Hospital Services Manual - LifeStream Blood Bank

Hospital Services Manual

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Table of Contents

1

2

Products, Product Codes & ISBT Codes

3

AABB Circular of Information

4

Reference Laboratory – Tests Performed

a) Form – Request For Reference Laboratory Studies
b) Form – Request For Antigen Negative Blood and HLA Platelets

5

Blood Product Compatibility Chart

6

Transferring Blood Products Between Hospitals

a) Form – Hospital to Hospital Transfer

7

Investigation of Possible Transfusion-Acquired Infection

a) Form – Report of Suspected Transfusion-Acquired Infection

8

Reporting Serious Reportable Adverse Event

a) Form – Serious Reportable Adverse Events

9

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

10

Trali Mitigation Risk Protocol

11

Bacterial Contamination Risk Mitigation Strategy

12

‘A Patients Guide to Blood Transfusion’ – California Department of Health Services
(English) (Spanish)

13

CPT (Testing) Codes

14

HCPCS (Product) Codes

15

Manual Blood Product Order Form

16

Manual Return Blood Product Form

17

Laboratory Requisition

18

Shipping Autologous Unit(s) With Reactive Infectious Disease Markers

19

Physician Material Order Form

20

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