d For donation, shipment, or recipient transfusion to CONUS and
OCONUS civilian blood banks, forward information to their own service SBPO.
3 Ensure that blood donors and recipient look-back programs are in
place and that they meet the following standards:
a Each 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.
b If any components were made from donations by individuals now
HIV EIA repeatedly reactive, Western Blot indeterminate or positive or confirmed HIV-1
Ag positive, the following must be accomplished:
 Locate and destroy any in-date components in the in-house
inventory. If any components were shipped and could be in-date, provide the
information to the SBPO for notification of the consignee that the components were
donated by a donor who is now HIV positive.
 Through disposition, transfusion, and shipping documents,
identified outdated components and determined if the components were destroyed
when they expired, if the components were shipped, or if the components were
 If the components or recovered plasma units were shipped,
provide the information, including addresses, to the SBPO for notification of the
consignee and a disposition, to include HIV testing results on transfused patients.
 If the components were transfused in-house, locate and test
the patient, if in your geographical area. For assistance in locating patients and for
testing at other locations, provide the information to their SBPO.
NOTE: Donations made 12 months prior to the most recently recorded HIV negative
test on a donor do not require further investigation.
c. If any HIV positive individual has a history of a transfusion since
1977, identify the components and locate the donors for HIV testing. Transfusion made
12 months prior to the most recently recorded HIV negative test on the recipient do not
require further investigation.
2-3. THE LOOK-BACK PROCESS.
a. Obtaining and Transmitting Donor or Recipient Information.
(1) All information on donors and recipients used in the HIV look-back program
must be treated with confidentiality. It is recommended that all information mailed or