N.J. Admin. Code § 8:8-10.2

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:8-10.2 - Administration of blood and blood components

(a) Blood or blood components for transfusion shall be prescribed by a clinical practitioner.

(b) Identification of the recipient and the blood container shall be as follows:

1. Each transfusion service shall have a written procedure for the positive identification of the recipient and the blood container.

2. At the bedside, immediately prior to transfusion, two qualified individuals (whose qualifications are determined and verified by the medical institution or the transfusing facility in consultation with the blood bank director) shall simultaneously check and match all information identifying the container with the identifying information on the person of the intended recipient and the compatibility testing request slip. If the information does not match, the initiation of transfusion shall be suspended until the discrepancy is adequately investigated and resolved.

3. At the bedside, immediately after the identifying information in (b)2 above is matched, and before the transfusion is initiated, the two qualified individuals that checked this information shall sign the transfusion form to attest that this information was checked and that it matched.

4. All identification attached to the container shall remain attached at least until the transfusion has been completed.

(c) Blood transfusions shall be conducted as follows:

1. Blood and components shall be transfused through a sterile, pyrogen-free transfusion set equipped with a filter appropriate to the component.

2. Warming of blood shall be consistent with AABB Standards and FDA regulations.

3. Irradiation of blood shall be consistent with current acceptable standards of the American Association of Blood Banks or current guidelines issued by the Food and Drug Administration, whichever is more stringent.

4. The recipient shall be observed periodically during the transfusion and for an appropriate time thereafter for potential adverse reactions. At least the pretransfusion, 15 minute, and the post transfusion vital signs shall be recorded on transfusion documentation.

N.J. Admin. Code § 8:8-10.2

Recodified from 8:8-9.2 by R.1989 d.246, effective 5/15/1989.
See: 21 N.J.R. 407(a), 21 N.J.R. 1412(a).
Rule on freezers for blood components recodified as 8:8-11.3.
Amended by 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 the section.
Administrative correction.
See: 38 N.J.R. 2800(b).