusion Using the barcode reader read the donation number (the top left G095 … etc) Scan the product code (the small barcode beneath with the volume next to it) Scan the patient’s wristband End the transfusion press yes The transfusion is now ended press green tick finish Bloodhound User Guide V4 From 27/01/2016 Author: A Gould 6 Procedure for taking blood samples using the electronic Bloodhound system. EAST Cheshire NHS Trust has instituted an electronic system for taking blood samples in order to make the process significantly safer and more efficient. The yellow buttons on the front and both sides operate the laser barcode reader. For all other operations use the touch screen. If the screen is blank touch the screen. When using the barcode reader, press and hold the yellow button, hold the reader close to the barcode and move away slowly. The reader will go off when it reads the barcode. Log in using your barcode, read it by pressing a yellow button and pointing the laser reader. 1. Enter your password. 2. Press confirm 3. Choose ‘phlebotomy’. 4. Choose printer by pressing ‘OK’. 5. Choose ward press ‘tick’. 6. Read the patients wristband by pressing a yellow button and pointing the laser. 7. Verbally confirm the details or press ‘patient unconscious’ and press ‘confirm’. 8. Choose number of labels and press ‘print’. 9. Press ‘OK’. 10. NEVER VERIFY THE LABEL BEFORE TAKING THE SAMPLE. 11. NEVER APPLY THE LABELS TO THE SAMPLE TUBE BEFORE TAKING THE BLOOD. 12. NEVER TAKE THE SAMPLE BEFORE CARRYING OUT THE ABOVE ELECTRONIC PATIENT CHECK. 13. Take the blood sample, apply the label and read the label with the laser this verifies the label. 14. Check the number is ‘verified’ and press ‘confirm’. 15. Press ‘ok’. Once a member of staff has been deemed competent with the system all future transfusion samples must be taken using the system, all other samples may also be taken using the system. Trouble shooting problems: 1. The PDA logs out of the patient sampling. You have taken over 15mins. Restart from the beginning but do not leave the patient 2. The PDA will not validate the labels. The cursor is not in the correct place. Tap in the box below the outstanding and verified boxes. Bloodhound User Guide V4 From 27/01/2016 Author: A Gould
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