Further Information Is Available By Contacting the Medical Director of Transfusion Medicine Service: Zbigniew.M.Szczepiorkowski, MD or the Blood Bank Medical Director, Nancy Dunbar M.D.
Transfusions occurring in emergency situations will not require prior written informed consent. Documentation of need of emergent transfusion without consent shall be present in the chart.
All elective surgeries requiring a "Type and Screen" or crossmatching preoperatively according to the Surgical Blood Order Schedule, or any procedure in which the physician has ordered blood to be crossmatched, will have a written informed consent for transfusion completed prior to surgery.
Non-surgical patients: A period of one year, unless revoked.
Surgical patients: The perioperative period and any subsequent treatment durint the admission
related to the surgical treatment or the condition that required it.
As of January, 2012, the best estimates of transfusion risks with allogeneic transfusion were:
Note that platelet transfusions using platelet concentrate units and cryoprecipitate transfusion involve pooling of multiple units, and thus risks of infectious disease exposure increase with the size of the pool.
Preoperative autologous donation is available. If the patient wishes to donate at DHMC, complete the order form (found in all surgical clinics) and refer the patient to the Donor/Apheresis Room (ext. 3-3775). The patient may also donate through the American Red Cross or any hospital that is appropriately accredited or licensed.
Intraoperative and/or post-operative red cell recovery may also be feasible.
If you need additional information or assistance in dealing with patient questions, please contact the Blood Bank (ext. 5-7207) and ask to speak to the Transfusion Medicine Physician.