Transfusion reaction — what to do
Purpose of this sheet: essential emergency care landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Exam relevance: In emergency situations, the OIIQ verifies the ability to recognize clinical deterioration and act using the ABCDE approach. — Clinical landmarks — 1. Stop the transfusion immediately 2. Keep the vein open with normal saline through NEW tubing 3. Take vital signs and assess 4. Notify the physician and the blood bank 5. Return the bag and the tubing to the blood bank 6. Send the requested blood and urine samples 7. Document the time, the volume infused and every finding Acute hemolytic reaction: fever, chills, low back pain, red urine, hypotension, within minutes. — Remember — Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. Keywords: emergency, ABCDE, prioritization, resuscitation, clinical deterioration, OIIQ exam, OIIQ exam prep, OIIAQ exam prep, nurse in Quebec, NursEduc.