If the plasma isn’t ordered or transfusion of plasma does not occur, please complete the Discharge/No Transfusion Form, citing the reason(s) the transfusion did not occur.
If a patient has multiple transfusions within 12 hours, only one Transfusion Form needs to be completed. If transfusing one unit of plasma: The Transfusion Form should start with the beginning of the transfusion period and include the 4-hour window following the transfusion. Thus, if the transfusion requires 1.5 hours for completion, the Transfusion Form represents a 5.5-hour period.
If transfusing two units of plasma: The Transfusion Form should encompass the time between the beginning of the transfusion of the first unit and 4-hours following the completion of the transfusion of the second unit. Thus, if the first transfusion requires 1.5 hours for completion, the second transfusion requires 1 hour, and there is a 4 hour break, the Transfusion Form will represent a 10.5-hour period.
If a patient has multiple transfusions more than 12 hours apart, one Transfusion Form should be completed for each plasma transfusion.