The following forms are used for routine CTR reporting:

   
 Forms
Dated

Database Edit Form

Used for changes to CTR data

Mar 2011

IM.006F - Interhospital Exchange Form 

Used for product shipments without a patient

Feb 2015

IM.007F - Interhospital Exchange Form

Used for blood product transport with a patient

 May 2009

IM.003F - Blood Product Issue and Transfusion Record

Used to manually report transfusion records

 Apr 2009

IM.005F - Component and Fractionated Blood Product Discard Record

Used to manually report discarded records

 May 2009

TMS IVIG Request Process

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