CONSENT FOR TRANSFUSION - Guam Memorial Hospital Authority 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the doctor advising the transfusion in the designated field.
  3. Review the section detailing the benefits and risks associated with blood transfusions. This is crucial for informed consent.
  4. In the consent section, indicate your choice regarding transfusion by signing your name as the patient or person giving consent.
  5. Fill in the date and time fields next to your signature for accurate record-keeping.
  6. If applicable, have a witness sign and date their section to validate the consent process.
  7. Finally, ensure all information is correct before saving or exporting your completed form for submission.

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A healthcare professional will get your informed consent before a blood transfusion. Healthcare professionals include the doctor, nurse or midwife who is planning your treatment. The healthcare professional should: explain why you need a blood transfusion.
Informed consent for the transfusion of blood components is required by TJC. Consent is required for all blood components ‐ red cells, plasma, platelets, cryoprecipitate.
Can the nurse obtain the consent? No, the responsibility for obtaining informed consent lies with the ordering physician. The nurse can assist in the process by providing information and answering questions. The nurse can witness the consent process.
A patient should give valid consent before receiving a transfusion of blood components. Obtaining consent for any procedure involves discussing the benefits, risks and any available alternatives.
Whenever a transfusion is requested, the nurse or provider responsible for administering the transfusion is also responsible for insuring that a signed consent form is present in the medical record prior to iniang the transfusion.