Blood transfusion consent form nabh 2025

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I, the undersigned CONSENT to undergo the procedure of transfusion of blood or blood components with full knowledge of the need, the benefits, possible risks, side effects and the alternatives to a transfusion.
7. Who is responsible for insuring that consent has been obtained? Whenever a transfusion is requested, the nurse or physician responsible for administering the transfusion is also responsible for insuring that a signed consent form is present in the medical record prior to initiating the transfusion.
All patients receiving a blood transfusion need to give fully informed consent. This can be given verbally but needs to be documented in their notes. Obtaining consent for any procedure involves discussing the benefits, possible risks and any available alternatives.
The request form MUST contain the following information: Patient details e.g. Surname, first name, gender, DOB and patient identification number. ward or location and consultant-in-charge. diagnosis or operation and reason for transfusion. high risk sticker if appropriate.
The blood transfusion record which includes: date and time the transfusion commenced and completed. type of blood component used and number of units transfused. donation or batch number. signature of person administering the transfusion, and. signature of person confirming the identity of the patient.

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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.
CONSENT FORM FOR TRANSFUSION OF BLOOD AND BLOOD PRODUCTS I hereby give consent to the transfusion of blood / PRC / Platelet / plasma / granulocyte / special products like Cryo, glue, CPP. I understand that transfusion of blood and blood products is necessary for my disease/surgery/procedure planned.
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.

blood transfusion consent form