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Blood Transfusion Referral Form - University of Rochester Medical

Blood Transfusion Referral Form - University of Rochester Medical 2025

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The document outlines the blood transfusion referral process at Highland Procedures Center, providing essential information for both patients and physician offices. It details the necessary paperwork required for scheduling a blood transfusion, including patient demographics, medical history, consent forms, and care orders. Patients are informed about the location, parking validation, and expected duration of their visit.

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Do you need a consent form for blood transfusion?

Before you receive a transfusion, you (or a family member) need to give your permission or consent. Its the same for any medical procedure. To make decisions about your transfusion, you must have enough information about your condition and the options you have. Your consent must be voluntary.

How do I request a blood transfusion?

The clinical indication for transfusion should be written in the patients case notes and on the request form (which should comply with local and national guidelines). The details on the request form are important and could have medico-legal implications. The request form should be clearly handwritten.

What justifies a blood transfusion?

People receive blood transfusions for many reasons such as surgery, injury, disease and bleeding disorders. Blood has several components, including: Red cells carry oxygen and help remove waste products. White cells help your body fight infections.

How do I order a blood transfusion?

Blood and blood components must be ordered by a Licensed Independent Practitioner (LIP) such as a physician or nurse practitioner. Transfusions should only be prescribed for a patient when the benefit of transfusion is likely to outweigh the risk.

What documentation is required for a blood transfusion?

A permanent record of the transfusion episode should be kept in the medical notes, including the following: The blood transfusion record which includes: date and time the transfusion commenced and completed. type of blood component used and number of units transfused.

How do you qualify for a blood transfusion?

Blood transfusions are used for patients who have experienced serious injuries from car crashes or natural disasters. Individuals with an illness that causes anemia, such as leukemia or kidney disease, will often be the recipients of blood transfusions.