Forms

Audits

Document Name Date of Original Publication Date Revised  
SHA Blood Issue and Administration Audit Form August 12, 2025 November 7, 2025 Download

    Issued Close to Expiry Tags

    Document Name Date of Original Publication Date Revised
    Issued Near Expiry - Safe to Transfuse Label January 20, 2026 January 20, 2026 Download
    Memo: Short-dated Components Orange Tag Lab January 20, 2026 January 20, 2026 Download
    Ordering Tags from Uline Example January 20, 2026 January 20, 2026 Download

      Miscellaneous

      Document Name Date of Original Publication Date Revised
      Non-SoftBank Disposition/Utilization Form November 6, 2025 February 3, 2026 Download

        Provincial IG Order Sets

        Requisitions

        Document Name Date of Original Publication Date Revised
        Prams - Request for Prenatal Testing November 7, 2025 November 7, 2025 Download
        Referral Request for Transfusion Medicine Testing/RBC Crossmatch January 25, 2018 November 7, 2025 Download

          RQHR PPO's

          Document Name Date of Original Publication Date Revised  
          RQHR PPO #059 Therapeutic Plasma Exchange October 10, 2025 November 7, 2025 Download
          RQHR PPO #290 - Intravenous Iron Therapy January 13, 2018 November 7, 2025 Download
          RQHR PPO #489 - Prothrombin Complex Concentrates (PCC, Octaplex & Beriplex) June 21, 2018 November 7, 2025 Download
          RQHR PPO #601 - Ordering of Red Blood Cells - Adults January 13, 2018 November 7, 2025 Download
          RQHR PPO #627 - Ordering of Human Fibrinogen Concentrate (RiaSTAP™) June 21, 2018 November 7, 2025 Download
          RQHR PPO #657 - PEDIATRIC Iron Sucrose Infusion Orders June 10, 2019 November 7, 2025 Download

            Transfusion Administration Records

            Transfusion Reactions (Transfusion Adverse Events)

            Transport of Blood Components and Products

            Document Name Date of Original Publication Date Revised  
            Inter-facility Blood Component & Product Transfer/Redistribution Form April 24, 2018 November 7, 2025 Download

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