What action should be taken if emergency ward staff cannot receive a unit of red cells?

In the scenario where emergency ward staff cannot receive a unit of red cells, the appropriate action is to immediately return the unit to the transfusion laboratory. This is critical for several reasons. The integrity and safety of the blood product are paramount; leaving the unit in an uncontrolled environment could compromise its viability and increase the risk of bacterial contamination or temperature changes that affect the product.

Returning the unit ensures that it is properly stored according to safety protocols, thereby protecting patient safety and adhering to regulatory guidelines. Transfusion services have specific protocols for handling blood products, and returning the unit allows the laboratory to re-evaluate it for future use under controlled conditions. This action prioritizes patient safety and institutional compliance with transfusion best practices.