Patient Education

CURBING UNETHICAL PRACTICES IN THE AREA OF BLOOD TRANSFUSION (Prof Kanchan Bhardwaj)

Prof Kanchan Bhardwaj Prof and HOD Blood transfusion medicine, Medical college Patiala

Unethical practices relating to Donors

Blood donation is a gift,soshould be based on voluntary, non-remunerated repeat blood-donation. These have low prevalence of transfusion transmissible infections. No one should be forced to donate for family, economic or any other reason.

Blood safety depends partly on the information provided by the donor. Unethical practice involve willfully concealing information about high risk behavior or medical history. Pre-donation counselling plays a pivotal role in sensitizing donors for self-deferral.

Blood banks have the right to accept or defer the donors, if unacceptable. It is unethical to budge to pressure regarding donor acceptance.

Donor confidentiality, donor notification and donor consent are important ethical issues. Donor consent for donation of blood or its components and to the subsequent use of the blood by the blood establishment;regarding acceptance to the risk associated with donation procedure; for testing; for notification about abnormal test results and for plasma fractionation for derivation of plasma products & their usage in any hospital is must.

Unethical practices related to Patients

Unethical practices relating to patients are more common in our country. Patients do not have access to safe blood, free of charge, or need for replacement or the option of giving informed consent for transfusion after explaining the known risks and benefits of blood transfusion and/or alternative therapies or the right to accept or refusethe transfusion. They should be informed, if harmed and given due compensation.

Unethical practices relating to Blood establishments

It is unethical to have a profit motive by the blood establishments.

Wastage should be avoided to safeguard the interest of all potential donors &recipients.

Unethical practices relating to Clinicians

There are no national guidelines for safe transfusion. This leads to unethical/inappropriate transfusions. Rational use of blood helps to cater 4 different patients from single unit of whole blood. This ensures appropriate dosage of the required component and save from adverse effects of unwanted component transfusion.

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