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Unchealthcare. org/forms/directeddonor. pdf Erythropoeitin Blood substitutes are not available at UNC Hospitals You have the right to refuse blood products Must complete the Refusal to Consent to the Use of Blood or Blood Products Consequences of refusing blood transfusion Document the discussion and the consent on the Request and Consent for Operation or Procedure form. In the procedure space put the name of the procedure or if this is for transfusion only write transfusion.. Informed Consent for Blood Products Suggested Discussion Points with Patients This document is to serve as a guide of items to discuss with your patient when obtaining Need or potential need to transfuse Benefits of the transfusion Risks of transfusion Infectious risk See Infectious Disease Risk table http //labs. unchealthcare. org/forms/disrisk. pdf Non infectious risks most common are allergic reactions and febrile nonhemolytic reaction 3 most common rare events that are potentially fatal o Transfusion Related Acute Lung Injury TRALI o Hemolytic Transfusion Reaction o Bacterial Contamination Alternative to transfusion Treatment such as increase the oxygen carrying capacity or stop bleeding Prevention such as preoperatively for potential factor loss or platelet loss Autologous donation requires at least 14 days See Autologous and Directed Donor Information http //labs. Informed Consent for Blood Products Suggested Discussion Points with Patients This document is to serve as a guide of items to discuss with your patient when obtaining Need or potential need to transfuse Benefits of the transfusion Risks of transfusion Infectious risk See Infectious Disease Risk table http //labs. unchealthcare. org/forms/disrisk. pdf Non infectious risks most common are allergic reactions and febrile nonhemolytic reaction 3 most common rare events that are potentially fatal o Transfusion Related Acute Lung Injury TRALI o Hemolytic Transfusion Reaction o Bacterial Contamination Alternative to transfusion Treatment such as increase the oxygen carrying capacity or stop bleeding Prevention such as preoperatively for potential factor loss or platelet loss Autologous donation requires at least 14 days See Autologous and Directed Donor Information http //labs.

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