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Refusal of Blood/Blood Component Transfusion
About this Document
Refusal of Blood/Blood Component Transfusion is one of many policies and procedure templates within Medical Surgical Unit Policy and Procedure Manual written for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.Share access within your facility at no cost.
Sample Content From Refusal of Blood/Blood Component Transfusion
Snippets are randomly selected, unformatted passages from the Microsoft Word policy template.
Snippet
POLICY:
____ Hospital shall verify, by means of the Refusal To Permit Blood/Blood
Component Transfusion Form, that the patient’s informed refusal has been obtained by the
attending and/or treating physician after the patient has been informed of the possible risks and
complications that may occur as a result of the patient’s refusal to receive recommended
transfusion of whole blood and/or frozen plasma, packed cells, platelets or cryoprecipitates.
PURPOSE OF THE FORM:
____ Hospital shall verify, by means of the Refusal To Permit Blood/Blood
Component Transfusion Form, that the patient’s informed refusal has been obtained by the
attending and/or treating physician after the patient has been informed of the possible risks and
complications that may occur as a result of the patient’s refusal to receive recommended
transfusion of whole blood and/or frozen plasma, packed cells, platelets or cryoprecipitates.
PURPOSE OF THE FORM:
Second Snippet
To ensure that the attending and/or treating physician has obtained an informed refusal
from the patient
from the patient