Get Provincial Model Template - Transfusion Reaction Reporting Form With Bc - Saskblood

The Provincial Model Template - Transfusion Reaction Reporting Form With BC - Saskblood is an essential document for reporting transfusion reactions. This guide provides step-by-step instructions to help users accurately complete the form online, ensuring thorough documentation and reporting of adverse events associated with blood transfusions.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin with the patient demographics section. Fill in the patient's legal last name and first name, ensuring all identifiers are accurate.
3. Enter the Health Services Number or Medical Record Number, along with the date of birth in the specified format (dd/mm/yyyy). Also, include the facility name.
4. Select the patient's gender and provide the diagnosis in the designated field.
5. Indicate the reason for the transfusion by choosing the appropriate category from the given options.
6. Complete the patient and blood component/product unique identifier verification. Make sure that all information matches across the patient ID band, issue document/tag, and blood component/product label.
7. In the clinical history section, check all relevant boxes based on the patient’s pre-existing conditions and history of transfusions.
8. Document the location, date, and time of the transfusion reaction. Include the ward or service where the reaction occurred.
9. Record pre-transfusion clinical signs and symptoms such as temperature, blood pressure, and pulse in the respective fields, then document post-transfusion readings.
10. Check all applicable clinical signs and symptoms related to the transfusion reaction and provide any relevant clinical information.
11. Detail the blood component/product used, filters or equipment involved, alongside relevant unit or lot numbers.
12. Document treatment measures taken, including any medications administered and additional information about the patient's response.
13. Complete the results of investigations and the pathologist's conclusion, including details about previous transfusion reactions.
14. After finishing all sections, save the changes made to the form. You can download, print, or share the completed form as needed.

Complete your documentation online today to ensure timely and effective reporting!