SOP Thalassemia Day care Centre Paediatrics
- All patients of Thalassemia have to be registered with Thalassemia day care center.
- Sister I/C shall call 3 to 4 patients for regular blood transfusion as per appointment on day care basis
- Prior to admission each patient will be screened by taking weight, height and vitals like temperature, pulse rate, BP and respiratory rate by staff nurse /JR.
- Patient’spretransfusionsampleforCBC,crossmatchingandKFTwillbetakenbyJR/Staff nurse and sent to lab & blood bank along with requisition for fresh blood (PBRC) of less than 7 days.
- After getting the CBC report and cross matched fresh blood, JR on duty will cross check and verify the blood prior totransfusion.
- Leukocyte filter will be used for blood transfusion to avoid any adversereaction.
- Patient’s vitals will be monitored during transfusion and recorded on case sheet by resident on duty. Any adverse reaction has to be appropriatelymanaged.
- After the completion of the blood transfusion, I/V cannula and blood transfusion bag will be disposed of as per biomedical waste protocol.
- Discharge slip will be prepared by residents Doctor mentioning the transfusion details, investigations done and oral chelation treatment to begiven.
- Appointment for next blood transfusion will be given to each patients and noted in the diary/register kept with sister and marked oncalendar.
- Serum Ferritin level will be done at 3 to 4 monthsinterval.
- All adolescent patients will be screened for complications by thyroid function test and ECHO along with regular ENT & ophthalmic checkupannually.
Outpatient Department (OPD)
- Registration for Pediatric OPD is done on second floor of OPD block. No registration charges are applicable for infants (less than one year ofage).
- Children attending Pediatric OPD are seen in Room No. 311, 313, 314, 315, 316,317, 318 and319.
- Immunization is done in Room No.310
- All infants are screened for malnutrition and dietary counseling done in Room No. 312
- Patients are to be sent for investigations to relevant departments like Radiology, Pathology, and Biochemistry etc. after making requisition inHIS.
- As far as possible medicines should be prescribed from HospitalPharmacy.
- All doctors involved in OPD care are required to maintain records of modifiable diseases.
- Efforts should be made to maintain cordial relations withpatients.