Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Blood and blood productsFor further information please contact the Hospital Transfusion Team:• John HyslopBlood Bank ManagerExt: 25322• Janine BeddowTransfusion CoordinatorExt 25470 Bleep: 1287• Angela SherwoodTransfusion Liaison NurseExt: 25469: Bleep 2280Dr Falguni Choksey is the department’s representative on thehospital transfusion committee.Refusal of consent for transfusionThere is a UHCW policy concerning patients refusing consent for theuse of blood products (current issue expires July 2010).In an emergency, you are obliged to care for a patient in accordancewith the patient’s wishes. You must refer all such cases to theappropriate consultant on call.The trust is currently rolling out a cell salvage programme usingDideco machines. Some people who refuse consent for bloodtransfusion are content to receive salvaged blood, whether in acontinuity circuit or a separate bag. Check availability with the theatreteam.The policy has been ratified by representatives from the Jehovah’sWitness community. You can read the policy by accessing intranet /departments / blood transfusion / clinical guidelines. There are alsohard copies in a Transfusion Manual located on all clinical areas.Whilst Jehovah’s Witnesses do not accept the use of whole blood,red blood cells, white blood cells, plasma and platelets, the use ofany derivatives of these is an individual decision: a matter of patientchoice. Many Witnesses consent to the use of albumin, clotting188 Anaesthetists Handbook January 2010