What is the correct order of steps for a nurse administering a unit of packed red blood cells?

To effectively administer a unit of packed red blood cells, the nurse must adhere to a specific sequence of actions to ensure patient safety and blood product integrity. The correct order begins with starting an intravenous (IV) line. This step is crucial because it establishes the access point through which the blood will flow.

Next, it's important to infuse saline into the IV line before introducing the blood product. Infusing normal saline serves multiple purposes—it helps to maintain patency of the IV line and ensures that the blood product can flow without any compatibility issues caused by other solutions.

After these initial steps are completed, the nurse should then obtain the blood product from the blood bank. This process often involves confirming the patient's identity and matching the blood product to the patient's details to avoid any transfusion errors.

Finally, checking the information on the blood product is essential before administration. This step includes verifying that the blood type and crossmatch details correspond to those of the patient, as well as inspecting the blood product for any abnormalities before it is infused.

This ordered approach minimizes risks associated with transfusion reactions and ensures that all protocols are followed effectively. The sequence reflects both safety and preparation, which are critical in the administration of blood products.