Question

In an unconscious patient, the most important parameter to be observed and recorded during transfusion is:

Answer 1

Nursing competence

It is recommended that all nurses at RCH providing care to children receiving blood transfusions have completed the blood transfusion competency package.  You can access the package through your Nursing Competence workbook.

Patient preparation

The patient should be ready for transfusion prior to picking up blood from the blood bank. eg appropriate IV access, consent completed, pre-medication administered if required. 
For any non-emergency transfusion the patient/parents should have had the benefits/risks of transfusion discussed and an opportunity to have any questions answered.  Consent for transfusion should then be documented on a blood transfusion consent form. 
For further information and for parent and patient information see: Consent and Consumer Information Guideline
This video shows the correct blood administration process which should be followed.