Forms

• IVIG Request Form
• Final Disposition of Transported Blood Components
• Information for Recipient on How to Identify and Respond to a Transfusion Reaction

Resources

• IVIG Request Form
• IVIG Adult Infusion Rates
• IVIG Pediatric Infusion Rates
• IVIG Dosing based on Adjusted Body Weight Calculation
• TM Lab Phone & Fax Numbers

Forms

• Blood Bank Pickup Form

Resources

• Blood Bank Pickup Form
• Order Entry for Transfusion Medicine – Category BBK
• Temperature Monitored Equipment Alarm Response Process
• Client resource for unmatched blood
• Managing Bleeding Patient Protocol in Rural Sites

Forms

• AHS Edmonton Zone Frozen Plasma (FP) Request Form (Click here to see Plasma Guidelines)
• Prothrombin Complex Concentrate Request Form
• Transfusion Medicine Requisition

Resources

• Maternal post-partum and Neonatal cord blood specimen handling for Midwife deliveries in the Edmonton Zone
• Massive Hemorrhage Protocol
  • Policy and Procedure
  • Flowchart: MHP Activation
  • Flowchart: Greater than or equal to 50 kg
  • Flowchart: Less than 50 kg
  • Cheat Sheet  (**Updated May 24, 2019)
  • Debrief Form
• RBC Screening FAQs
• Handling Blood Components and Products by Pneumatic Tube
  • Receipt and Handling of Blood Components and Products via Pneumatic Tube
  • Pneumatic Tube Decontamination

Forms

• IVIG Request Form

Resources

• Blood Component/Product Administration Quick Reference: Adult
• Massive Hemorrhage Protocol – Red Deer Regional Hospital Centre ONLY

Resources

• Blood Component Compatibility and Handling Information
• Checking the tag to the bag
• Immune Globulin Initiation Form
• IVIG Reaction Chart
• Specialized Blood Component Eligibility

Resources

• Massive Transfusion Protocol – CRH
• Massive Transfusion Protocol – MHRH
• Blood Components and Products Administration Tubing Sets (South Zone West)
• Transfusion Service Identification Number (TSIN) Wristband
• Obtaining and Returning Blood Components and Products