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학습 자료 둘러보기 →When a competent adult refuses a blood transfusion, the nurse's primary role is to respect the patient's autonomous decision, even if the hemoglobin is critically low (e.g., 5.2 g/dL).
Immediately shift the care plan to bloodless medicine alternatives to support oxygenation and hemostasis. This includes optimizing volume status with crystalloids, administering recombinant erythropoietin, and using intravenous iron supplementation to stimulate erythropoiesis.
For active bleeding, collaborate with the team to implement procedural interventions such as hemostatic agents, cell salvage, or targeted surgical techniques to minimize blood loss while respecting the patient's directive.
Never attempt to coerce the patient or allow family members to override the decision. A signed informed refusal form is essential, but the focus must remain on providing the best possible care within the patient's defined boundaries.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.