Informed Consent For Blood and Blood Products

In Saskatchewan, the duration of consent for the purpose of transfusion is for either one admission or, if a patient suffers from a chronic condition, for one course of treatment within 12 months, so long as the patient’s condition or medical knowledge in general about the condition has not significantly changed. (Approved by the Senior Medical Officer Committee on May 11, 2011.)

Cypress Health Region

Document Name Date of Original Publication Date Revised

Cypress - Inpatient Informed Consent January 25, 2018 January 25, 2018 Download
Cypress - Outpatient Informed Consent for the Administration of Blood/Blood Products January 25, 2018 January 25, 2018 Download

    Five Hills Health Region

    Document Name Date of Original Publication Date Revised

    Five Hills - Consent to Investigation, Treatment or Operative Procedure January 25, 2018 January 25, 2018 Download

      Mamawetan Churchill River Health Region

      Document Name Date of Original Publication Date Revised

      Mamawetan Churchill River - Consent for the Administration of Blood/Blood Products January 25, 2018 January 25, 2018 Download

        Ontario Regional Blood Coordinating Network (OBRCoN)

        Document Name Date of Original Publication Date Revised

        Informed Consent for Transfusion and Estimated Risks of Transfusion 2017 - ORBCoN January 25, 2018 March 20, 2018 Download

          Prince Albert Parkland Health Region

          Document Name Date of Original Publication Date Revised

          Prince Albert Parkland - Informed Consent for Blood and Blood Components and Fractionation Products for Transfusion January 25, 2018 January 25, 2018 Download

            Regina Qu'Appelle Health Region

            Document Name Date of Original Publication Date Revised

            RQHR 1163 - Consent/Refusal for Administration of Blood/Blood Components and/or Plasma Protein Products January 25, 2018 January 25, 2018 Download
            RQHR 254 - Consent to Diagnostic and Treatment Procedures Outpatient & Ambulatory January 25, 2018 January 25, 2018 Download
            RQHR 370 - Consent to Diagnostic and Treatment Procedures January 25, 2018 January 25, 2018 Download

              Saskatoon Health Region

              Policy
              Document Name Date of Original Publication Date Revised

              Policy - Informed Consent for Blood Components and/or Plasma Protein Products, Including Tissue Graft Transplantation - #7311-50-002 January 25, 2018 January 25, 2018 Download

                Forms
                Document Name Date of Original Publication Date Revised

                Consent to Surgery, Diagnostic and Treatment Procedures - #100362 January 25, 2018 January 25, 2018 Download
                Informed Consent for Administration of Blood Components and/or Plasma Protein Products Form - #101479 January 25, 2018 January 25, 2018 Download
                Refusal of Consent for the Administration of Blood Components and/or Plasma Protein Products - #101330 January 25, 2018 January 25, 2018 Download

                  Patient Information Documents
                  Document Name Date of Original Publication Date Revised

                  Heading Home after a Transfusion January 25, 2018 January 25, 2018 Download
                  Immune Globulin for Post-Exposure Infection Prevention January 25, 2018 January 25, 2018 Download
                  Information for Patients about Blood Transfusion and Tissue Transplantation January 25, 2018 January 25, 2018 Download

                    Sun Country Health Region

                    Document Name Date of Original Publication Date Revised

                    Sun Country - Consent for Administration of Blood/Blood Products January 25, 2018 January 25, 2018 Download