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Transfusion Medicine Specimen Referral SITE: Date: Requested by (print contact name): Contact Phone number: Patient Information PhD: Date of Birth: Name: AGO/Rh: Diagnosis: Known Antibodies: Pregnancy
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How to fill out transfusion medicine specimen referral

How to fill out a transfusion medicine specimen referral:
01
Start by collecting all necessary patient information, including their name, date of birth, and healthcare identification number.
02
Indicate the reason for the referral, whether it is for a routine blood transfusion, cross-matching, or additional testing.
03
Specify the type of blood component or product needed, such as packed red blood cells, platelets, or plasma.
04
Clearly state any special requirements or considerations, such as irradiation or leukoreduction, if needed.
05
Provide details about any known allergies or transfusion reactions the patient may have experienced in the past.
06
Document the date and time of the request, as well as the name and contact information of the healthcare professional making the referral.
07
Ensure that the referral form is signed and dated for authentication.
Who needs a transfusion medicine specimen referral?
01
Patients who require a blood transfusion, whether it is for surgery, trauma, or medical conditions that cause severe anemia.
02
Individuals who are undergoing procedures that may involve significant blood loss and necessitate prophylactic measures.
03
Patients requiring specific blood components or products due to rare blood types or specific clinical indications.
04
Individuals with a history of transfusion reactions or known allergies that require special attention during the process.
05
Healthcare professionals responsible for managing blood transfusion services and ensuring appropriate and safe blood product usage.
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What is transfusion medicine specimen referral?
Transfusion medicine specimen referral is the process of sending a patient's blood sample to a specialized laboratory for testing and analysis.
Who is required to file transfusion medicine specimen referral?
Healthcare professionals such as doctors, nurses, and laboratory technicians are required to file transfusion medicine specimen referral.
How to fill out transfusion medicine specimen referral?
Transfusion medicine specimen referral can be filled out by providing relevant patient information, reason for referral, and specific testing requirements.
What is the purpose of transfusion medicine specimen referral?
The purpose of transfusion medicine specimen referral is to ensure accurate and timely testing of blood samples to support patient diagnosis and treatment.
What information must be reported on transfusion medicine specimen referral?
Information such as patient's name, date of birth, medical history, reason for referral, and specific testing requirements must be reported on transfusion medicine specimen referral.
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