kmccarthy

:)Interesting, I was looking for a place to document the checks etc. when a suspected reaction has been called. Let me know your thoughts on this please. We are a small generalist lab. Attach transfusion reaction documentation form and all current laboratory results to this form. When complete send form with results to SCMC Pathology. If there is a major concern of patient condition, call the pathologist on call for further instructions. Patient Name SSN/ID# Location Physician Date Time TO BE COMPLETED BY LAB PERSONNEL Patient Diagnosis: COMPLETED BY LABORATORY Tech initials_________ Date______ Time________ Clerical Check Yes No Laboratory Testing Results Micro Results Patient id matches on tube and blood bag? EDTA sample: Pre Post Gram Stain: Compatible blood types on log and blood unit? ABO/Rh Type Pre/Post vital signs on transfusion form? Antibody Screen Is IV Solution 0.9% Normal Saline? Cross-match Culture: Perform a clerical check of transfusion documentation: correct interpretation? DAT Urine (blood Y/N) COMPLETED BY PATHOLOGIST Transfusion Reaction (Check that apply) None Febrile Non-Hemolytic Hemolytic Fluid Overload Anaphylactic Bacterial Other _____ __________________ Comments: Printed Name of Pathologist Reviewer: Signature and Date: