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Patient LabelSASKATOON HEALTH REGION Saskatoon, SaskatchewanNAME: RUH SCH SPH Other HAN: D.O.B.: COMMUNITY PARAMEDICINEPHLEBOTOMY REQUISITION Site/location: Approved fax number (required): Date: Time:
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How to fill out phlebotomy requisition
01
Start by gathering all necessary information such as the patient's name, date of birth, and any specific tests or procedures requested by the healthcare provider.
02
Verify the patient's identification to ensure accurate labeling of specimens.
03
Write down the date and time of collection.
04
Specify the type and number of specimen containers required for each test.
05
Fill out the patient's demographic information including their address, phone number, and insurance details.
06
Indicate the ordering healthcare provider's name, contact information, and any additional notes or instructions.
07
Ensure all required fields are completed accurately and legibly.
08
Double-check the requisition form for any errors or missing information before submission.
09
Submit the completed phlebotomy requisition form along with the collected specimens to the laboratory or designated testing facility.
Who needs phlebotomy requisition?
01
Phlebotomy requisition forms are typically required for patients who need to have blood work or other specimen collection performed.
02
This may include individuals undergoing medical procedures, routine health check-ups, diagnostic testing, or monitoring of certain medical conditions.
03
Healthcare providers such as doctors, nurses, and laboratory technicians also require phlebotomy requisition forms to accurately request and track the necessary tests for their patients.
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What is phlebotomy requisition?
Phlebotomy requisition is a form or document that requests a phlebotomist to draw blood from a patient for testing or medical purposes.
Who is required to file phlebotomy requisition?
Healthcare professionals such as doctors, nurses, or medical assistants are required to file phlebotomy requisition.
How to fill out phlebotomy requisition?
Phlebotomy requisition is typically filled out by entering the patient's information, the tests to be conducted, and any special instructions for the phlebotomist.
What is the purpose of phlebotomy requisition?
The purpose of phlebotomy requisition is to ensure that the correct blood tests are performed on the patient and that the samples are properly collected and labeled.
What information must be reported on phlebotomy requisition?
The information reported on phlebotomy requisition includes the patient's name, date of birth, medical record number, tests requested, any special instructions, and the ordering healthcare provider's information.
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