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.)
Former 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 |
Former 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 |
Former Prairie North Health Region
| Document Name | Date of Original Publication | Date Revised |
|---|
| Informed Consent for Administration of Blood Components and Plasma Protein Products | October 13, 2022 | October 13, 2022 | Download |
Former 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 |
Former 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 | February 26, 2020 | 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 |
| SHA Blood Consent/Refusal Med Access Template (Regina Area) | February 3, 2020 | February 3, 2020 | Download |
Former 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 |
|---|
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 |