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Ready Reference

Understanding Blood and Blood Components

Bloodless Chart

Learn more about blood and 'minor blood fractions' with this helpful interactive chart.

Related Classes & Events

Bloodless Medicine

Do I Need An Advance Directive?

IF I REQUEST MEDICAL OR SURGICAL CARE WITHOUT THE USE OF BLOOD TRANSFUSIONS WILL MY WISHES BE HONORED?

Allegheny General Hospital has a long-standing reputation as a center of excellence for treating patients who, for religious or other reasons, request care without the use of blood transfusions. A hospital representative will be available to review an AGH/West Penn Allegheny Health System-specific advance medical directive for bloodless medicine with you, and assist you in clearly documenting your wishes.

WHAT IS THE AGH/WPAHS ADVANCE MEDICAL DIRECTIVE FOR BLOODLESS MEDICINE?

It is a document that asks what you will or will not accept during your hospital stay in the following specific areas:

Fractions
1 Albumin
2 Erythropoietin (EPO)
3 Immune Globulins
4 Human Derived Clotting Factors

Equipment
4 Heart Lung
5 Dialysis
6 Regular and Hypervolemic Hemodilution
7 Intra-operative Blood Salvage (cell saver)

Procedures
8 Cell Tagging
9 Blood Patch
10 Autologous Platelet Gel

WHY ALL THE QUESTIONS?

Completing the AGH/WPAHS Center for Bloodless Medicine and Surgery Advance Directive allows your medical team to carefully design the best plan of care for you. It also makes your wishes known in advance should an emergency arise during your hospital stay.

DO I STILL NEED A DURABLE POWER OF ATTORNEY FOR HEALTHCARE (DPA)?

Signature

Yes. Every adult* should give serious thought to having and maintaining this important document. Establishing advance directives regarding future health care decisions can ensure that your wishes are met and can also relieve your family members of the stress of having to make difficult decisions for you.

Always carry a copy of your personal DPA/Advance Directive with you, and make sure that your "attorney in fact" also has a copy. This is especially important if you are not able to make your wishes known when you enter a hospital.

Your Durable Power of Attorney for Healthcare is about more than whether or not you will accept a blood transfusion.

Individuals who are Jehovah's Witnesses can obtain a Durable Power of Attorney for Healthcare form from their local congregation. Pennsylvania residents can find more information about DPA’s and Living Wills, and a sample Advance Directive, on the Pennsylvania Department of Health website.

*Pennsylvania code, Act 169, stipulates that in order to execute a health-care power of attorney an individual must be at least 18 years of age, or be married, or a high school graduate, or an emancipated minor.

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