Background: pediatric blood transfusion has many potential risks as infections with transmissible disease carried by the donor and transfusion-related acute lung injury which can be decreased by sufficient nursing interventions. Aim to audit and re-audit nursing care for children receiving blood transfusion. Design: descriptive research design was used. Subjects and Method: Sample: This study included all nurses' and nursing supervisors. Setting: the study was conducted in hematology unit, blood transfusion center, pediatric intensive care unit and emergency unit at Assiut University Children Hospital. Subjects: the study consisted of 70 pediatric nurses (No=70). Tools: A structured observational check-list was used by the researchers to assess nurses' performance about care of children receiving blood transfusion. Re-auditing was performed after giving guidelines to all study research. Results: the majority of nurses had unsatisfactory level of performance before giving brochure and had satisfactory performance level during re-auditing. Conclusion: Auditing nursing care for children receiving blood transfusion was revealed improved nurses' performance after distribution the designed nursing brochure. Recommendation: application of Job Training programs on regular basis suggested improving and updating nurses' performance related to blood transfusion among children.