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CLINICAL POLICYBLOOD SPECIMEN / REQUEST FORM LABELLING FOR TRANSFUSION TESTING Staff this document applies to: Registered Nurses; Enrolled Nurses Medication Qualified; Medical Staff; Pathology Collectors;
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How to fill out blood specimen request form

01
Gather all necessary information including patient details, such as name, date of birth, and contact information.
02
Fill in the medical test or procedure for which the blood specimen is required.
03
Provide the date and time at which the blood specimen should be collected.
04
Specify any special instructions or requirements for the collection or handling of the blood specimen.
05
Fill in the ordering physician's details, including name, medical license number, and contact information.
06
If applicable, provide the patient's insurance information.
07
Review the completed form for accuracy and make any necessary corrections.
08
Submit the form to the appropriate healthcare professional responsible for collecting the blood specimen.

Who needs blood specimen request form?

01
Healthcare professionals, such as doctors, nurses, or laboratory technicians, who are responsible for collecting blood specimens require the blood specimen request form.
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A blood specimen request form is a document used to request the collection and analysis of a blood sample for medical testing.
Healthcare providers, such as doctors or nurses, are typically required to file a blood specimen request form when they order laboratory tests that involve blood samples.
To fill out a blood specimen request form, you must provide patient information (name, ID, date of birth), physician details, test requested, and any specific instructions or conditions related to the testing.
The purpose of a blood specimen request form is to ensure proper identification of the patient and the requested tests, facilitating accurate and efficient laboratory analysis.
Information such as patient identification, test type requested, ordering physician’s details, and relevant clinical information must be reported on the blood specimen request form.
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