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BLOOD COMPONENT/PRODUCT REQUISITION NEONATAL/PEDIATRIC From: PCU (specify) ORDERING PHYSICIAN: (Include Full First and Last Name) ORDERING PHYSICIAN SIGNATURE TELEPHONE NUMBER: Affix addressograph
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01
Start by ensuring that you have the correct form, req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc.
02
Carefully read through the instructions and all the fields on the form to understand what information is required.
03
Begin by filling out the basic information section, which may include the patient's name, date of birth, gender, and medical record number.
04
If applicable, provide the contact information for the individual who is requesting the blood component for the patient.
05
Specify the type of blood component being requested. This may include red blood cells, platelets, plasma, or other specific blood products.
06
Provide any relevant medical information about the patient that could help the healthcare provider understand the need for the requested blood component.
07
Fill out any additional sections or fields on the form as required, such as medical history, diagnosis, or special instructions.
08
Double-check all the information you have entered to ensure accuracy and completeness.
09
If required, have the form signed by the appropriate healthcare professional or authorized individual.
10
Submit the completed form to the designated department or individual responsible for processing the request.
Who needs req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc:
01
Medical professionals or healthcare providers who are responsible for making blood component requisitions for neonatal or pediatric patients may need req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc.
02
Hospitals, clinics, or medical facilities that provide specialized care for neonatal or pediatric patients may require the use of this form.
03
Laboratories or blood banks that process and fulfill blood component requests for neonatal or pediatric patients may also need to use req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc.
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req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc is a requisition form for blood components specifically designed for neonatal and pediatric patients, updated in 2013.
Healthcare professionals or facilities treating neonatal and pediatric patients are required to file req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc when requesting blood components for these patients.
To fill out req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc, healthcare providers need to provide detailed information about the patient, the required blood components, specific instructions, and any relevant medical history.
The purpose of req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc is to ensure accurate and safe provision of blood components for neonatal and pediatric patients.
Information such as patient details, required blood components, specific instructions, and relevant medical history must be reported on req9002tmbloodcomponent-productrequisitionneonatal-pediatricr20130321doc.
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