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Manitoba Transfusion Best Practice Resource Manual

Section 1: Introduction Chapters

  1. Introduction chapters

Section 2: Guidelines

  1. Informed consent for administration of blood, blood components, and blood products
  2. Identification and labeling of pre-transfusion samples
  3. Patient identification of blood, blood components, and/or blood product administration
  4. Receipt of blood, blood components, and/or blood products
  5. Monitoring of patients receiving transfusion
  6. Patient required health record documentation of blood, blood component, and blood product
  7. Transfusion reaction: identification, management, and reporting
  8. Administration of blood, blood components, and blood products
  9. Educational requirements for patients receiving transfusion
  10. Request for release of emergency blood and blood components, and special considerations for emergency and critical care
  11. Special considerations for pediatric blood administration

Section 3: Competency Requirements

  1. Continuous competency assessment for nurses
  2. Blood administration return demo

Section 4: Appendices

  1. Informed consent Sample A
  2. Informed consent Sample B
  3. Blood notification record
  4. Two step ABO protocol
  5. Pre-printed labels for type and screen
  6. Visual inspection guide
  7. Cumulative blood product record completed
  8. Record of transfusion example
  9. Transfusion reaction algorithm
  10. Transfusion reaction quick reference
  11. CM105 example TACO
  12. Record of Transfusion ER component 2024
  13. Blood warmers – quick reference guide
  14. Belmont operator’s manual
  15. Level 1 user manual
  16. Shared Health blood log document
  17. Blood administration quick step guide

Shared Health Forms

Shared Health Customer Feedback FormForm F160-INV-23
Equipment Malfunction & Corrective Action RecordF160-QC FORM 15
Inter-facility Shipping of Blood, Blood Components and DerivativesF160-INV-18
F160-INV-18A
F160-INV-18B
F160-INV-18C
Daily Temperature and Weekly/Monthly Maintenance Record: Fridge QC FormsF160-QCFORM-08
F160-QCForm-09
Daily Temperature and Weekly/Monthly Maintenance record: Freezer QC FormsF160-QCFORM-06
F160-QCFORM-07
Daily Temperature and Weekly/Monthly Maintenance Record: Platelet IncubatorF160-QCFORM-11
Alarm System Check: Blood, Blood Component and Derivative Storage Equipment160-QC-14
Alarm Response/Malfunction: Blood, Blood Component and Derivative Storage Equipment160-QC-13
F160-QCFORM-15
Storage Equipment Standards: Blood, Blood Components and Derivatives160-QC-02
Transport of Blood, Blood Components and Derivatives (Within a Facility)160-INV-17
Issuing, Returning and Documenting the Final Disposition of Blood, Blood Components and Derivatives160-INV-14
160-INV-16
160-INV-19
Receiving Blood, Blood Components and Derivatives160-INV-07
Visual Inspection of Blood, Blood Components and Derivatives (When Performing Blood Bank Duties)160INV-12
Emergency Issue of Donor Red Cell Units (Non Crossmatch Facilities)160-MP-20
Job Aid, Obtaining Plasma Protein Products in PMH NOTE: for PMH RegionJA160-28INV-14C
Job Aid, Obtaining Crossmatched Units for Blood Banks in PMH NOTE: for PMH RegionJA160-28INV-14B