j a a HIGHLAND HosPiTAaL clealeal STRONG MEMORIAL HOSPITAL PATIENT CARE ORDERS FOR BLOOD TRANSFUSION SH 598 MR HT (em): ____W¥ (kg): ‘An Indication must be written for: + All|prn orders: = Cytotoxic agents, when not being used for treating malignancy DO NOT USE ABBREVIATIONS: U, 100.0, 0.00, Trallng rer (KO mg), Lack of leading zero (XX mg), MS, MSO., MgSO., ug. TLW.. AS. AD. AU. Acetaminophen Allergies/Sensitivities ‘Adverse Reactions [>= pene TESTER 650 mg PO x1 premed Diphenhydramine Date & Time NON-DRUG ORDERS [ADMIT TO (tending MD and Foor baal 7 ae ale eye are ee or Diagnosis: SRATORETTE STR (Standing Order [1 One Time Order Diphenhydramine 25 mg Ww x1 prn (may repeat x 1) Transfusion reaction/hives Ti Type and sereen blood Z Insert peripheral intravenous catheter for blood transfusion D Transtuse via central venous catheter Cy ADMINISTER PREMEDICATIONS WITH EACH TRANSFUSION. |. PLATELET TRANSFUSION iTranstuse ____ units random donor platelets over approximately 45 minutes Meperidine OTranstuse Units single donor platelets over approximately 45 minutes fe Toure FRESTENCT (DTranstuse Units human leukocyte 25 mg Vv x1 pm {Transfusion reaction/rigors antigen (HLA) matched platelets over ‘approximately 45 minutes Hold for Platelets = I, RED BLOOD CELL TRANSFUSION (Transtuse ___ units packed red blood cells, ‘each unit over approximately 2 hours iTranstuse ____units washed red blood cells. ‘each unit over approximately 2 hours Discontinue intravenous infusion after transfusion ‘complete Diitold tor Her > [1 DISCHARGE PATIENT AFTER TRANSFUSION COMPLETE. Signature! SRT FSET Title SIGN EACH SET OF ORDERS AND INDICATE DATE & TIME