If possible, before surgery, see if you can self donate or line up donors of your blood type to donate. With any lengthy surgery, it is almost a given you will need blood. See what needs to be done to have a couple units on hand prior to surgery. Also when signing a consent, add on that you want zero “vaccinations” given during surgery or while under the influence of pain or sleeping medications for which you cannot consent. Also sign for zero blood to be administered unless it is given by the arranged donators or they can guarantee the blood has been screened to eliminate any mRNA donors/previously Covid 19/ current influenza vaccine donors. It is best to send a notarized signature copy to the hospital CEO, your surgeon, a copy for the chart signed as acknowledgement by the doctor following you or your surgeon (ask for a copy of what the surgeon signed) and keep a bedside copy for yourself.