(6) Item 37. RBC/WB Outdate rate: Calculated by dividing the number of units
outdated (item 12) by the quarterly total received (item 8) and multiplied by 100
(expressed as a percentage).
e. Section IV - Transfusion Complications.
(1) Item 38. Number of transfusion reactions (be sure to enter number for
correct type of transfusion reaction).
(2) Item 39. Requests to perform look-back for HIV or HTLV.
f. Section V - Testing: Items 40-49. Fill all applicable boxes. For column f,
record the number of temporary (includes surveillance category donors) and permanent
blood donor deferrals that result from each of the tests performed (Items 40-49).
Record Western Blot (WB) positives in 40e.
g. Section VI - Blood Products Accounts and Section Vii - Civilian
Collections. Complete all applicable boxes. Round numbers to whole numbers.
h. Section VIII - Remarks and Authorization. This section is to make any
required comments or clarifying remarks.
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