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Get the free Blood Product Request Form# 103220 - Saskatoon Health Region

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SaskatoonHealthRegion TransfusionMedicineServicePATIENTIDENTIFICATION FILENAME: Phone:RUH(306)6552179SCH(306)6558204SPH(306)6555168 Phone:Humboldt(306)6828128LASTNAME: BLOODANDTISSUEPRODUCTREQUESTFORMHSN:
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How to fill out blood product request form

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How to fill out blood product request form

01
Step 1: Enter the date and time of the request on the designated field.
02
Step 2: Provide the name and contact information of the person making the request.
03
Step 3: Specify the type of blood product required (e.g., whole blood, platelets, plasma).
04
Step 4: Indicate the quantity of blood product needed.
05
Step 5: Mention the patient's details, including their name, age, and medical record number.
06
Step 6: Include any additional information or special instructions for the blood product request.
07
Step 7: Sign the form to validate the request.
08
Step 8: Submit the filled-out blood product request form to the appropriate authority or department.

Who needs blood product request form?

01
Medical professionals and healthcare facilities who require blood products for transfusion purposes.
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The blood product request form is a document used to request specific blood products from a blood bank or donation center.
Healthcare professionals such as doctors, nurses, and medical technologists are required to file the blood product request form.
The blood product request form should be filled out with patient information, type and quantity of blood products needed, and any special instructions or requirements.
The purpose of the blood product request form is to ensure that the correct blood products are provided to patients in need.
The blood product request form must include patient name, medical record number, blood type, quantity of blood products needed, and any special requests.
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