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Indian Pharmacopoeia Commission National Institute of Biological Ministry of Health & Family Welfare Govt. of India HAEMOVIGILANCE (Pharmacovigilance Program of India) TRANSFUSION REACTIONS REPORTING
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How to fill out haemovigilance form

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How to fill out transfusion reaction reporting form:

01
Gather all necessary information: Before filling out the form, make sure to collect all relevant information regarding the transfusion reaction. This may include details about the patient, the blood product administered, the symptoms experienced, and any other relevant medical history.
02
Clearly identify the sections: Transfusion reaction reporting forms often contain different sections to capture specific details. Take the time to read through the form and understand the purpose of each section. Common sections may include patient information, transfusion details, symptoms observed, and healthcare provider contact information.
03
Provide accurate and detailed information: When filling out the form, it is important to be precise and specific. Provide accurate dates, times, and descriptions of the transfusion reaction. Include any relevant laboratory results or diagnostic tests that were conducted as a part of the evaluation. This information will help healthcare professionals in analyzing and investigating the reaction.
04
Ensure legibility and completeness: Write legibly to ensure that all the information provided can be easily read and understood. Fill out all required sections of the form to avoid any delays or missing information during the reporting process.

Who needs transfusion reaction reporting form?

Transfusion reaction reporting forms are typically required by healthcare providers or facilities that administer blood transfusions. It is important to report any adverse reactions or complications associated with blood transfusions to ensure patient safety and improve the overall quality of blood products. Healthcare professionals, such as nurses, doctors, and laboratory staff, are likely to come across these forms and need to fill them out as part of their responsibilities in managing transfusion reactions. Additionally, organizations such as blood banks and regulatory bodies may also require transfusion reaction reporting forms for monitoring and quality improvement purposes.
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Document the time and date of the reaction, type and amount of infused blood or blood product, time you started the transfusion, and time you stopped it.
All requests must include requesting physician's name and ID number, patient's complete name, UH number, current account number, patient location, clinical information/diagnosis, identity of phlebotomist and verifier, and date/time of sample collection.
Documentation must minimally include the following components: Date and time that the blood transfusion began. Name of the second nurse who did the two-person verification process. Name and amount of the specific type of transfusion (for example, 1 unit of packed red blood cells) Blood product number.
Complete the associated blood transfusion form: Include all relevant patient details (e.g. name, date of birth, unique identification number). Document any special requirements for blood transfusion (e.g. CMV-negative blood or irradiated blood). Document the number of units of blood required if a crossmatch is needed.
The transfusion 'prescription' must contain the minimum patient identifiers and specify: Components to be transfused. Date of transfusion. Volume/number of units to be transfused and the rate or duration of transfusion.
The Blood Administration report includes types of blood product given, number of units of blood given, actions documented and blood product volume infused.

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The transfusion reaction reporting form is a document used to report adverse reactions that occur during or after a blood transfusion. It helps healthcare professionals to document details of the reaction for further investigation and improving transfusion safety.
Healthcare professionals involved in administering blood transfusions, such as doctors, nurses, and transfusion services personnel, are required to file the transfusion reaction reporting form if they observe or suspect a transfusion reaction.
To fill out the transfusion reaction reporting form, healthcare providers should provide patient identification details, description of the transfusion reaction, timing, symptoms, actions taken, and information about the blood product and donor. It is important to be as detailed and accurate as possible.
The purpose of the transfusion reaction reporting form is to document adverse events related to blood transfusions, facilitate the investigation of these reactions, and improve patient safety by identifying trends and potential risks in transfusion practices.
Essential information that must be reported includes patient demographics, details of the transfusion (date, type of blood product), description of the reaction, time of onset, clinical signs and symptoms, medical intervention provided, and follow-up actions taken.
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