Consenting patients prior to transfusions

Key aspects to be covered when consenting patients for transfusion

Consenting-patients-prior-to-transfusions-based-on-the-SaBTO-guidance-and-NICE-guidance-NG24

1. Patient and/or family/carer have been provided with relevant information about blood transfusions that would help in their decision-making process
2. The reason for the transfusion has been discussed
3. The benefits of the transfusion have been explained
4. Transfusion risks, both short and long-term risks have been discussed with the patient and/or family/carer (including any additional risks pertinent to long term multi-transfused patients)
5. The risks, benefits, and consequences of NOT accepting blood transfusion have been elaborated
6. Transfusion issues specific to the patient have been highlighted
7. Relevant alternative options have been discussed including how they might reduce the need for a transfusion
8. The transfusion process has been explained
9. The need for any specific requirements for blood components and rationale, including need for anti-D Ig post transfusion as appropriate has been elaborated and relevant patient information leaflet has been provided
10. Patient and/or family/carer has also been informed that once transfused, they are no longer eligible to donate blood
11. Patients and carers/family have been given the opportunity and been encouraged to ask questions
12. Patient and/or family/carer is aware that if they change their mind at any point before the transfusion, they are entitled to withdraw their consent, and this should be documented and managed appropriately
13. Synopsis of discussions and decisions taken documented in patient’s clinical notes

This guidance is based on the SaBTO guidance and NICE guidance NG24