Get Fenwal Whole Blood Performance Report

The Fenwal Whole Blood Performance Report is an essential document for reporting any incidents related to blood donation. This guide provides clear instructions on how to complete the form online, ensuring that you can accurately capture and report any relevant details.

Follow the steps to complete the Fenwal Whole Blood Performance Report.

1. Press the ‘Get Form’ button to access the Fenwal Whole Blood Performance Report and open it for editing.
2. Begin by filling in the incident date and lot number at the top of the form. Ensure that all details are accurate and clearly written.
3. In the section labeled 'When Was The Problem Detected,' mark the appropriate checkboxes to indicate when the issue was noticed, such as 'Before Use,' 'After Donation,' or 'From Hospital.'
4. Proceed to the 'Problem Type' section. Check all applicable issues that occurred, such as 'Discolored,' 'Leak,' or 'Broken,' ensuring to mark each that pertains to your incident.
5. Refer to the accompanying diagram and circle any specific components where issues were identified. This helps in pinpointing the exact source of the problem.
6. Provide a detailed description of any additional problems in the 'Additional Problem Description / Explanation' section to offer context for the reported issues.
7. If a kit return to Fenwal is required, check the appropriate boxes to indicate if a sample is available and if a sample return box is needed. Follow any additional instructions as indicated.
8. Complete the 'Center Authorized Signature/Date' and the 'Fenwal Reviewed By/Date' fields to finalize the report.
9. Fill in your contact details, including account number, site name, and email, to ensure accurate communication and processing.
10. Once all parts of the form are filled out, you may choose to save the changes, download, print, or share the completed report as needed.

Complete your Fenwal Whole Blood Performance Report online to ensure timely and accurate reporting of blood donation incidents.