What should a nurse do if a patient refuse to have a blood transfusion based on a religoius ground?

Answer 1

I am a final year medical student.

A patient who refuses to have a blood transfusion must be:

1. Counselled about the risks and benefits of the blood transfusion. They must be made aware of all the facts before making a decision. A well-informed decision is a patient's right (The Right of Autonomy)
   • However, you must protect yourself medico-legally by recording the patient's wishes in the patient's notes, with a statement explaining that the patient was counselled about all factors concerned. This must be signed by you, AND the patient, with a witness if necessary/available.
   • Some institutions may have "consent" forms where it is only necessary to insert the patient's name and record number, and have them sign the document.
2. If the patient still declines a blood transfusion, his/her wishes must be respected.
3. It must be noted that all patient's have the right to refuse any treatment as they deem to be best for themselves. This is not limited to religious beliefs. Also, any decision made MUST be an informed decision, where the patient is made aware of the consequences of any and all choices. The patient must not be coerced in any way. Of course, if the patient is not of sound mind, decisions are deferred to the patient's appointed representative. In cases of minors and legal guardians, the court can be asked to intervene.