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Hemostasis TEST REQUISITION
HEMATOLOGY CONSULT REQUIREDHealth Sciences Center Winnipeg*** PLEASE COMPLETE THE INFORMATION BELOW. PRINT CLEARLY. CHECK APPROPRIATE PROFILE ***
NAME OF PHYSICIAN
ORDERING
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How to fill out haemostasis test requisition
How to fill out haemostasis test requisition
01
To fill out a haemostasis test requisition, follow these steps:
02
Start by writing the date of the requisition form.
03
Fill in the patient's personal information, including their full name, date of birth, and contact information.
04
Provide the patient's medical history, including any known bleeding disorders or relevant medical conditions.
05
Indicate the specific tests required for haemostasis, including clotting time, bleeding time, platelet count, and other relevant tests.
06
Specify any medications or treatments the patient is currently undergoing that may impact the test results.
07
If necessary, provide additional information or specific instructions for the laboratory staff.
08
Sign and date the requisition form before submitting it to the laboratory for testing.
09
Remember to double-check all the information filled out on the requisition form to ensure accuracy and completeness.
Who needs haemostasis test requisition?
01
A haemostasis test requisition is typically needed for individuals who are suspected to have bleeding disorders or abnormal blood clotting tendencies.
02
This includes patients with unexplained bleeding symptoms, prolonged bleeding after injury or surgery, family history of bleeding disorders, or those who are undergoing certain medical treatments that may impact haemostasis.
03
The requisition form allows healthcare providers to request specific haemostasis tests to assess coagulation factors, platelet function, and other related parameters in order to diagnose and manage these conditions effectively.
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What is haemostasis test requisition?
Haemostasis test requisition is a form requesting specific tests related to blood clotting to be performed on a patient.
Who is required to file haemostasis test requisition?
Healthcare providers such as doctors or nurses are required to file haemostasis test requisitions.
How to fill out haemostasis test requisition?
Haemostasis test requisition forms can be filled out by providing patient information, specific tests to be ordered, and any relevant clinical information.
What is the purpose of haemostasis test requisition?
The purpose of haemostasis test requisition is to accurately request and track blood clotting tests for patients.
What information must be reported on haemostasis test requisition?
Patient demographics, test orders, and any relevant clinical information must be reported on haemostasis test requisition forms.
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