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Form Approved OMB No. 09200666 Exp. Date: 11/30/2019 www.cdc.gov/nhsn Hemovigilance Module Adverse Reaction Transfusion Associated Circulatory Overload *Required for saving *Facility ID#: NHS Adverse
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To fill out the hemovigilance module adverse reaction, follow these steps:
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Access the hemovigilance module adverse reaction form.
03
Fill in the patient's details, such as their name, unique identifier, and medical history.
04
Specify the date and time of the adverse reaction occurrence.
05
Provide a detailed description of the adverse reaction, including symptoms experienced by the patient.
06
Indicate the severity of the adverse reaction using a predefined scale.
07
Identify the blood product or component associated with the adverse reaction.
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Mention the type of transfusion performed (e.g., red blood cells, platelets, plasma).
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Provide additional details, if any, about the transfusion process that might be relevant to the adverse reaction.
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If available, include laboratory test results or other diagnostic information related to the adverse reaction.
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Review and verify all the entered information for accuracy and completeness.
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Submit the adverse reaction report through the hemovigilance module.

Who needs hemovigilance module adverse reaction?

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Hemovigilance module adverse reaction is needed by healthcare professionals involved in blood transfusion services.
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This includes doctors, nurses, laboratory staff, and other medical personnel responsible for monitoring and reporting adverse reactions associated with transfusion.
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Additionally, regulatory authorities, blood banks, and hemovigilance organizations may also require access to this module for data collection and analysis purposes.
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Hemovigilance module adverse reaction refers to the monitoring and reporting of any negative or unexpected reactions associated with blood transfusions.
Medical facilities, healthcare providers, and blood banks are required to file hemovigilance module adverse reaction reports.
Hemovigilance module adverse reaction reports can be filled out online through the designated reporting system or submitted manually with all necessary information included.
The purpose of hemovigilance module adverse reaction is to improve the safety and quality of blood transfusions by identifying and addressing any adverse reactions promptly.
Information such as patient details, transfusion type, reaction symptoms, severity, and any interventions taken must be reported on hemovigilance module adverse reaction.
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