Pretransfusion consent

[Darren]

Does anyone work someplace where the consent is part of all inpatient registrations? I've heard of places that make them sign on the line as they register. It makes me wonder if this could be linked to testing (or product ordering) where the Dr or nurse entering the request would be greeted by a "You cannot order products/BB tests on this patient because they refused consent. Obtain/enter in the system consent from patient before proceding." Seems like that would make it easier for the BB. We'd know that we couldn't even get orders without consent.

Edited September 28, 2013 by dlewisa

[KAPMT]

Our general hospital policy is once per admission. However a Joint Commission inspection revealed transfusions that occurred without a consent in the patient's chart. The solution adopted was to require a copy of the consent be brought to the Blood Bank when units are signed out. We actually keep a binder with these copies. It is not really our responsibility (as others have noted) but in the spirit of teamwork and doing what is best for the patient, this is what was agreed upon.

[Everett9239]

This topic is coming to question at my hospital concerning Albumin.  Since our albumin is a derivitive of human blood, should patients be required to sign a consent form for this as well.  The risk manangement department is sighting the fact that certain religious groups are unable to accept products from humans, and therefore, would albumin not qualify as such?

[JoyG]

Transfusion during a procedure using a procedural consent is 48 hours.  Regular Blood Consent is per admission.

[tbostock]

 

Transfusion during a procedure using a procedural consent is 48 hours.  Regular Blood Consent is per admission.

 

Is there a reg for procedural consent only being valid for 48 hours?

We capture consent in the EMR. The physician must sign an attestation statement in our EMR when he/she orders units of blood. If they say "no" for consent, a series of mandatory questions pop up for him to explain the nature of the emergency, that the patient was unable to sign, no family available, etc.

[bmarotto]

Inpatients:  Once per admission

 

Outpatients:  Once per year.  If the patient is admitted and the reason for the transfusion is the same reason for the outpatient transfusions, the outpatient consent may be used (it can be viewed electronically). 

 

Nursing verifies that a signed consent is on file before giving any blood product.

 

Our Quality & Safety department does quarterly audits (patient tracers).  Blood transfusion is one of things they look at. 

[crldehart]

Do  you have a consent signed specifically for RhIG administration?