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International Accreditation of Healthcare Facilities

Standards › Standard 5 › Forms

Form · BLD-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 5.5

Purpose

Records each request, the compatibility check and each issue.

How to complete

Checks

Check Entry
Request valid and signed Yes
Patient identity checked Yes
Compatibility check recorded Yes
Units issued (number and product) Yes
Issued at (time) and to (name) Yes

Evidence

Reference Note
E-009 Based on the Council of Europe Guide to the Preparation, Use and Quality Assurance of Blood Components.
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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