Quote:
Originally Posted by NW Sukosky RN
The problem with non-clinical folks "banding" the patient (from my perspective) is that there needs to be more discussion of a clinical nature to determine pt's rationale for their decision, provide education, discuss alternatives acceptable to the patient (such as personal conscience issues), etc. before identifying a "no blood" patient in our facility so insure that a patient truly has an "informed" decision, either pro or con to blood transfusions.
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Currently at my institution patients are given a no blood bracelet simply because they identify their religious preference as JW. This is done by the registration staff. Some patients complain because they were here for an Xray or other non invasive procedures while others are impressed by the proactive approach to respect the patients wishes. I do agree that more discussion has to take place for an informed decision to be documented. I have experienced situations when a patient changes from No Blood to Blood Conservation as Leslie noted and this is due to the patient not being a dedicated member of the JW faith or was aquainted at some point.