New York State Limited Blood Transfusion Service Checklist Form DOH-5047

Form Template

Blood bank directors can use the app to review and approved the written policies and procedures that completely and accurately detail all procedures related to the transfusion of blood components at the Limited Transfusion Service.

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The written policies and procedures comply with all applicable New York State regulations and standards. The LTS Director can review the written policies and procedures related to the transfusion of blood components at the Limited Transfusion Service and affirm their commitment to ensuring compliance with established policies and procedures. The New York State Limited Blood Transfusion Service Checklist Form DOH-5047 mobile app allows you to replace your paper checklist with a tablet or smartphone. The mobile form includes fields to document items such as limited transfusion service, blood bank, attestation statement, blood bank director and captures signatures. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your blood bank records. You can also use the App Builder to personalize and customize this mobile form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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