Bloodless Care

Bloodless Care Center and Patient Blood Management

Managing Your Bloodless Care and Patient Blood Needs

There are many reasons why you may prefer to avoid the use of donor blood or primary blood components (red cells, white cells, platelets or plasma). You may have a personal preference or religious conviction that prevents you from receiving blood transfusions. Perhaps you have concerns that transfusions may pose a risk.

Whatever your reason, we believe that you deserve to have peace of mind, and to have your wishes treated with respect and dignity. At Health Quest, many physicians participate in the Bloodless Care Center and Patient Blood Management program. As an institution, we are committed to working with you to pursue non-blood medical and surgical management.

If you are a parent who wishes to avoid transfusions of donor blood for your child, please request a consult with our Bloodless Care Center and Patient Blood Management coordinator. We will explore bloodless treatment options and work with you to meet your goal.

Even if you do not currently need medical care, you may contact us to discuss your wishes for future care, including advance directives and care in case of emergency situations.

Why Choose Us?

A Personalized and Professional Plan to Help You

  • The Bloodless Care Center and Patient Blood Management program acknowledges your right to privacy and personal autonomy, and the right to accept or reject recommended treatment, including the administration of blood and blood products
  • Our program is made up of doctors, nurses, administration and hospital personnel with a deep commitment to honoring your wishes. Blood management strategies may include:
    • The use of technology to help control bleeding during surgery
    • Recirculation of your own blood during surgery
    • A special cell-saving process performed without storing your blood
    • The latest medication advancements
  • We have Bloodless Care Centers at both Putnam Hospital Center and Vassar Brothers Medical Center, so you are always close to your preferred method of treatment.

Levels of Patient Blood Management Preferences

The level of bloodless care participation is identified during a consultation between your physician, you and the program coordinator. The program medical director and program coordinator are available to assist physicians in identifying an appropriate treatment program to reduce the risk of anemia and coagulation disorders associated for all patients before, during and after treatment.

Participation Level One:

  • Due to religious reasons or personal preference, you refuse blood transfusions in all cases, even in a life-or-death situation.
  • You do not want blood transfusions or primary blood components as part of your treatment plan.
  • You may consent to blood fractions derived from blood components.

Participation Level Two:

  • You have concerns about the risks of blood transfusions.
  • You may have several conditions to your participation in the Patient Blood
    Management program.
  • You request that blood transfusions are only given when all other options have been exhausted.
  • You consent to blood transfusions and pre-donated blood (elective process only) in life-or-death situations.
  • You resume request for blood conservation and avoidance of blood transfusion after the life-or-death situation is managed.

Treatments and Technology

Health Quest Bloodless Care Centers use state-of-the-art technology and advanced techniques, which may include:

  • Arterial embolization
  • Low volume blood draws and use of i-STAT
  • Harmonic scalpel, lasers, argon beam coagulator and electrocautery
  • Intraoperative blood salvage, closed-circuit non-storage cell saver
  • Intraoperative and postoperative hemodilution techniques
  • Minimally invasive surgery
  • Pharmaceuticals
  • Postoperative blood salvage
  • Pulse oximetry
  • Volume expanders
  • Robotic surgery