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BLOOD COMPONENT/PRODUCT REQUISITION RURALFrom: PCU (specify) ORDERING PHYSICIAN: (Include Full First and Last Name)ORDERING PHYSICIAN SIGNATURE:Affix addressograph imprint or patient label or clearly
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How to fill out pretransfusion testing requisition

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How to fill out pretransfusion testing requisition

01
Begin by gathering the necessary information for the requisition form, such as the patient's name, identification number, and date of birth.
02
Next, record the patient's medical history, including any relevant information about previous blood transfusions or reactions.
03
Indicate the specific blood components that are required for the transfusion, such as red blood cells, platelets, or plasma.
04
Specify any additional testing or special requests, such as crossmatching or antigen typing.
05
Provide information about the healthcare provider, including their name, contact information, and any special instructions.
06
Finally, review the requisition form for any errors or missing information, ensuring it is complete and accurate.
07
Submit the completed pretransfusion testing requisition form to the appropriate laboratory or blood bank.

Who needs pretransfusion testing requisition?

01
Pretransfusion testing requisition is needed by any patient who requires a blood transfusion.
02
This includes patients who have undergone surgery, experienced significant blood loss, or have certain medical conditions that require blood component therapy.
03
The requisition helps ensure that the correct blood components are selected and that the transfusion is safe for the patient.
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Pretransfusion testing requisition is a form used to request blood products for transfusion and to perform necessary tests prior to the transfusion.
Healthcare providers, such as doctors or nurses, are required to file pretransfusion testing requisition.
Pretransfusion testing requisition should be filled out with patient information, blood product request, and necessary tests to be performed.
The purpose of pretransfusion testing requisition is to ensure compatibility between the patient and the blood product to prevent transfusion reactions.
Patient name, identification number, blood type, requested blood product, tests to be performed, and signature of the requesting healthcare provider.
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