Forms for investigations

Forms for NHSBT duty consultants

To record the details of your consultation with a hospital following a patient reaction during transfusion use the Record of medical consultation (Word 50KB) form.

Forms for hospital staff

RCI form 1A 

For the investigation of:

• Allo and autoantibodies
• Haemolytic transfusion reaction
• Haemolytic Disease of the Newborn
• Autoimmune haemolytic anaemia
• IgA deficiency

RCI form 1A

H&I form 3A 

For the investigation of:

• Transfusion Associated Acute Lung Injury (TRALI) 
• Transfusion-associated graft vs host disease (TA-GvHD)
• Post-transfusion Purpura (PTP)
• Non-Haemolytic Febrile Transfusion Reaction (NHFTR)

 H&I form 3A 

Non bacterial infection report form

When a patient has a non bacterial infection post-transfusion use the non bacterial infection report form FRM1534 

Guidance for completing the forms above

Component recall process flowcharts show the interactions and processes between hospitals and ourselves during any recall. Recall reasons and advice provide information on the recall reason, any action required if the unit(s) have been transfused and information on the expected follow-up information we will provide.

The flowcharts and recall reasons are available on the component recall webpage.