Consent for Blood Transfusions

Effective as of March 8, 2011 written (signed) informed consent for blood transfusion are mandatory for all Children's patients requiring blood or blood components.

Cerner will prompt for confirmation of written (signed) consent based on established rules. The provider must check one of four options:

  • Transfusion Consent-1 Transfusion Only
  • Transfusion Emergency Situation [No Consent]
  • Transfusion Consent-Entire Visit
  • Transfusion Consent-1 year Hemonc Only
  • Inpatients currently receiving transfusion therapy may continue transfusion support without a written (signed) consent. Signed consent will be required with the next encounter.
  • There will be no changes to the Surgery or ECMO consent form or process relating to transfusion.
    Policy:
  • It is the responsibility of the attending physician to obtain signed informed consent before the start of transfusion therapy. The attending physician may delegate the act of obtaining consent to a fellow, resident, nurse practitioner, or physician assistant. The act of obtaining consent may NOT be delegated to a staff nurse or to clerical personnel.
  • Refusal of transfusion support must be documented in the Problem List in Cerner.
  • In an emergency situation, transfusion may occur without a written consent with a note in the medical record documenting the circumstances requiring transfusion.
  • If telephone consent is necessary, a witness is required.
  • The signed consent form will be scanned into the EMR. Compliance in obtaining signed informed consent will be monitored.

Resources:
1.    Consent for Blood/Component Transfusion form. Located under Forms/Medical Records/Medical Records Forms/Administrative
2.    Blood Transfusion Information-Patient/Family Education sheet. Locate under
References/Clinical/Patient Education 
Questions:
Contact: Kristin Mascotti, MD, Transfusion Service Medical Director, (612) 813-6712
Judy Zier, MD, Transfusion Committee Chair, (651) 220-6018
Judy Wenzel, Transfusion and Tissue Service Manager, (612) 813-8562