After discontinuing an infusion of packed red blood cells due to a transfusion reaction, what should the nurse do next?

After discontinuing an infusion of packed red blood cells due to a transfusion reaction, the immediate priority is to ensure the patient's safety and to facilitate appropriate medical intervention. Contacting the healthcare provider is crucial because they need to be informed of the patient's condition and the details of the reaction. This allows for timely assessment and management of any complications that may arise from the transfusion reaction, as well as determination of the next steps for the patient’s care.

While starting an intravenous saline infusion is generally important to manage symptoms of a transfusion reaction and maintain venous access, it can be done concurrently or immediately after contacting the healthcare provider, depending on the specific protocols in place. Documentation is also vital, but it typically occurs after immediate clinical actions have been taken and the patient has been stabilized. Notifying the blood bank is important as well to report the adverse event and prevent future occurrences, but the ultimate responsibility for patient care falls on the healthcare provider who can guide further steps. Therefore, the first action should be to make contact with the healthcare provider to ensure that the patient receives the necessary care and intervention promptly.