The Penn-Jersey Region of the American Red Cross receives and processes thousands of requests a month for blood products.  As part of the Inventory Management Process (IMP), hospitals routinely complete an “Inventory Report/Order Form” and report inventory levels and requests for products on a scheduled basis by facsimile (FAX) transmission.  In support of The Joint Commission (formerly Joint Commission on Accreditation of Healthcare Organizations—JCAHO) National Patient Safety Goals (NPSGs), additional forms are available for submitting supplemental and special requests for blood products. The use and submission of these forms by FAX to 215-451-2585:

• Standardizes the process for submitting and processing orders,
• Standardizes the terminology used for product requests,
• Provides written documentation of product requests and delivery expectations,
• Provides a mechanisms for the hospital to retain a written copy of the submitted request, and
• Minimizes the need for telephone phone calls and transcribing information.

Forms available include:

• American Red Cross Blood Request Form
  • American Red Cross Blood Request Form Instructions and Checklist


• Antigen Typed Leukoreduced Red Blood Cell Request Form
  • Antigen Typed Red Blood Cell Product Request Instructions and Checklist


• Request for Selected (Matched) Platelet Products



• Granulocyte Products Request Form