Original post by madmed16If they are conscious, then you must first assess their competence. If they are competent and confirms that you can do the transfusion, I would not hold off on the transfusion and explain to the Mother once they were settled, why we had to do it. If they are not competent however, you would then have to turn to the Mother and get her consent. If the Mother does not consent, it would be a good idea to sit down with her and discuss why they need it, what the consequences are if they do not have it, and also why the Mother does not want her to have it - this could be due to previous experiences, risk infection, she's a Jehovah witness. If the Mother still refuses, I believe it's then up to the team to make that decision (I could be wrong here) based on beneficence, which will most likely be to proceed with the transfusion.