Table of Contents
- Contact List
- Products, Product Codes & ISBT Codes
- AABB Circular of Information – Contact Hospital Services for a current copy
- Reference Laboratory – Tests Performed
a) Form – Request For Reference Laboratory Studies
b) Form – Request For Antigen Negative Blood and HLA Platelets - Blood Product Compatibility Chart
- Transferring Blood Products Between Hospitals
a) Form – Hospital to Hospital Transfer - Investigation of Possible Transfusion-Acquired Infection
a) Form – Report of Suspected Transfusion-Acquired Infection - Reporting Serious Reportable Adverse Event
a) Form – Serious Reportable Adverse Events - Lookback
a) Sample Product Retrieval Letter
b) Sample HCV Confirmatory Letter
c) Sample HIV Confirmatory Letter
d) Sample Cover Letter for Lookback Packet
e) Form – Transfusion Component Disposition
f) HIV I Information Packet
g) HIV II Information Packet
h) HIV – HCV Sample Letter to Attending Doctor from Medical Director
i) Form – Response from Physician to Transfusion Service
j) HCV Lookback Information Packet
k) Post Donor Information Letter - Trali Mitigation Risk Protocol
- Bacterial Contamination Risk Mitigation Strategy
- ‘A Patients Guide to Blood Transfusion’ – California Department of Health Services
(English) (Spanish) - CPT (Testing) Codes
- HCPCS (Product) Codes
- ABO – (Online Blood Product Ordering)
- Manual Blood Product Order Form
- Manual Return Blood Product Form
- Laboratory Requisition
- Therapeutic Procedures
- Autologous Acceptability Criteria
- Autologous Donation Protocol
- Shipping Autologous Unit(s) With Reactive Infectious Disease Markers
- Physician Material Order Form
- Reference Laboratory: Transfusion Services
a) Form – Request For Transfusion of Blood Components
b) Form – Transfusion Reaction
c) Instruction Sheets:
i. Guidelines For Blood Transfusion
ii. Submission Of Patient Blood Sample
iii. Completion Of Request For Transfusion Of Blood Components
iv. Instruction Sheet for Securlink Blood Band