Table 1 Aggregate number of steps followed by all teams

Ordering blood components

Check for written and informed consent

2

RN calls TM lab for blood

9

RN stamps TR and indicates # of units

6

RN asks PSA to take TR to TM

10

Obtaining blood from TM

PSA gives TR to MLT and says patient name, location

2

MLT finds product and enters it in computer

10

MLT puts labels on TR

10

MLT enters PSA name and time of issue and gives PSA product

8

Handover of blood to OR

PSA returns to OR after stopping at OR desk

2

PSA confirms product and ID with RN in OR

3

Administration of blood

RN confirms original order

0

Vital signs of patient noted

10

2 clinicians check patient ID armband against TR for medical record number (MRN), name, date of birth (DOB)

4

ID (Name, MRN, DOB) on TR is checked against TM component label and TR

8

Component type checked

5

Check Donor # on RBC label against TM label

10

Check blood group and compatibility status on RBC and TM label

4

Check expiry date, visually inspect blood component

3

One HCP who checked ID band spikes component

10