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Imagine it’s two months later and you’re working in A&E. The same patient is rushed into hospital because she has a serious complication relating to her pregnancy. She is bleeding internally and requires a blood transfusion or she might die. However, she has refused because accepting blood products goes against her religious beliefs.
What is the most important immediate consideration when treating the patient?
Once the patient is stable, what would you do next?
Ensure the patient is stable and safe.
Ask the patient & their parent or guardian why they don't want the blood transfusion. Explain the consequences of refusing.
Respect the patient’s autonomy and don't give a blood transfusion.
Allow her parent/guardian to make the decision for her.
Consult the hospital’s legal team to find out what action could be taken to give her the blood transfusion.
Double check the wording of the question. The assessor has asked you what the most important immediate consideration is.
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