Hello. I was wondering if any of you address bones/tissues in your consent for blood products or your refusal of blood products? Or maybe in the surgical procedure consent? We have had incidents recently where patients have signed our Refusal of Transfusion form which states they do not wish to receive any blood products, but once they are in the OR they have agreed to receive tissue products. How are you addressing bones/tissues? Thanks for any help you can give me!

We have tissue/bone on the general surgical consent and not on the transfusion consent. It seems better not to confuse transfusion consent with any other process consent with all the legal ramifications.