New Discussion: Type and Screen in a Patient Refusing Blood Products?

A Transfusion Service supervisor in Northern California presents a dilemma regarding informed consent for transfusion and the role of the blood bank. A patient received information about blood transfusion and alternatives as required by the Gann Act, and thereafter refused to consent to transfusion. The ordering physician still wanted the blood bank to draw and perform a type and screen. However, does the transfusion service have a legal obligation NOT to draw a sample for blood bank testing? If so, how do transfusion services track patient refusal to accept blood products?