Blood transfusion


These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital. They are not strict protocols, and they do not replace the judgement of a senior clinician. Clinical common-sense should be applied at all times. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinicians should also consider the local skill level available and their local area policies before following any guideline. 

Read the full PCH Emergency Department disclaimer.

This guideline is for the Transfusion Medicine Service at Perth Children's Hospital (internal WA Health only).

It has all the links to the PCH Haematology Transfusion Medicine Protocols (internal WA Health only).

These guidelines are based on the national and international blood transfusion guidelines and are intended to promote better and safer transfusion practice.


  • The PCH Haematology Transfusion Medicine Protocols (internal WA Health only) provide information about:
    • Prescribing Blood Components
    • Requests for Pre-Transfusion Testing
    • Urgent and Emergency Blood Transfusion Requests
    • Issue of Blood Components During Normal Working Hours
    • The Issue of Blood Components from the PCH Transfusion Medicine Unit Outside Normal Hours
    • Checklist before a blood product is issued by / collected from the transfusion medicine unit or satellite refrigerator
    • Pre-transfusion Bedside checks
    • Administration of Blood Components
    • Care and Monitoring of Transfused Patients
    • Documenting the Transfusion
    • The Management and Reporting of Adverse Events
    • Fresh Blood Components
    • Plasma Derived Blood Components and Synthetic/Recombinant Products
    • Directed Donation Policy
    • Receiving Blood With a Patient Transfer

Endorsed by:  Director, Emergency Department   Date:  Mar 2018

 Review date:   Feb 2021

This document can be made available in alternative formats on request for a person with a disability.