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

        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 1103 - Physician Waiver for Administration of Unmatched Donor Red Cells November 19, 2019 November 19, 2019 Download
          RQHR 1163 - Consent/Refusal for Administration of Blood/Blood Components and/or Products January 25, 2018 November 19, 2019 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 November 20, 2019 Download
                Immune Globulin for Post-Exposure Infection Prevention January 25, 2018 November 20, 2019 Download
                Information for Patients about Blood Transfusion and Tissue Transplantation January 25, 2018 November 20, 2019 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