SAFETY
HEMOFLOW
FORMS & JA's
STEPS
MISCELLANEOUS
100

Design feature on needle assembly to know the bevel is facing up

Black circle

100

Press these buttons and follow the prompts on the Hemoflow to setup for VBV.

Start, scan DIN, gender, height, weight, next.

100

This form must be completed for all hematomas.

GC1620 Donor/Visitor Incident Report

100

Per SOP 3330.02, perform this step to verify the donor's eligibility and consent. 

Review the donor record prior to venipuncture. 

100

Usually, this is the most suitable vein for donating

Median Cubital Vein

200

Location of discarding expired or faulty tubes

Sharps container

200

Press these buttons and follow the prompts on the Hemoflow to setup for Preset.

Start, no, A/B/C, next.

200

This JA is used to determine the correct collection target.

JA1659

200

Perform these steps immediately after performing the venipuncture.

CCCWT

200

Formula used to estimate the amount of blood in the human body

2 pints for every 25 lbs

300

Perform this step before performing the venipuncture to help prevent or control adverse reactions

Recline the donor's chair

300

Press these buttons to switch to a manual draw.

Pause, Stop, Exit, Grams, Mixer.

300

This JA is used to troubleshoot the Hemoflow.

JA1661

300

These steps are performed when the target weight has been reached.

SWTT

300

Fill out this form for manufacturer defects 

GC2227 Materials or Supplier Non-Conformance Report

400

GCRBC's program located on the Intranet & EPSS, where detailed information can be found regarding accidents and incidents.

Safety Program.

400

During manual procedures, stop the mixer approximately __ grams before the target weight is reached.

30

400

This JA is used to distinguish between QNS/Q51.

JA1637

400

If a QNS/Q51 results from the donation, this step must be performed on the testing tubes in the hematroning area.

Place an 'x' on the testing tubes.

400

If the donor is found to be unsuitable in the phlebotomy area, press this button in the handheld to defer or discontinue.

Esc

500

This form should be filled out for accidental needle sticks. 

GC2100 Employee Accident Report

500

This MUST be performed to avoid a QIR is a 16-year old is donating using VBV by mistake.

Switch to a manual draw.

500

This JA defines possible adverse reactions.

JA1623

500

This quarantine tag # that must be attached to all quarantined units. 

LC3-020 

500

Formula used to calculate # of gallons a donor has donated

LTD/8

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