How Medical Professionals Navigate Patient Care When Treating A Jehovah Witness And Blood Product Refusal Requests Safely

· Policies, strategies, and action plans for health technologies, specifically for medical devices, are required in any national health plan. Within the context of a robust health system they …

Surgery and anaesthesia care are essential to a comprehensive primary health care (PHC) approach and to a people-centred continuum of emergency, critical, and operative care (ECO) services. …

The downloadable packets below contain resources, tools, and support for health-careprofessionals to facilitate the care of patients who are Jehovah’sWitnesses.

Strategies – HowClinicians Help Jehovah’sWitnesses: Discusses the personal choices of Witnesspatients regarding allogeneic and autologous blood use, examples of evidence-based strategies many clinicians are implementing, and the clinical and economic impact of utilizing nonblood protocols.

· This article firstly examines the legal complexities surrounding Jehovah’sWitnesses and secondly the clinical management of such patients presenting for surgery.

Most medicaltreatments, surgical and anaesthetic procedures, devices and techniques, pharmaceuticals that control haemorrhage and stimulate the production of red blood.See full list on nssg.oxford-haematology.org.ukNon-blood volume expanders. Examples including, but not limited to:. Saline, Dextran, Gelatin, Lactated Ringer’s Solution, Haemaccel, Hydroxyethal starch, Gelofusine, Gelaspan.See full list on nssg.oxford-haematology.org.ukTransfusions of allogeneic whole blood or primary blood components (i.e. red cells, white cells, platelets, and plasma).See full list on nssg.oxford-haematology.org.ukPreoperative autologous blood collection and storage for later reinfusion.See full list on nssg.oxford-haematology.org.ukIntra-operative haemodilution. and post-operative blood salvage; intra-operativeSee full list on nssg.oxford-haematology.org.ukvisit_test() (robot.result.keywordremover.ByNameKeywordRemoverSee full list on nssg.oxford-haematology.org.ukPlease include this in the preparation to write a policy and refer to the “Policy on Writing Policies.” Full guidance is available: http://ouh.oxnet.nhs.uk/Equality/Pages/EqualityImpactAssessment.aspx Equality AnalysisSee full list on nssg.oxford-haematology.org.ukThe following stakeholders have been involved in the development of this guideline: Legal Services Members of the Hospital Transfusion Committee Transfusion Liaison Committee of Jehovah’s WitnessesSee full list on nssg.oxford-haematology.org.ukPopulation information on www.healthprofiles.info search for Oxfordshire.See full list on nssg.oxford-haematology.org.ukJehovah’s Witnesses who have a disability may require extra assistance in the completion of written Advance Directives. This can be provided by their liaison committee members.See full list on nssg.oxford-haematology.org.ukFemale Jehovah’s Witnesses may sometimes also refuse anti-D immunoglobulin. For women in labour, more detail can be found in the Women Who Decline Blood Products guidelinesSee full list on nssg.oxford-haematology.org.ukThis guideline does not contain any reference to racial origin.See full list on nssg.oxford-haematology.org.ukThis guideline does not contain any reference to sexual orientation.See full list on nssg.oxford-haematology.org.ukFemale Jehovah’s Witnesses may sometimes also refuse anti-D immunoglobulin. More detail can be found in the Guidelines for women who decline blood products.See full list on nssg.oxford-haematology.org.ukThis guideline is only applicable to the Jehovah’s Witness faith.See full list on nssg.oxford-haematology.org.ukThis guideline does not contain any reference to gender re-assignment.See full list on nssg.oxford-haematology.org.ukClose family members are involved according to the patient’s wishes regardless of marital or partnership status.See full list on nssg.oxford-haematology.org.ukCarers are involved according to the patient’s wishes. Staff are advised to contact Legal Services for assistance in cases where the carer has Lasting Power of Attorney Status.See full list on nssg.oxford-haematology.org.ukDoes the evidence show any potential to discriminate? No. All patients are treated in accordance with the principles of consent, mental capacity and human rights. The legal framework for this is described within this guideline.See full list on nssg.oxford-haematology.org.ukJehovah’s Witnesses, because of their likely refusal of blood components, require this specific guideline in order to ensure that they are treated equally, legally and fairly. How does the guideline promote good relations between groups? (Promoting understanding) The Transfusion Liaison Committee of Jehovah’s Witnesses have regular contact with th...See full list on nssg.oxford-haematology.org.ukvisit_suite() (robot.result.suiteteardownfailed.SuiteTeardownFailureHandlerSee full list on nssg.oxford-haematology.org.uk There are some fundamental principles that medical and nursing staff should consider when making treatment decisions with patients who are Jehovah’sWitnesses. This network provides authoritative information regarding clinical strategies to use alternatives to bloodtransfusion and facilitates access to healthcare for patients who are Jehovah’sWitnesses. In order to decrease negative patient outcomes, we have developed a protocol for patents who refusetransfusion of blood components and an informational handout for clinicians to use in decision making.

There are some fundamental principles that medical and nursing staff should consider when making treatment decisions with patients who are Jehovah’sWitnesses.

This network provides authoritative information regarding clinical strategies to use alternatives to bloodtransfusion and facilitates access to healthcare for patients who are Jehovah’sWitnesses.

In order to decrease negative patient outcomes, we have developed a protocol for patents who refusetransfusion of blood components and an informational handout for clinicians to use in decision making.

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