Administration of Blood and Blood Products

Kingdom of Saudi Arabia

Ministry Of Health
Jazan Health Directorate
Prince Mohammed Bin Nasser Hospital

Nursing Education & Staff Development

Nursing Competency Program

ADMINISTRATION OF BLOOD AND BLOOD PRODUCTS
Employee Name: __________________________ ID No. : ___________________________

Department/Unit: __________________________ Date of Joining: ___________________
Competency Start Date: _____________________
Competency Assessment Instructions – This Template must NOT be altered:

1. All ELEMENTS of the Competency (KSA) must be assessed by the patient bedside.
2. The Assessor is obliged to √ each element assessed in the first column.
3. The Remarks column should only be used to comment when the employee is unable to complete the element being
assessed. The Assessor is required to write a comment e.g. “More preparation needed and will be reassessed on the
date and time”.
Competency Statement :
Ability to SAFELY administer BLOOD and BLOOD PRODUCTS in area of practice. Indicate N/A for any
competency elements that are not relevant to area of practice.
CRN
Knowledge (√each element) Title Date Remarks
Signature
1 State the responsibility in taking consent.
---------- And its importance before proceeding to
Blood Transfusion procedures.
2 State the rationale of BLOOD and BLOOD
PRODUCTS administration and check
---------- physician order and ensure patient has been
cross matched as per policy.
3 Explore the importance of checking the
---------- physician order and ensuring that the patient
has been grouped and cross matched as per
policy prior to order being written.
4 Discuss the patient’s rights to refuse the
---------- administration of BLOOD and BLOOD
PRODUCTS.
5 Describe the process of collecting BLOOD
---------- and BLOOD PRODUCTS from the hospital
blood bank.
6 Describe the completion of the independent
---------- double check process, monitoring time, and
documentation.
7 State accurately the process of proper
---------- identification of patient duing BLOOD and
BLOOD PRODUCTS ADMINSITRATION
8 Discuss pre, ongoing and post patient
---------- assessment during BLOOD and BLOOD
PRODUCTS administration.
9 Discuss the rationale and importance of
---------- making sure that the BLOOD and PLASMA
do not remain separated during
administration.
Approved for Use in 26-June-18 NS Page 1

Ministry Of Health

10 Verbalize signs and symptoms a patient may
---------- have as a result of a reaction to the
administration of BLOOD and BLOOD
PRODUCTS.
11 State the nurse’s role and responsibility
---------- when a reaction is identified.
12 State the process to be used when BLOOD
---------- and BLOOD PRODUCTS collected from
transfusion center is not used for any reason.
13 Discuss the correct storage of BLOOD and
---------- BLOOD PRODUCTS prior to
administration.
14 Discuss the documentation needed for the
---------- administration of BLOOD and BLOOD
PRODUCTS.
15 State nurse's responsibilities towards
---------- administering pre and urgent medications.
CRN
Skills (√ each element) Title Date Remarks
Signature
Demonstrate checking physician order and
1 ensuring that patient has been cross matched
---------- as per policy.
2 Demonstrate process of collecting BLOOD
and BLOOD PRODUCTS from the hospital
---------- blood bank.
3 Complete the completion of the independent
---------- double check process, patient monitoring
time, and documentation.
4 Demonstrate related pre, ongoing and post
patient assessment during BLOOD and
---------- BLOOD PRODUCTS administration.
5 Discuss the role of the nurse and action to be
---------- taken when the BLOOD and PLASMA
separates during administration.
6 Carry out the nurse’s role and responsibility
---------- when a reaction is identified including the
immediate action to be taken, completion of
the necessary reporting procedure and
documentation required.
7 Demonstrate the process when BLOOD or
---------- BLOOD PRODUCTS is collected from the
blood bank and then is returned because it is
not used for any reason.
8 Demonstrate the proper disposal of used
---------- BLOOD and BLOOD PRODUCTS
transfusion set and blood bag.

Ministry Of Health

CRN
Attitude (√each element) Title Date Remarks
Signature
1 Not to be judgmental and accepts patient
---------- response and/or refusal for the administration
of BLOOD and BLOOD PRODUCTS.
2 Ability of nurse to respond professionally and
---------- calmly if a reaction to the administration of
BLOOD and/or BLOOD PRODUCTS
occurs.
3 To be self-aware of limitations in knowledge
---------- and skills and verbalize these with nurse in
charge.
4 To be approachable and open to answer
---------- patient and family's questions.
5 Attentive to overall patient experience e.g.
---------- pain, anxiety and have ability to provide
comfort and emotional support as needed.
6 Demonstrate ability to organize and facilitate
---------- a Reflection Session in and on practice after
an administration of BLOOD and/or BLOOD
PRODUCTS learning opportunity occurs and
activate findings to improve future practice
and response.
Reference, Websites and Training Requirements:
(These must be completed at least 1 month prior to the Competency Assessment. Policies must be numbered
with the Policy Title; Books referenced must state the specific Chapter for employee to read.)
Reference, Websites and Training
www.RnCeus.com
www.heart.org
http:circ.ahajournals.org
www.ihi.org/IHI/Programs/Campaign.
www.ihi.org/IHI/programs/campaign/campaign.htm
http://www.icsi.org/.
http://www.rcplondon.ac.uk/resources/national-early-warning-score-news.
www.nice.org.uk/nicemedia/pdf/CG50FullGuidance.pdf.
EBSCOhost: Early warning scores: effective use.
http://pediatrics.aapublications.org/content/125/4/e763.full.html
http://creativecommons>org/licenses/by-nc-nd/2.5/au/
Review of Medical Records Policy on Blood Transfusion Policy ESR-PC-25
Approved Abbreviation List
Attended In-Service Refresher

Ministry Of Health

Specific Learning Performance Learning Strategies Comments for Follow-up

Opportunity Identified Expectations with Agreed with Deadline Learning Strategies and
Deadline Deadline Date/s
1. 1. 
2.
3.
4.
5.
Competency Completed by: ___________________________________

Designation: _______________________________________________
Date:_____________________
NAME OF EMPLOYEE ID # SIGNATURE DATE COMPETENCY

ASSESSMENT COMPLETED
When completed, the Original must be given to the CRN who will collate the Compliance Rates for the
Unit and before sending it on to the Education Department. The Education Department will collate the
Compliance Rates for the Nursing Services Department. The Original is to be given to the Employee
for their Portfolio and a hard copy kept in the Employee’s Unit and Nursing Department file.
Original – Employee for Portfolio

Copy held by Head Nurse/CRN in Unit
Copy held in Nursing/Education Department

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Kingdom of Saudi Arabia

Nursing Education & Staff Development

Nursing Competency Program

Employee Name: __________________________ ID No. : ___________________________

Competency Assessment Instructions – This Template must NOT be altered:

Approved for Use in 26-June-18 NS Page 1

Nursing Education & Staff Development

Nursing Competency Program

Approved for Use in 26-June-18 NS Page 2

Nursing Education & Staff Development

Nursing Competency Program

Approved for Use in 26-June-18 NS Page 3

Nursing Education & Staff Development

Nursing Competency Program

Specific Learning Performance Learning Strategies Comments for Follow-up

Competency Completed by: ___________________________________

NAME OF EMPLOYEE ID # SIGNATURE DATE COMPETENCY

Original – Employee for Portfolio

Approved for Use in 26-June-18 NS Page 4

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Employee Name: ID No. : _