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OSCE Checklist Consent for Blood Transfusion

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60 views

OSCE Checklist Consent for Blood Transfusion

Uploaded by

gabehicks21
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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OSCE Checklist: Consent for Blood Transfusion

Opening the consultation


1 Wash your hands and don PPE if appropriate

2 Introduce yourself to the patient including your name and role

3 Con rm the patient’s identify by asking them to give their name and date of birth

4 Explain the purpose of the conversation

5 Check the patient’s understanding and continue to do so at regular intervals

6 Explore the patient’s ideas, concerns and expectations

Bene ts of blood transfusion


7 Receiving a blood transfusion can relieve symptoms caused by anaemia

8 It can prevent damage caused to organs associated with anaemia

9 It can allow earlier mobilisation and quicker recovery after an operation, acute illness or
injury

Risks of blood transfusion


10 Generally very safe (in the UK) - risk of serious problems less than 1 in 10,000

11 Identi cation error (e.g. wrong patient, wrong type of blood)

12 Reactions such as fever, chills or rash

13 Build up of uid in the circulation causing breathlessness

14 Infection (e.g. hepatitis B/C or HIV) - less than 1 in a million risk

15 Formation of antibodies which might make it harder to match blood in the future or cause
problems with future pregnancies
16 Iron overload in the context of long-term transfusion programmes

What a transfusion involves


17 Sample of blood is obtained to check blood group

18 A cannula is placed into a vein to allow the delivery of blood - involves a sharp prick

19 Blood will ow from the bag into the vein and take around 2-4 hours per bag

20 Temperature, blood pressure & pulse are checked before, during and after the transfusion

21 Fever, chills or a rash may develop during/after a transfusion - most cases resolve with
simple measures like paracetamol and/or slowing down the transfusion
22 Local bruising at the site of cannulation and some associated aching are common

Obtaining consent
23 Ask if the patient is happy to proceed with the blood transfusion based on everything that
has been explained
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24 Ask if the patient has any further questions or concerns

25 Check if the patient has any allergies and ask if they have ever been told they need a special
type of blood or have been given an alert card (e.g. antibodies, need for irradiated blood)

Closing the consultation


26 Summarise what you have discussed and emphasise the key points to the patient

27 Check the patient's understanding of the information given and if there is any lack of clarity
o er a further opportunity to ask questions
28 Provide written information on blood transfusion

29 Document the discussion in the patient’s notes

30 Dispose of PPE and wash your hands

31 Thank the patient of their time

Key communication skills


32 Active listening

33 Summarising

34 Signposting

Read the full guide at Download our


geekymedics.com GEEKY MEDICS clinical skills app
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