This is the sample WBC depletion form I used at several institutions in the Middle East, last updated for Terumo Optia equipment.
Tag: Therapeutic Apheresis
Plasmapheresis, RBC exchange, leukoreduction, thromboreduction, stem cell collection, donor lymphocyte infusion, column absorption, and photopheresis
WBC Depletion Form
TPE Form
Platelet Depletion Apheresis Form
This form was developed based my experiences at several locations. It could serve as a data entry template for an electronic form.
Outpatient High-Risk Procedures in the Donor Center
Manual Data Entry for Therapeutic Apheresis
Apheresis Overview for Medical Technologists 1
ABO-Incompatible Renal Transplants
Dr. Zeyd Merenkov 