Get the free Autologous Bone Marrow Collection and Processing - cibmtr

FOR REGISTRY USE ONLY: INSERT AutoBM I.D. P Date received: SUBMIT: Registry (circle one): (Institutional Unique Blood or Marrow Transplant Identification Number) 1. Date of CHSCT for which this form

How to fill out autologous bone marrow collection

How to fill out autologous bone marrow collection:

1. Make sure you have all the necessary forms and documents before starting the process.
2. Begin by carefully reading and understanding the instructions provided with the collection kit.
3. Ensure that you are in a clean and sterile environment to prevent any contamination.
4. Wash your hands thoroughly with soap and water.
5. Open the collection kit and remove all the contents.
6. Prepare the collection bag by attaching it to the needle and vacuum tube as instructed.
7. Position yourself comfortably and locate the appropriate insertion site for the needle, usually the iliac crest of the hip bone.
8. Clean the insertion site with an antiseptic solution and allow it to dry completely.
9. Administer local anesthesia if needed, following the instructions and guidelines provided.
10. Insert the needle into the bone, maintaining a steady and controlled motion until the desired depth is achieved.
11. Once the needle is properly positioned, begin collecting the bone marrow by slowly withdrawing the plunger of the vacuum tube.
12. Gently rotate the needle back and forth to ensure an adequate sample is obtained.
13. Once enough bone marrow has been collected, carefully remove the needle from the bone without disrupting the sample.
14. Close the collection bag securely and mix the sample by gently invigorating it.
15. Check the filled-out form for accuracy and completeness, ensuring all required information is provided.
16. Place the collection bag, form, and any other required documents back into the kit.
17. Follow the specific instructions regarding transportation and delivery of the sample to the designated laboratory or facility.

Who needs autologous bone marrow collection?

1. Individuals with certain types of cancer who may undergo high-dose chemotherapy or radiation therapy.
2. Patients with diseases or conditions affecting the bone marrow, such as aplastic anemia or certain types of leukemia.
3. Individuals preparing for hematopoietic stem cell transplantation.
4. People undergoing gene therapy or clinical research studies involving bone marrow.

Remember, the decision to undergo autologous bone marrow collection should be made in consultation with a healthcare professional who can assess your specific medical condition and provide personalized guidance.

For pdfFiller’s FAQs

What is autologous bone marrow collection?

Autologous bone marrow collection is the process of collecting bone marrow from a patient's own body for future use in medical treatments.

Who is required to file autologous bone marrow collection?

Patients or individuals undergoing the bone marrow collection procedure are required to file autologous bone marrow collection forms.

How to fill out autologous bone marrow collection?

You can fill out autologous bone marrow collection forms by following the instructions provided by the healthcare provider or medical facility conducting the bone marrow collection procedure.

What is the purpose of autologous bone marrow collection?

The purpose of autologous bone marrow collection is to harvest and store bone marrow for potential future medical treatments or therapies.

What information must be reported on autologous bone marrow collection?

The information reported on autologous bone marrow collection forms typically includes the patient's personal details, medical history, and consent for the collection procedure.

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