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Gleeson Laboratory for Pediatric Brain Diseases BLOOD COLLECTION 1. Collect 58 ml of blood using EDTA (purple top) or ACD (yellow top) tubes and leave tubes at ROOM TEMPERATURE. 2. Label the tube
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How to fill out a blood collection form:

01
Start by carefully reading the instructions provided on the form. Familiarize yourself with the specific requirements and sections that need to be filled.
02
Begin by providing your personal information, including your full name, date of birth, and contact details. This information is crucial for identification and communication purposes.
03
Look for the section requesting your medical history. Fill in details about any past or current medical conditions, surgeries, medications, or allergies. It is important to be honest and thorough in this section to ensure the safety of the blood recipient.
04
Complete the section related to lifestyle habits, such as whether you smoke, consume alcohol, or use recreational drugs. This information helps determine the eligibility of your blood for donation.
05
Next, you might be asked to answer questions regarding recent travel and potential exposure to infectious diseases. Be truthful and provide accurate details about any recent trips, especially to areas with a high risk of diseases.
06
Some blood collection forms require you to indicate the reason for the blood donation. This could be for a general blood donation, directed donation, or specific medical purposes. Select the appropriate option based on your intent.
07
If you are donating blood for a specific person, you may be asked to provide their details, such as name, relationship, and medical condition. This helps ensure the donation is directed to the correct recipient.
08
Review your completed form for any errors or missing information. It is crucial to double-check your responses to ensure everything is accurate and up-to-date.
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Once you are satisfied with the form, sign and date it as instructed. Your signature verifies that the information provided is true and complete to the best of your knowledge.

Who needs a blood collection form?

01
Individuals donating blood: Anyone who wants to donate blood at a blood bank or donation center will need to fill out a blood collection form. This form collects essential information about the donor's medical history, lifestyle habits, and eligibility to ensure the safety of the donated blood.
02
Patients requiring blood transfusions: When a patient requires a blood transfusion, they may need to fill out a blood collection form to provide crucial information about their medical condition and any specific requirements for the blood they will receive.
03
Healthcare professionals and blood bank staff: Blood collection forms are essential for the healthcare professionals and staff working at blood banks and donation centers. They use these forms to collect and assess the information necessary to ensure the compatibility and safety of collected blood units.
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The blood collection form is a document used to record information about the collection of blood from individuals.
Healthcare professionals or facilities that collect blood from individuals are required to file the blood collection form.
The blood collection form can be filled out by providing relevant information about the individual, the blood collection process, and any testing or storage of the blood.
The purpose of the blood collection form is to track and document the collection, testing, and storage of blood for medical or research purposes.
Information such as the individual's name, date of birth, date and time of collection, collecting facility, tests performed, and results must be reported on the blood collection form.
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