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POLICY FOR THE CARE OF PATIENTS WHO WISH TO DECLINE TRANSFUSIONSVersionV2Name of responsible (ratifying) committeeHospital Transfusion Committeeman ratified12 July 2019Document Manager (job title)Transfusion
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01
Start by ensuring that you have all the necessary equipment and supplies, such as blood collection tubes, needles, alcohol swabs, and bandages.
02
Verify the patient's identity by checking their identification bracelet or asking for their full name and date of birth.
03
Explain the procedure to the patient and obtain their consent.
04
Prepare the collection site by cleaning it with an alcohol swab.
05
Put on gloves to maintain sterile conditions.
06
Select an appropriate vein for blood collection, typically in the arm or hand.
07
Apply a tourniquet proximal to the intended collection site to help visualize and access the vein.
08
Ask the patient to make a fist or perform hand exercises to increase blood flow.
09
Locate the vein and anchor it by using your non-dominant hand to apply gentle traction below the intended puncture site.
10
Use a sterile needle attached to a blood collection tube to puncture the skin and enter the vein at a slight angle.
11
Once blood begins to flow, release the tourniquet and ask the patient to relax their hand.
12
Fill the collection tube(s) with the required amount of blood by allowing it to flow directly into the tube or using a syringe transfer system.
13
Gently invert the collection tube(s) to mix the blood with any necessary anticoagulants or preservatives.
14
Withdraw the needle from the vein while applying pressure to the puncture site with a sterile gauze or cotton ball.
15
Dispose of used needles and other sharps in a designated sharps container.
16
Apply a bandage or sterile dressing to the puncture site.
17
Label the collection tube(s) with patient information, date, and time of collection.
18
Transport the collected blood to the appropriate laboratory or blood bank for analysis or storage.
19
Clean and disinfect the work area and dispose of any remaining supplies properly.
20
Document the procedure in the patient's medical records and ensure proper documentation of any adverse events or complications.

Who needs blood - patients who?

01
Patients who have experienced significant blood loss due to trauma or injury may require blood transfusions to replace the lost blood volume.
02
Individuals with certain medical conditions or diseases that affect their red blood cell production, such as anemia or certain types of cancer, may need blood transfusions to improve their oxygen-carrying capacity.
03
Patients undergoing surgical procedures, particularly those that involve major organs or blood vessels, may require blood transfusions to support their body's oxygenation and maintain stable hemoglobin levels.
04
People with bleeding disorders, such as hemophilia or von Willebrand disease, may need blood transfusions to help control or prevent excessive bleeding.
05
Neonates or premature infants with low red blood cell counts or unstable blood parameters may require blood transfusions to support their growth and development.
06
Individuals with certain genetic or immune system disorders, such as sickle cell disease or immunodeficiency disorders, may need blood transfusions to manage their condition and improve their quality of life.
07
Patients undergoing chemotherapy or radiation therapy for cancer treatment may require blood transfusions to offset the side effects of these treatments on their blood cell counts.
08
People who have undergone organ or bone marrow transplantation may need blood transfusions to support their body's healing and recovery process.
09
Emergency situations where there is an immediate need for blood transfusion due to life-threatening conditions, such as severe hemorrhage or shock.
10
Other specific medical conditions or circumstances where a healthcare professional determines the need for blood transfusion to maintain or improve a patient's health.
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Blood - patients who is the record of individuals who have received blood or blood products.
Hospitals and medical facilities are required to file blood - patients who records.
Blood - patients who records can be filled out electronically or manually, documenting the recipient's information and the type of blood products received.
The purpose of blood - patients who is to track and monitor the use of blood products for patient care and safety.
Information such as patient's name, date of birth, medical record number, type and amount of blood product received, and date of transfusion must be reported on blood - patients who records.
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