N.J. Admin. Code § 8:8-9.2

Current through Register Vol. 56, No. 9, May 6, 2024

Section 8:8-9.2 - Suspected transfusion reactions

(a) Each blood bank and transfusion service shall have a system for detecting and evaluating suspected adverse reactions to transfusion.

(b) All suspected transfusion reactions shall be evaluated promptly.

(c) In the event of a suspected transfusion reaction, the staff attending the patient shall:

1. Immediately notify the blood bank and the responsible clinical practitioner. All instructions for the evaluation of the suspected reaction shall be documented; and

2. Note the reaction in the patient's medical record and on the blood transfusion documentation.

(d) If an acute hemolytic transfusion reaction is suspected, the transfusion shall be discontinued and the blood bank staff shall:

1. Check labels on the blood container and all other records associated with the transfusion to detect clerical errors in identification;

2. Retype the post transfusion reaction sample for ABO group and Rh typing and compare the results to the pretransfusion results;

3. Inspect the post reaction plasma or serum for evidence of hemolysis and compare the appearance with the pretransfusion sample and record results;

4. Perform Direct Antiglobulin Test (DAT). If the result is positive, compare the result with the pretransfusion sample; and

5. If discrepancies or adverse results are identified in (d)1 through 4 above, notify the blood bank director immediately.

(e) The blood bank shall have a written procedure that specifies the additional tests that need to be performed when discrepancies or adverse results exist.

(f) The blood bank shall have a procedure in place to ensure that blood is not released for transfusion while the suspected transfusion reaction investigation is in progress, unless approval is received from the blood bank director and this approval is documented.

N.J. Admin. Code § 8:8-9.2

New Rule, R.1994 d.350, effective 8/1/1994.
See: 26 N.J.R. 1057(a), 26 N.J.R. 3171(a).
Amended by R.2005 d.283, effective 10/3/2005.
See: 36 N.J.R. 4261(a), 37 N.J.R. 3815(a).
Rewrote former section as (a) and (b); added (c)-(f).