Limitation on Transfusions

(A) Surgical services shall not do procedures that generally result in extensive blood loss or for which the need for blood replacement is anticipated. (B) Transfusions shall be permitted as part of the clinic’s surgical services in accordance with 105 CMR 135.410: Transfusion Outside of a Licensed Hospital that allow such transfusions outside a transfusion service in rare and unusual circumstances as deemed necessary by the blood bank director, provided that blood or blood product is released to the requesting physician and that physician is responsible for the transfusion. (C) Surgical services that administer whole blood and/or its components and/or derivatives in transfusion as authorized by 105 CMR 140.614(B) shall meet the requirements set forth in 105 CMR 140.380(A) through (C).