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Transfusion and Alternative Options as Selected by Patient PATIENT IDENTIFICATIONThe intent of this form is to guide the discussion between physician and patient about the patients selected options
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How to fill out transfusion and alternative options

01
Ensure proper identification of patient and blood product.
02
Verify blood product with another healthcare professional.
03
Determine the appropriate type and quantity of blood product needed.
04
Use aseptic technique to prepare equipment and blood product.
05
Administer blood product as per hospital policy and monitoring for any adverse reactions.
06
Document the transfusion process accurately in the patient's medical record.

Who needs transfusion and alternative options?

01
Individuals with severe anemia due to blood loss or other medical conditions.
02
Patients undergoing surgery or medical procedures that may result in significant blood loss.
03
Patients with certain blood disorders or cancers that affect their blood cell counts.
04
Individuals with severe infections or trauma that require blood volume replacement.
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Transfusion is the process of transferring blood or blood products into a person's bloodstream. Alternative options include intravenous fluids or medications to help increase blood volume.
Healthcare professionals such as doctors, nurses, and blood bank personnel are responsible for managing transfusions and alternative options.
Transfusion and alternative options are typically documented in a patient's medical records by the healthcare provider performing the procedure.
The purpose of transfusion is to replace blood or blood components that are missing or deficient in a person's body. Alternative options can help maintain blood volume and support circulation.
Information such as the type of blood product transfused, the volume administered, the patient's vital signs before and after the procedure, and any adverse reactions must be documented.
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