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Autologous Collections Request Procedure Eligibility Hematocrit of 36% or higher. Patients must meet weight requirement of 114 lbs. o Any weight 114 lbs. must be approved by the blood bank CMO or
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How to fill out autologous collections request
How to fill out autologous collections request
01
To fill out an autologous collections request, follow these steps:
02
Obtain the autologous collections request form from the relevant medical facility or blood bank.
03
Fill in your personal information, including your full name, contact details, and identification number.
04
Provide relevant medical information, such as your medical history, any ongoing treatments, and medication details.
05
Specify the purpose of the autologous collection, such as a planned surgery or medical procedure.
06
Indicate the desired date and time for the collection, if applicable.
07
Sign the form after carefully reviewing all the information provided.
08
Submit the completed autologous collections request form to the authorized personnel at the medical facility or blood bank.
09
Follow any additional instructions or protocols provided by the facility to complete the process successfully.
Who needs autologous collections request?
01
Autologous collections request is needed by individuals who require a medical procedure or surgery that may involve blood loss or transfusion.
02
This can include patients scheduled for elective surgeries, such as joint replacement, heart surgery, or organ transplant.
03
The purpose of an autologous collection is to store your own blood in advance, ensuring compatibility and reducing the risk of complications during the procedure.
04
Autologous collections are commonly used for patients with specific medical conditions or rare blood types.
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What is autologous collections request?
Autologous collections request is a formal request made to collect and store one's own biological material for future use, such as blood or tissue.
Who is required to file autologous collections request?
Individuals who wish to have their own biological material collected and stored are required to file an autologous collections request.
How to fill out autologous collections request?
To fill out an autologous collections request, one must provide personal information, details about the biological material to be collected, and sign consent forms.
What is the purpose of autologous collections request?
The purpose of an autologous collections request is to ensure that one's own biological material is collected, stored, and used for future medical treatment if needed.
What information must be reported on autologous collections request?
The autologous collections request must include personal information, details about the biological material to be collected, consent for the collection and storage, and any relevant medical history.
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