Blood Conservation Program 

2009 Tenet Hero of the Year

At San Ramon Regional Medical Center, we do some of our best listening without the stethoscope. So, at a time when more and more patients request medicine and surgery without blood transfusions, we take requests to hear with our Blood Conservation Program.

Why Blood Conservation?
For some,  the desire for blood conservation is based on religious beliefs. Other patients choose it to reduce the possibility of adverse reactions or other risks associated with receiving blood products.


Skilled and Committed Team

Combining healthcare with health caring, San Ramon Regional Medical Center assembled a multidisciplinary team of skilled physicians and surgeons committed to blood conservation. They use available medications and technology to minimize blood loss during medical or surgical intervention.

24-Hour Support

Supporting the program is a dedicated and knowledgeable team who is available 24 hours a day, seven days a week. They take care of your specific medical needs, explain procedures and options, and remain in contact with each patient from the time of first inquiry to actual discharge from the hospital.

Program Manager

Michael Nixon, Blood Conservation Program Manager, will help to take care of your personal and family needs. He explains all medical procedures and options, and remains in contact with each patient from the time of first inquiry to actual discharge from the hospital. Please contact him if you plan to have treatment or surgery at San Ramon Regional Medical Center. His number is 925.275.8422 and his e-mail address is

Medical Panel

For a listing of physicians participating in the Blood Conversation Program at San Ramon Regional Medical Center, click on Find a Physician, select Specialty and an Area of Interest. Our program manager can assist you in selecting a physician on the Blood Conservation Medical Panel.

Medical Specialties

Blood conservation interventions may be applied to medical and surgical specialties we offer, including:

  • Cardiology
  • Colon/rectal Surgery
  • Endocrinology
  • Emergency Services
  • Family Practice
  • Gastroenterology
  • General Surgery
  • Gynecology/Oncology Surgery
  • Hematology/Oncology
  • Infectious Disease
  • Intensive & Critical Care
  • Internal Medicine
  • Neurosurgery
  • Obstetrics/Gynecology
  • Ophthalmology
  • Orthopedics
  • Plastic & Reconstructive Surgery
  • Spine Surgery
  • Thoracic Surgery
  • Urology & Urologic Surgery
  • Vascular Surgery

Techniques and Equipment
To conserve blood loss during surgery, interventions may include:

  • EPO (erythropoietin) ‑ A recombinant (genetically engineered) hormone medication that is identical to the natural hormone that the kidneys produce to stimulate the body to produce more red blood cells
  • Laboratory Conservation Techniques - Micro sampling for lab tests to reduce the amount of blood removed for blood tests.
  • Intra- & Post-Operative Blood Salvaging (such as the Cell Saver®) - A technique using a specialized blood recycling machine which collects, cleans and returns the patient’s own blood during and after surgical procedures.
  • Harmonic Scalpel, Argon Beam Coagulator and Electrocautery - Surgical devices used to seal blood vessels during surgery, thereby minimizing bleeding.
  • Laparoscopic & Minimally Invasive Surgery -- Surgery utilizing smaller incisions and fiber optics reduce blood loss.
  • Pharmaceutical Agents -Medications to assist in reducing blood loss by increasing clotting or controlling excessive bleeding.
  • Nutritional Support - Dietary suggestions to assist the patient to be in personal, optimal preoperative status.

Insurance Coverage

San Ramon Regional Medical Center is a contracted provider of care for a wide variety of health plans, including Medicare. For a list of contracted insurance providers, call 925.275.8257. Contact your health plan for authorization and referral requirements.

Patient Participation

If you plan to participate in the Blood Conservation Program, please talk to your physician in advance. Also, notify the hospital staff upon registration and Michael Nixon, Program Manager, will meet with you.

Free Seminars on Blood Conservation and Advanced Health Care Directives

An Advanced Health Care Directive is a signed legal document that names the individual or an agent you would like to make medical decisions for you if you unable to do so.

San Ramon Regional Medical Center presents free seminars several times a year to assist you in completing your Health Care Directive to help ensure you receive no blood or blood products. It is important to attend an Advanced Directive seminar: 

  • To protect your federal rights as a patient to make your own decisions regarding your healthcare.
  • To make known your choice of non-blood management on the Advance Health Care Directive.
  • To make an informed choice you must understand the medical alternatives available for nonblood management.
  • To act as someone else’s healthcare agent, you should understand the Advance Health Care

We are happy to send you information regarding future seminars on blood conservation and the Advanced Health Care Directive Seminar. Call the Blood Conservation office at 925.275.8244.


Do I thoroughly understand and could I explain to a medical professional what a primary component of blood is?
Do I thoroughly understand and could I explain to a medical professional what a fraction derived from a primary component  of blood is?
Do I understand and can I explain blood salvaging and the importance of the proper setup of blood salvaging equipment of Jehovah's Witnesses?
Have I completed the Advance Health Care Directive for Jehovah's Witnesses/No Blood Card?

If you answered “no” to any of these questions, than make sure you attend this important seminar!
Many people have not yet completed an Advance Health Care Directive/No Blood.
Many have not replaced the old “Durable Power of Attorney for Healthcare Form.”
Many are confused about the medical terms contained in the form.
These seminars give individuals the opportunity to ask questions about terminology, current non-blood management and alternatives available and other issues regarding Advance Health Care Directives.

Questions to Ask Your Doctor about Blood Conservation

  • How much experience and training do you have with this procedure?
  • How many procedures of this type have you performed successfully without using blood transfusions or blood products?
  • Have you ever had an emergency where blood loss became serious?
  • What “backup” plan do you have should something go wrong and I begin to lose blood?
  • Will my request for transfusion-free surgery and medicine be completely respected by ALL the surgical team, hospital staff and physicians?
  • How will I be identified as a person who does not wish to receive blood? Will I receive a wristband?
    How will my medical chart indicate that I refuse blood?
  • How will other doctors and staff who may treat me during my hospital stay know my position regarding the use of blood and blood products?
  • How will the hospital notify the blood bank so that should another doctor order blood, it will not be sent without first consulting me, my healthcare agent or other responsible person?


Links for Additional Information

· American Association of Blood Banks - Whole Blood and Blood Components.


· National Center for Health Statistics - Anemia


· National Heart, Lung & Blood Institute - Blood Diseases and Resources Information for Patients and the General Public

Additional Information

If you would like additional information about the Blood Conservation Program at San Ramon Regional Medical Center, please call toll-free at 925.275.8422.


San Ramon Regional Medical Center | 6001 Norris Canyon Rd, San Ramon, CA 94583