(b) Communicating look-back requests and information according to the
1 For information dealing with donation, shipment, or recipient
transfusion of blood and blood components within the same service, forward it directly
to the MTF.
2 For information regarding any donation, shipment, or recipient
transfusion of blood and blood components to another service, forward it to the SBPO
for that service.
3 For information on donations, shipments, or recipient transfusions of
blood and blood components to civilian blood banks, forward it to the ASBPO (for Army
and Air Force) or to the appropriate civilian blood bank (for Navy).
4 For information regarding the donation, shipment, or recipient
transfusion to OCONUS civilian facilities, forward it to the ASBPO.
(c) Ensuring that blood donor and recipient look-back programs are in
place at all MTFs, and that transfusion services/donor centers meet the following
1 Each military blood bank will operate a system which will allow rapid
retrieval of information from 1977, or as far back as record retention will permit, on
blood donors and transfusion recipients.
2 If any components were made from donations from individuals now
HIV EIA repeatedly reactive, Western Blot indeterminate or positive, the following must
a Locate and destroy any in-date components and recovered
plasma units in the in-house inventory.
b Through disposition, transfusion, and shipping documents,
identify non in-date components and determine if the components expired and were
destroyed, or if they were transfused in-house.
c If the components were shipped, notify the consignee and
request a disposition, to include HIV testing results on transfused patients. If recovered
plasma units were shipped, notify the consignee and request disposition.
d If the components were transfused in-house, locate and test the
NOTE: Donations made 12 months prior to the most recent recorded HIV negative test
on a donor do not require further investigation.