Get the free Anti-Xa request form - labs gosh nhs
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Antifa Assay Hematology Department, Level 1, Amelia Boar Laboratories, Great Ormond Street Hospital, Great Ormond Street. WC1N 3JH Patient details GO number G Referring hospital Surname Hospital number
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What is anti-xa request form?
The anti-xa request form is a form used to request the measurement of anti-Xa levels in patients on anti-coagulation therapy.
Who is required to file anti-xa request form?
Healthcare providers, specifically those monitoring patients on anti-coagulation therapy, are required to file the anti-xa request form.
How to fill out anti-xa request form?
The anti-xa request form must be filled out with the patient's information, relevant medical history, the type and dosage of anti-coagulation therapy being used, and the reason for the anti-Xa level measurement request.
What is the purpose of anti-xa request form?
The purpose of the anti-xa request form is to monitor and adjust anti-coagulation therapy to ensure that patients are within the therapeutic range to prevent thrombosis or bleeding complications.
What information must be reported on anti-xa request form?
The anti-xa request form must include the patient's name, date of birth, medical record number, the type and dosage of anti-coagulation therapy, reason for testing, and the healthcare provider's information.
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