Blood Administration VS

Audit vital sign documentation compliance with blood administration.


Which department are you completing this survey for?

Name of the employee observed:

Patient MRN?


Date/Time of Transfusion

Date/Start time from Lattice


Are VS documented at baseline?

Within 30 minutes of the start of transfusion.


Are VS documented 15 minutes into infusion of each unit?

(Within +/- 3 min.)


Are VS documented hourly during infusion?

Are VS documented upon completion of transfusion?
Does the end time in the flowsheet match the end time in Lattice?

Do all VS include all required elements?

Temp, RR, HR, BP

What vital sign was omitted and when?