Page 42 Blood Transfusion Policies and Standard Practices 13. Complete the transfusion reaction report form Page 43 Blood Transfusion Policies and Standard Practices 14. A temperature rise of 1.50F or 1.00C from the baseline is considered a febrile reaction that must be worked up. The fever may occur during the transfusion or in the immediate posttransfusion period. It must be determined if the fever is related to underlying disease or infection or from an acute hemolytic transfusion reaction.
Fever is the most frequent symptom of an acute hemolytic transfusion reaction.
The transfusion must be stopped and the physician and the blood bank must be notified. Tylenol may be administered with a physician's order. Blood specimens from the patient that may be needed to rule out the acute hemolytic transfusion reaction include 10ml in a large red top and 5 ml in a large purple top tube. Standard Practices Page 5 Circular of Information for the Use of Blood and Blood Components 15. Patients should not be transported to appointments with blood components infusing unless there is a nurse that can travel with the patient and monitor the patient and the blood.