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TRANSFUSION REACTION NOTIFICATION FORM Instructions In the event of a reaction following transfusion of blood or blood products, please complete the following details and send to the Transfusion Medicine
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How to fill out transfusion reaction notification form

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How to fill out transfusion reaction notification form

01
Obtain the transfusion reaction notification form from the healthcare facility.
02
Fill out the patient's information including name, date of birth, and medical record number.
03
Document the details of the transfusion reaction including symptoms experienced by the patient.
04
Provide information about the blood product transfused, such as type, unit number, and expiration date.
05
Include information about the healthcare providers involved in the transfusion.
06
Sign and date the form to verify the accuracy of the information provided.

Who needs transfusion reaction notification form?

01
Healthcare professionals responsible for administering blood transfusions.
02
Healthcare facilities that transfuse blood products.
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The transfusion reaction notification form is a document used to report any adverse reactions or complications that occur during or after a blood transfusion.
Healthcare providers or facilities responsible for administering blood transfusions are required to file the transfusion reaction notification form.
The form should be filled out with details of the transfusion, the patient's information, and any signs of adverse reactions experienced.
The purpose of the transfusion reaction notification form is to ensure proper reporting and monitoring of any adverse reactions related to blood transfusions.
Information such as patient details, transfusion details, signs of adverse reactions, and actions taken should be reported on the transfusion reaction notification form.
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