Does anyone have an emergency consent for release of blood products form that you would be willing to share?

Do you mean one the MD signs to release blood products without crossmatch etc?

Yes, the one for uncrossmatched, Rh+ to Rh=, least incompatible, etc. etc. etc.

I'm attaching my forms (don't use one for Rh+ to Rh= pt).

Here's mine.[ATTACH]542[/ATTACH]

Mine are essentially same as David's. Good Luck

We have a form for the use of incompatible blood in an emergency situation (similar to those already given) but should another form be used for 'flying squad'? The whole point of it is that it is suitable to 'grab and go' in an emergency situation and adding another form to the mix is going to delay the blood getting to the patient. I understand when the patient is bleeding incontrollable, has a positive antibody screen and no compatible units are available we need to have release for 'least incompatible' blood. But if the patient is bleeding sufficiently to warrant the use of blood without an antibody screen then more paperwork is counterproductive?

We use education rather than regulation with the flying squad. The wards know that all patients with an admission screen can have group specific blood within a similar timeframe to flying squad so our flying squad is used very, very rarely. Group specific requests can be taken over the telephone (provided there is already a sample in the lab) and the compatibility report issued with the blood contains an area that is marked 'uncrossmatched' with an area for the physician to sign to acknowledge this. Our request forms have a box 'Urgent <10 minutes - group specific' and the form is signed by the prescribing medic which reduces the need for an additional form.

IMO in an emergency situation we need to make it as easy for them as possible. Introducing more forms can create more delays if they are filled in incorrectly. If the blood is O-K-C-D-E-, and CMV- it should be suitable for someone who is bleeding in a life threatening manner. Exanguination v/s delayed transfusion reaction...

Edited September 29, 201113 yr by Auntie-D

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I am looking for a physician authorization form for transfusing the dreaded word "least incompatible" blood due to Warm Auto, HTLA, etc.

I am looking for a physician authorization form for transfusing the dreaded word "least incompatible" blood due to Warm Auto, HTLA, etc.

See the examples above; they are combined with the Emergency Release form.