Consent for albumin?

  1. An agency nurse in our ER wanted the doc to get a Blood Products Permission slip signed by a patient. Her reasoning was that albumin is a blood product. Anyone heard of this?
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  2. 23 Comments

  3. by   Reno1978
    Looking at http://www.albumintherapy.com/us/en/ask.html#6 it does indeed seem that it is derived from plasma donations. However, I've never seen a consent required for it either. I could see how patients who refuse blood products for religious/cultural reasons may object to receiving this if they knew what it was derived from.
  4. by   elizabells
    I've never seen it, but we usually only give it to pts on ECMO or post-bypass, so they've already signed a blood consent at that point. I've wondered too - we don't give it through a separate line like a blood product.
  5. by   cardiacRN2006
    Nope, never seen that. We give it without consent, but it comes with its own special tubing that we change with each bottle...
  6. by   suanna
    I have never seen a premission slip for albumin but I do know the local Kingdom Hall has ruled that it is blood per-se and cannot be given under thier beliefs.
  7. by   utahliz
    We treat albumin as a medication, not a blood product, though we get it from the blood bank. We never require signed consent, though if I had a Jehovah's Witness pt. I would ask them what their wishes were. Though albumin is derived from blood, it does not need to by typed or cross-matched. We give a lot of albumin to pts. who are low or need it as a volume expander.
  8. by   Mulan
    I've always given it as a medication too, it is scheduled on the MAR. Monitoring was not done. It came from pharmacy where I worked, in a glass bottle that came from the manufacturer. It did come with it's own tubing which of course wouldn't work in a pump.
  9. by   TulsaTime
    Quote from bill4745
    An agency nurse in our ER wanted the doc to get a Blood Products Permission slip signed by a patient. Her reasoning was that albumin is a blood product. Anyone heard of this?

    Yep. Albumin is a blood product & by following the policy correctly it does require a consent just like any other blood product. Only a few of the hospitals i've worked in have followed this but considering it is a blood product I think it's a smart thing to do.
  10. by   meandragonbrett
    No, no consent needed.
  11. by   cardiacRN2006
    Quote from Mulan
    It came from pharmacy where I worked, in a glass bottle that came from the manufacturer. It did come with it's own tubing which of course wouldn't work in a pump.

    When we are giving it as a gtt and not a bolus, we can still use the tubing on a pump. We just hang it as a PB with a NS driver.
  12. by   elizabells
    Quote from cardiacRN2006
    When we are giving it as a gtt and not a bolus, we can still use the tubing on a pump. We just hang it as a PB with a NS driver.
    I should have mentioned that since I'm in a NICU, we never use the entire bottle, and draw it up in a syringe and give it over time on a pump, even if it is a bolus. Can't go too fast through a 1Fr PICC! The fastest I've managed to do it is 20min.
  13. by   mnurse3139
    Well I have worked for two hospitals in south Texas within the same system, one required it one did not. Once we were giving albumin to a jehovah witness and I was wondering if they knew where it came from.
  14. by   Grumpy's Girl
    Yep, blood product and we have to get consent. And "they" want it on the IV pump with the preprogramed albumin mode, which doesn't really work well. Good grief. We just hang it as usual - free flow.

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