Home is where the heart is: do blood transfusions belong there too?

Blood transfusions performed outside of the hospital (OOH), particularly those in the patient's home, require special attention to reduce the added risk of being at an increased distance from emergency medical care. The situation must be carefully evaluated to be sure that the added risk is minimal and is balanced by substantial benefit to the patient. Consideration should be given in advance as to which patients will be eligible for OOH transfusions and what criteria must be met for the location of the transfusion. When blood transfusions are performed in the home, a second adult should be available to be able to assist the transfusionist and to monitor the patient after the transfusionist leaves. A facility engaged in OOH transfusions must adhere to all regulations and should establish quality assurance measures concerning this OOH transfusion practice. An OOH blood transfusion program must address these and other issues before the first patient is enrolled.