A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAM ON KNOWLEDGE REGARDING EXCHANGE BLOOD TRANSFUSION AMONG NURSES WORKING IN PEDIATRIC UNITS OF M.S.RAMAIAH MEDICAL TEACHING HOSPITAL AND M.S.RAMAIAH MEMORIAL HOSPITAL, BANGALORE.

A Study to Assess the Effectiveness of Planned Teaching Program on Knowledge Regarding Exchange Blood Transfusion Among Nurses working in Pediatric Units of M.S.Ramaiah Medical Teaching Hospital and M.S.Ramaiah Memorial Hospital, Bangalore.” Introduction: Exchange transfusion is a potentially lifesaving procedure that is done to counteract the effects of serious jaundice or changes in the blood due to diseases such as sickle cell anemia. The procedure involves slowly removing the patient's blood and replacing it with fresh donor blood or plasma. The types of exchange blood transfusion are1) Partial exchange transfusion: is typically performed for Polycythemia (HCT>65%) that may be due to : delayed clamping of the cord , twin – twin transfusion, maternal – fetal transfusion , iatrogenic transfusion , and increased RBCs production in utero due to hypoxia. It consists of removing whole blood and replacing it with albumin, plasma, or normal saline to lower the HCT to approximately 55%.2) Single blood volume exchange :using (80 – 100 ml/Kg) and usually performed for anemia with heart failure (i.e. hydrops fetalis) 3) Double volume exchange: (160 – 200 ml/Kg of blood). Usually performed for severe hemolytic disease of newborn. Exchange transfusion is usually done through umbilical venous catheter taking 5 – 10 ml/Kg of blood out at a time and replacing it ml for ml. Objectives: To assess the pretest level of knowledge on exchange blood transfusion among nurses. To evaluate the effectiveness of planned teaching programme on knowledge regarding exchange blood transfusion among nurses. To find the association between the post test level of knowledge with elected socio demographic variables. Methods: The study to assess the effectiveness of planned teaching programme on knowledge regarding exchange blood transfusion among nurses working in pediatric units of M.S.Ramaiah Medical Teaching Hospital and M.S.Ramaiah Memorial Hospital, Bangalore. Non-probability convenient sampling technique was used and 50 staff nurses working in pediatric units of M.S.Ramaiah Medical Teaching Hospital and M.S.Ramaiah Memorial Hospital were assessed. Results: The results of the major findings indicated that staff nurses had inadequate knowledge in various aspects of exchange blood transfusion. Planned teaching programme was found to be very effective. The mean post-test knowledge is significantly higher than the mean pre-test knowledge scores, ‘t’ value is 15.241 which was highly significant at P<0.001. Conclusion: The study concluded that the planned teaching program on exchange blood transfusion was an effective method in providing knowledge and help staff nurses to provide effective nursing care.