NURS 225 Lecture Notes - Lecture 9: Blood Transfusion, Blood Product, Implied Consent
2 Apr 2020
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*females are lower because of monthly menstruation and less muscle mass. Transfusions ordered: 70 g/l to 90 g/l depending on comorbidities. Do not tell patient about the risk and benefits, question the patient about what they understand about blood transfusion and the risks involved. Describe the procedure again if they don"t understand. Signed consent exceptions: in emergency where patient is either unconscious or unable to give consent, then consent is implied. Consent is obtained by physician and signed. Patients who do not wish to have blood products should have a card or medic bracelet altering healthcare workers. Identify patient with rn for blood product transfusion. Initiating and monitoring blood products can be done providing there is direct supervision from a clinical instructor or rn. Blood collection type, screen and crossmatch (first step) Type and screen: abo and rh factors identified plus a screening for significant atypical antibodies.
